Evidence grade DGut & skin inflammation, mouse data

KPV

Also known as Lysine-proline-valine, KPV acetate, alpha-MSH 11-13

A three-amino-acid tail of the hormone alpha-MSH, sold for gut and skin inflammation. It calmed colitis in mice, and FDA found no study of it in people by any route.

Evidence grade D · 9 citations

By Ruth Calder · Enforcement Editor
Editorially reviewed. Not medical advice · How we verify contentLast reviewed
Regulatory status
No FDA approval and not on the 503A Bulks List. Since October 28, 2026 an interim HHS policy puts state-licensed pharmacies and physicians outside federal enforcement when they compound KPV acetate under section 503A for topical and oral use only, single-ingredient, from tested bulk peptide out of an FDA-registered facility, on a patient-specific prescription. Oral products also need documented human oral bioavailability. Injected and nasal KPV fall outside the policy, as do research-use-only vials. It approves nothing and lasts until a final rule settles the listing.
Common routes
Oral · topical · injection and nasal spray (outside the HHS policy)

Overview

KPV is three amino acids long: lysine, proline and valine, the last three links of alpha-melanocyte-stimulating hormone (alpha-MSH). Interest in that tail end dates to 1989, when a fragment of it reduced chemically induced ear swelling in mice, and more so at higher doses [1]. The draw since then has been that it seems to keep the anti-inflammatory activity of the parent hormone while leaving out its effect on skin pigment [2].

On peptide menus it is sold for gut inflammation, skin conditions and wound healing, often next to BPC-157 and TB-500 and sometimes blended with them. All of the research behind those uses comes from cell lines, mice and pieces of donated skin. When FDA reviewed KPV in 2026 it found no study in which a person had taken it, by any route, and no human safety data [7].

Its legal position moved on October 28, 2026. An interim HHS policy now says HHS will not take enforcement action against state-licensed pharmacies and physicians that compound KPV acetate as a cream or an oral product, under conditions [8]. That changes where a person can get it. It adds nothing to what is known about whether it works or what it does to people.

Comparing providers? We rank the sellers of KPV side by side, scored on the same criteria and rechecked every month.View ranking →

Where to get KPV

Everyone in our register selling KPV. Sellers we hold an affiliate relationship with appear at the top of the list.

8.2/ 10
Verified partner

Live Vital

Best for: physician-led compounded GLP-1s with a broad peptide menu

★★★★☆8.2/10

Editorial score · methodology

$130/moprepaid
CompoundedSemaglutideTirzepatideBPC-157CJC-1295 / Ipamorelin
Get StartedRead full Live Vital review →
9.0/ 10

Pepti

Best for: seeing the price at every dose before you start

★★★★★9.0/10

Editorial score · methodology

$99/mo
CompoundedSemaglutideTirzepatideBPC-157GHK-Cu
Get StartedRead full Pepti review →
8.2/ 10

Bayan Health

Best for: a priced catalog across microdose, standard-dose and tablet GLP-1 routes

★★★★☆8.2/10

Editorial score · methodology

$99/mo
CompoundedSemaglutideTirzepatideOrforglipronBPC-157
Get StartedRead full Bayan Health review →
7.9/ 10

Rehydra+ Wellness

Best for: seeing what it charges before you answer any medical questions

★★★★☆7.9/10

Editorial score · methodology

$119/mo
CompoundedSemaglutideTirzepatideBPC-157GHK-Cu
Get StartedRead full Rehydra+ Wellness review →
7.4/ 10

RxPepsDirect

Best for: a published list of the 28 states it serves, when most sellers publish none

★★★★☆7.4/10

Editorial score · methodology

$64/mo
CompoundedSemaglutideTirzepatideBPC-157CJC-1295 / Ipamorelin
Get StartedRead full RxPepsDirect review →
7.3/ 10

Ivy Rx

Best for: coverage in all 50 states, which most sellers will not confirm

★★★★☆7.3/10

Editorial score · methodology

$197/mo
CompoundedSemaglutideTirzepatideBPC-157Glutathione
Get StartedRead full Ivy Rx review →
7.3/ 10

