KPV’s human safety profile is not as extensively characterized as that of conventional anti-inflammatory medications, so clinician screening is necessary, and KPV should not be considered universally safe. Important considerations include active medical conditions, pregnancy, allergies, other medications, and whether a patient is already using multiple compounded peptides. Because Bowery offers KPV as a troche, local mouth irritation or taste-related issues are possible in addition to any systemic reaction. Patients should report new gastrointestinal symptoms, rash, swelling, dizziness, or other unexpected changes.