Salt formation improves solubility and bioavailability for ionizable APIs, but disproportionation poses a significant stability risk. This white paper discusses key factors influencing disproportionation—such as pKₐ, pHₘₐₓ, and moisture—and presents practical strategies for risk mitigation through rational salt selection, excipient control, and formulation design. Case studies illustrate how these principles are applied in development.