Longevixx

Best for: starting below a standard dose, with microdose tiers

★★★★☆7.3/10

Editorial score · methodology

$129/mo
CompoundedSemaglutideTirzepatideBPC-157CJC-1295 / Ipamorelin
Get StartedRead full Longevixx review →
7.0/ 10

Scripts Rx Direct

Best for: people who want posted prices for compounded GLP-1s or the HHS-policy peptides before starting an intake

★★★★☆7.0/10

Editorial score · methodology

$200/mo
CompoundedSemaglutideTirzepatideBPC-157Glutathione
Get StartedRead full Scripts Rx Direct review →
★★★☆☆6.2/10

Editorial score · methodology

$199/mo
CompoundedSemaglutideTirzepatideBPC-157MOTS-c
Get StartedRead full California Trim Clinic review →
5.8/ 10

EllieMD

Best for: a flat-rate compounded GLP-1 plan bought three months at a time

★★★☆☆5.8/10

Editorial score · methodology

$229/moprepaid
CompoundedSemaglutideTirzepatideBPC-157MOTS-c
Get StartedRead full EllieMD review →
5.5/ 10

BeyondMD

Best for: coaching bundled into the price rather than sold separately

★★★☆☆5.5/10

Editorial score · methodology

$125/mo
CompoundedSemaglutideTirzepatideBPC-157MOTS-c
Get StartedRead full BeyondMD review →

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How it works

The best-supported idea is that KPV enters gut-lining cells through PepT1, a transporter for small peptides that is switched on in the inflamed colon. Inside the cell, nanomolar amounts damped NF-kappaB, a central switch for inflammatory signaling, in human cell lines [3]. Mice missing a working melanocortin-1 receptor still responded, which suggests KPV does not rely entirely on the receptor that alpha-MSH itself uses [4].

Beyond that, the target is unsettled. FDA's 2026 review described the molecular targets behind KPV's effects as unknown [7]. A plausible route into cells and a measurable effect on inflammatory signaling in a dish leave open the question that matters to a buyer, which is what a capsule or cream does in a person.

What the evidence says

The gut work is the most developed part. In a 2008 Emory study, KPV added to drinking water reduced colitis in two chemically induced mouse models [3]. A German group the same year reported earlier recovery and better weight regain in two other mouse colitis models, and every MC1R-mutant mouse in the treated group survived a colitis challenge [4]. These are consistent findings from serious labs, all in animals whose colitis was produced on purpose.

Skin is where the only formal request to compound it pointed: the withdrawn nomination asked for a 0.1% cream or gel, and FDA noted that none of the nine papers it cited studied KPV in humans [7]. One lab test used donated human skin and found that plain KPV did not pass through at detectable levels unless the skin was first punctured with microneedles or an electric current was applied [5]. A cream that does not cross the skin barrier would need some other explanation for any effect.

Weight is the newest claim. One 2026 paper reported that KPV cut fat build-up in a mouse fat-cell line by about 55% and slowed weight gain in mice on a high-fat diet [6]. That is a single study measuring less gain, not loss, and nobody has repeated it.

Grade D. The full study-by-study table, FDA's findings and the July 2026 advisory committee history are in our evidence review, linked from this page.

The full evidence review: KPV Peptide: What the Evidence Shows, and What FDA FoundRead it →

Typical dosing

No human dose has been tested, so none is supported. Mouse studies dosed by body weight or dissolved KPV in drinking water, and neither converts into a person's daily amount. The figures on vendor sites and forums are guesses, and this page does not repeat them.

The HHS policy sets routes rather than doses. A compounded KPV product it covers must be topical or oral, contain KPV acetate as its only active ingredient, and come on a prescription written for one patient [8]. For oral products the pharmacy is expected to keep records showing the formulation reaches adequate levels in the human body, a hard bar for a peptide that nobody has measured in human blood. Injected and nasal KPV sit outside the policy.

Safety & side effects

Nobody knows the side-effect profile. FDA found no acute or repeat-dose toxicity studies and no human exposure data, and its safety-risk page says the agency lacks information on whether KPV would cause harm in people [9] [7]. An empty adverse-event database here reflects how little reporting exists for compounded products. It does not show the peptide is safe.

