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No Time to Die, a second biomedical thriller by Peikoff, was published in September 2014, receiving mildly positive reviews by the Romantic Times and NJ.com.

After graduation, Peikoff worked as an editorial assistant for Henry Holt and Company and for Random House. Since 2013, she has worked as a freelance journalist on health and science, having written articles for The New York Times, Slate, Salon, Cosmopolitan, The Atlanta Journal-Constitution, Psychology Today and The Hastings Center Report.

At a ceremony in Laguna Beach, California, in June 2012, Peikoff married Matthew Seth Beilis, a musician, salesman, and graduate of Columbia University. She continues to use her maiden name professionally. She lives in New York City with her husband and their dog.

When Peikoff was 13 years old, Gone with the Wind inspired her to become a novelist. In 2008, Peikoff finished writing her debut novel, Living Proof, having taken a year off after university to write it, and in February 2012, it was published. The book, inspired by her disgust toward President George W. Bush's opposition to stem-cell research, is a dystopian thriller set in a future time when embryo destruction is legally considered first-degree murder and fertility clinics are severely regulated by the government. The novel received largely positive reviews, among them a mildly positive review by Publishers Weekly, a mildly negative review by Kirkus Reviews, and positive reviews by Suspense Magazine and Mystery Scene magazine.

Kira Peikoff was named after the protagonist of Ayn Rand's We the Living. She grew up in Irvine, California, being home-schooled and then attending Woodbridge High School. Peikoff was raised with Rand's philosophy of Objectivism, but after having read Rand's Atlas Shrugged in college, Peikoff decided to embrace Objectivism for herself. In 2007, she graduated with a Bachelor of Arts honours degree in Journalism from New York University.

Kira Lily Peikoff (/ˈ p iː k ɑː f / ; born May 21, 1985) is a journalist and novelist, based in New York City.