30+ years of experience with friendly, expert providers
Tirzepatide available through weekly in-office care or monthly video visits
Medications prepared at licensed 503A and FDA-registered 503B outsourcing facilities
Reliable overnight delivery or in-office administration
Early and late appointment times to fit your schedule
Easy online booking and forms
15 locations in Maryland and Virginia
Telehealth available in Maryland, Virginia, and Florida
No insurance needed
No contracts or hidden fees—just clear, upfront pricing
Book an Appointment
Meet with a medical provider in office or via video call to review your medical history and create a treatment plan
Receive Medication
We’ll give you the shot in office or send them to your door via telehealth
Lose Weight for Good
Meet with a medical provider every 1-4 weeks to manage your medications and keep your weight loss on track
You’ll Love Your Experience with Us
| In-Office Tirzepatide | |
| Weekly appointments and injections administered on site | |
| Initial Visit (includes medication + first injection): | $195 |
| Weekly Follow-Up Visits (includes medication + injection): | $165 |
| Telehealth Tirzepatide | ||
| Monthly video check-ins + medication shipped to your door. | $599 |
|
| Includes video visit, 4-week medication kit, and shipping | ||
Dr. Paul Rivas has been helping patients lose weight for over 30 years.
He has treated over 100,000 patients, with a very high success rate. Through his programs, patients don’t only lose weight, they keep the weight off!
FAQ
From what our patients share, results can start early—some notice a 5-pound drop after the very first injection. Others say they don’t see much movement until 6–8 weeks into treatment. Everyone’s journey is different. By starting low and increasing the dose gradually, we aim to keep side effects minimal and progress sustainable.
From what our patients share, results can start early—some notice a 5-pound drop after the very first injection. Others say they don’t see much movement until 6–8 weeks into treatment. Everyone’s journey is different. By starting low and increasing the dose gradually, we aim to keep side effects minimal and progress sustainable.
Our patients find Tirzepatide especially helpful when they’re looking for a long-term solution or need to lose more than 10–15 pounds.
However, Tirzepatide is not recommended if you have any of the following:
- Personal or family history of medullary thyroid cancer
- Multiple endocrine neoplasia syndrome type 2
- Type 1 diabetes
- Type 2 diabetes and are already taking a GLP-1 medication
- History of pancreatitis
- Chronic kidney disease (unless cleared by your nephrologist)
- Currently pregnant, nursing, or trying to become pregnant
If you have medical conditions not listed here, you may still be a candidate for Phentermine, which can be an effective alternative.
Our patients often mention brief moments of nausea, changes in digestion like constipation or diarrhea, and feeling more tired than usual. Many have also noticed a reduced desire for alcohol.
Our team works with you to manage these symptoms and provide a positive experience throughout your treatment.
Yes, unlike vaccines or many other shots you may think of, this injection is done with a tiny needle that only goes under the skin, not into muscle. Patients often don’t realize we already gave the shot.
We do not process any insurance. Unfortunately, most insurance companies refuse to cover medical weight loss, but we are happy to provide invoices for reimbursement if your insurance does. Some patients are able to get reimbursed for the visit.
We offer telehealth services for patients residing in Maryland, Virginia and Florida who are interested in treatment with semaglutide or tirzepatide. Here’s how it works:
Monthly Video Appointments:
You will have a monthly video appointment with one of our medical providers. During these appointments, your provider will monitor your progress, address any concerns, and adjust your treatment plan as needed.
Convenient Medication Delivery:
Once your treatment plan is established, the telemedicine weight loss prescription will be shipped directly to your home. This ensures you have easy and timely access to your medication without needing to visit the clinic.
Telehealth allows you to receive high-quality care from the comfort of your home, making it easier to stay on track with your treatment and health goals.