What the October 28, 2026 policy adds is a paper trail. A covered pharmacy must buy KPV acetate from an FDA-registered facility, with lab paperwork showing each batch was tested for identity, purity, bacterial toxins and microbes. The label must say the product is compounded and not for resale, and serious side effects and product defects go to MedWatch, FDA's reporting system [8]. The policy is interim, it adds nothing to the 503A Bulks List, and HHS can pull it back if problems emerge. Research-use-only KPV bought online carries none of those safeguards.

Frequently asked questions

Can a pharmacy legally compound KPV now?

Since October 28, 2026, an interim HHS policy puts state-licensed pharmacies and physicians outside federal enforcement when they compound KPV acetate under section 503A, for topical and oral use, on a patient-specific prescription and under quality and reporting conditions. KPV is still not FDA-approved and not on the 503A Bulks List, and injected or nasal KPV is not covered.

Has KPV been tested in people?

No. FDA's 2026 review found no clinical study and no human exposure data for KPV by any route. Everything published is from cells, mice or donated skin tissue.

Will it help my IBD or gut inflammation?

Nobody can say. Oral KPV reduced colitis in several mouse models, but no human with ulcerative colitis or Crohn's disease has taken it in a trial. Approved treatments for inflammatory bowel disease exist and have human evidence behind them.

Does a KPV cream work?

Untested in people. In a lab study on donated human skin, plain KPV did not cross the skin at detectable levels without microneedles or an electric current to help it through.

Is research-use-only KPV the same thing?

Legally and practically, no. The HHS policy covers pharmacies and physicians compounding against a prescription, with tested bulk peptide and adverse-event reporting. A vial labeled for research use is sold outside all of that, and nobody checks what is in it.

Does KPV cause weight loss?

There is no human evidence. One 2026 study found it slowed weight gain in mice on a high-fat diet and reduced fat build-up in mouse fat cells. That is an early lab result.

Sources

  1. [1] Hiltz ME, Lipton JM Antiinflammatory activity of a COOH-terminal fragment of the neuropeptide alpha-MSH. FASEB J (1989). PMID 2550304
  2. [2] Brzoska T, Luger TA, Maaser C, et al. Alpha-melanocyte-stimulating hormone and related tripeptides: biochemistry, antiinflammatory and protective effects in vitro and in vivo, and future perspectives for the treatment of immune-mediated inflammatory diseases. Endocr Rev (2008). PMID 18612139
  3. [3] Dalmasso G, Charrier-Hisamuddin L, Nguyen HT, et al. PepT1-mediated tripeptide KPV uptake reduces intestinal inflammation. Gastroenterology (2008). PMID 18061177
  4. [4] Kannengiesser K, Maaser C, Heidemann J, et al. Melanocortin-derived tripeptide KPV has anti-inflammatory potential in murine models of inflammatory bowel disease. Inflamm Bowel Dis (2008). PMID 18092346
  5. [5] Pawar K, Kolli CS, Rangari VK, et al. Transdermal Iontophoretic Delivery of Lysine-Proline-Valine (KPV) Peptide Across Microporated Human Skin. J Pharm Sci (2017). PMID 28343991
  6. [6] An SH, Park JY, Lee SJ KPV attenuates adipogenesis and lipid metabolism through modulation of ROS-mediated AKT/mTORC1/PPARγ signaling. Tissue Cell (2026). PMID 42585803
  7. [7] U.S. Food and Drug Administration FDA Briefing Document for KPV-Related Bulk Drug Substances (KPV (free base) and KPV acetate), Pharmacy Compounding Advisory Committee, July 23-24, 2026. FDA (2026). fda.gov
  8. [8] U.S. Department of Health and Human Services HHS Enforcement Discretion Policy Regarding 503A Compounding Using Certain Peptide Bulk Drug Substances (with Appendices A and B). HHS (2026). hhs.gov
  9. [9] U.S. Food and Drug Administration Certain Bulk Drug Substances for Use in Compounding that May Present Significant Safety Risks. FDA (2026). fda.gov

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Evidence on this page was last reviewed October 2026. This is background information, not a substitute for a clinician.