Compounded microdose tirzepatide, calibrated for active loss of 10 to 25 pounds. Not full dose. Not maintenance. The right dose for the rest of us. $189/month. No insurance required.
Microdose is not maintenance. It's the right dose for active modest loss.
The same active ingredient as Mounjaro and Zepbound. Prescribed at the lower weekly doses appropriate for adults with 10 to 25 pounds to lose. A protocol matched to a modest weight loss goal, not built for severe obesity, and not a post-loss maintenance program.
Standard GLP-1
Built for severe obesity
Full-dose tirzepatide and semaglutide were designed and approved for adults with a BMI of 30 or more. The dosing escalates to treat the hardest cases, and clinical literature reports that side effects (nausea, fatigue, GI issues) scale with the dose.
Dose 5 to 15 mg weekly
Designed for BMI 30+
Side effects Often significant
Cost $250 to $400/mo
Sliver microdose, active loss
Built for actively losing 10 to 25 pounds
Same molecule. Prescribed at the lower weekly doses appropriate for adults with 10 to 25 pounds to lose. Lower dose, lower price, and clinical research suggests a milder side effect profile at this range than at full-dose. Individual results vary.
Dose 1.25 to 2.5 mg weekly
Designed for BMI 25 to 30, active loss
Side effects Typically mild at this range
Cost $189/month
How Sliver works
From assessment to delivery, in days.
01
Take the 60-second assessment
No office visit, no blood test, no waiting rooms. We review the same clinical questions a provider would ask in person.
02
A board-certified provider reviews
A US-licensed provider in your state reviews your responses, asks any clarifying questions, and writes your prescription if appropriate.
03
Compounded medication arrives in 48 hours
Shipped from a state-licensed 503A compounding pharmacy in plain, discreet packaging. Refilled monthly. Cancel anytime.
If your provider determines Sliver is not the right fit, you will not be charged.
Common questions
The questions we get asked most.
Wegovy and Zepbound are FDA-approved finished products designed for adults with a BMI of 30 or more (or 27 with a related condition). The doses escalate to clinically meaningful levels for treating obesity. Sliver uses the same active ingredient (compounded tirzepatide) at the lower weekly doses appropriate for adults with 10 to 25 pounds to lose. Same molecule, calibrated dose. Individual results vary.
Most microdose brands position their product as a maintenance protocol for adults who have already lost weight on a full-dose GLP-1 and want to hold the line. Sliver is calibrated for active weight loss in adults with 10 to 25 pounds to lose. If you are at or near your goal weight already and looking for a maintenance protocol, Sliver is not the right fit for you.
Sliver is appropriate for adults with a BMI between 25 and 30 (or up to 32 in some cases) seeking sustained, modest weight loss. We do not prescribe for adults with active pregnancy, certain thyroid conditions (MEN2), history of pancreatitis, active eating disorders, or other contraindications. The assessment screens for all of this, and the provider has final say. If you are not a fit, you will not be charged.
Side effects of tirzepatide are dose-dependent and individual. At microdose levels (1.25 to 2.5 mg weekly), reported side effects in clinical literature include mild nausea, reduced appetite, mild fatigue, or constipation, often in the first 1 to 2 weeks of treatment. Serious side effects are uncommon at these doses but possible. Your provider will discuss the full profile before prescribing. Individual experience varies.
Clinical research on tirzepatide indicates reduced appetite is commonly reported within the first 1 to 2 weeks of treatment. Sustained weight loss generally begins in week 3 to 4. Individual results vary widely based on starting weight, dose, diet, activity level, and other factors. Sliver does not guarantee any specific result.
Honest answer: the active ingredient is FDA-approved as a component. The 503A compounding pharmacies that prepare Sliver's medication are state-licensed and FDA-registered. The specific compounded formulation is not FDA-approved as a finished product the way Mounjaro is, because compounded medications are prepared per individual prescription. This is the same regulatory framework that allows compounding pharmacies to prepare custom medications across all of healthcare.
Your prescription is filled by a state-licensed 503A compounding pharmacy in the United States. The specific pharmacy depends on your shipping state to ensure proper licensure. We share the pharmacy name with you in your welcome packet and you can verify its license at any time through your state board of pharmacy.
Cancel any time, no questions, no fees. Pause for travel, holidays, or any reason. We do not lock you into long-term contracts. After reaching your goal weight, you can stop entirely or discuss a maintenance protocol with your provider.
Yes. Sliver is HSA and FSA eligible when paired with a Letter of Medical Necessity from your prescribing provider, which we can provide on request after your assessment is approved.
Start feeling like the lighter version of yourself.
$189 per month. Provider review within 24 hours. Medication ships in 48 hours. Cancel anytime.
