Tirzepatide – The newest innovation in weight loss injection

Introducing the most effective weight loss injection:

  • Reduces appetite and cravings, increases feeling of fullness
  • Increases fat burning and lowers blood sugar
  • Majority of patients in the clinical trial lost at least 20% of their body weight
  • Weekly painless under-the-skin injections activating GLP-1 and GIP

  • Regular consultations with a medical provider
  • FDA fast track to be approved for weight loss, approved and used for diabetes since May 2022
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Cutting edge treatment for weight loss

Most lose more than 22% of their body weight

Liquid gastric bypass, dramatically reduces appetite

Obesity is a chronic medical condition not a personal choice

Typically only $500-820/ month

Doc and med

All our pricing includes the cost
of the visit and the medication

No contract NB

No Contract
You only pay for what you get


Up to 50% off typical pharmacy price

FSA and HSA Accepted

The price of treatment depends on the dose you are prescribed. Patients start off coming every week and can then extend to every 4 weeks. Progression of dosing is dependent on individual treatment plans.

First visit + 1 low dose injection $195
Follow-up visit + 1 low dose injection $125
Follow-up visit + 1 mid dose injection $140-160
Follow-up visit + 1 high dose injection $185-205
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“Other weight loss places may make promises and guarantees, but instead of gimmicks we prefer to let the results speak for themselves. Results are dependent on individuals, so come and find out what you can achieve.”

With this treatment you can start to lose weight fast. It is common to lose weight from your first treatment. 

This treatment is a particularly good fit for you if you are looking for a long term solution, you have taken phentermine or another stimulant medication (like ADHD meds) before, and/or you need to lose more than 10-15 lbs.

You can not be treated with tirzepitide if you have:

  • Medullary Thyroid cancer

  • Multiple endocrine neoplasia

  • Type 1 Diabetics

  • Type 2 diabetics already taking a GLP-1 medication

  • History of pancreatitis

  • Chronic kidney disease (unless cleared by nephrologist)

  • Nursing, Pregnant, or trying to get pregnant

You can still use phentermine if you have any other medical conditions not listed above.

Short moments of nausea,

Constipation or diarrhea


Takes away desire for alcohol

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.

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Risk Free Initial Visit

Initial consultation is free. Only $195 if you choose to start treatment.

  • Consultation with Medical Provider
  • 2 weeks of Medication Dispensed Onsite

  • Personalized Treatment Plan

  • Educational Packets

  • Free Lipotropic B12 Injection

  • Free Body Composition Analysis (select locations)

  • Additional Service Coupons
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Excellent4.9 Based on 1379 reviews from review us onDawn F.Dawn F. ★★★★★ Easy appointment set up. Quick, on time appointment. Conscience of phone initial appointment. Overall great experience.Anthony C.Anthony C. ★★★★★ Great service. Great results.Melissa D.Melissa D. ★★★★★ The medical staff is so kind and really listens to you. Sophia takes her time asking questions and making sure you are successful with the process. So glad my Dr. Recommended this practiceJeannine LJeannine L ★★★★★ Been there twice. Staff are friendly and nurses care about your weight loss. Will continue to go here, until waldorf location opens..Judy Oconnor (.Judy Oconnor (. ★★★★★ Peoples are very nice. You are in & out in less than 15 minutes. I’ve been getting the B12 shots along with my semagultide. So far things have been great.Brenda H.Brenda H. ★★★★★ I came to Rivas after leaving another weight loss center located in Virginia. I was told at the Virginia clinic that I wouldn’t lose weight due to the fact that as a nurse, I work night shift and I like an occasional Diet Pepsi.After feeling defeated, I called Rivas. They set me up to see a provider immediately. Upon arrival, I instantly felt that I was at the right place. I began my B12 injections that same day but wanted time to think about whether or not I wanted to proceed with the Semiglutide injections. Not once did they try to persuade me into anything I was unsure about or didn’t want. They were very encouraging and helpful. We talked about nutrition and weight loss expectations.They were upright and honest reassuring me that as it may be difficult to lose weight while working nights, it’s not impossible.I’ve been a client since June and I am proud to say that I am down 35 pounds!! I am over half way to my goal weight!! I am so thankful to all the staff at Rivas in the Frederick office. They have been so friendly and easy work with. They are also very accommodating with my crazy work schedule. Since I work in Hagerstown, I will now be making my appointments at the new Hagerstown office. I will miss the ladies in Frederick but I want you to know how grateful I am. Without your help and encouragement, I wouldn’t be where I am today 😊Just wanted to add an update. As of today 5-26-2023, I am officially down 61 pounds and only 1 pound away from my goal. I will continue with my B12 injections as I found this has helped in my success with losing weight, and has given me energy to get me through those days to work out. I am feeling much healthier and happy again!! Thank you Rivas!! Your the best!!Alicia G.Alicia G. ★★★★★ Great recommendations to assist with weightloss and friendly doctors/staff.Jen B.Jen B. ★★★★★ Great placeJamie J.Jamie J. ★★★★★ I’ve been coming here about 6 weeks and I’m down 25 pounds! I gained a bunch when I was going through chemotherapy so I am so happy that I found this place. I’m also a chronically late person and they always accommodate me!Bob C.Bob C. ★★★★★ Jennifer did a wonderful job, she asks the right questions and knows what I need to be successful in this weight loss program.Pat J.Pat J. ★★★★★ aida C.aida C. ★★★★★ I can’t wait to see the doctor and to have my injection done and of course the resultsBrian P.Brian P. ★★★★★ Teli J.Teli J. ★★★★★ Love this place staff is awesome! Highly recommendjenny gjenny g ★★★★★ So helpful and flexible. Really care and work with you.lottie C.lottie C. ★★★★★ Always informative, and pleasentAna P.Ana P. ★★★★★ Amy M.Amy M. ★★★★★ Katie S.Katie S. ★★★★★ Veranna P.Veranna P. ★★★★★ I love the LipoExtreme Shot.. It’s so helpfulJennathewitchJennathewitch ★★★★★ SLSand75SLSand75 ★★★★★ The staff members are very professional, non-judge mental, and courteous. They explained the process, price, and always encourage you to “stay the course”. If you already live a healthy lifestyle but need an extra boost, give them a call!Tina K.Tina K. ★★★★★ Sharon G.Sharon G. ★★★★★ I really appreciate the tailored care I receive week to week by this amazing group of professionals!Tricia W.Tricia W. ★★★★★ Everyone is friendly & the staff is extremely knowledgeable!Jeanne L.Jeanne L. ★★★★★ The experience was very professional, as well as friendly. From the PA’s to the administrative staff they couldn’t have been more pleasant.Linda H.Linda H. ★★★★★ Front check-in was fast, efficient and everyone was SUPER friendly that put me at ease. Thank you too Rachel for your knowledge and willingness to listen. Yeah!!!!Jeanne L.Jeanne L. ★★★★★ Been a patient of Rivas in Ellicott city location for several months now.Really love the staff and my provider, so friendly and pleasant, it is real pleasure being a patient there.Office is always clean , well maintained and organized..Towanda F.Towanda F. ★★★★★ This office is professional and the staff is friendly as well. I love it there..Gary P.Gary P. ★★★★★ Quick and knowledgeable experience every time I go. Very friendlyKen GKen G ★★★★★ Heather R.Heather R. ★★★★★ Leesa R.Leesa R. ★★★★★ The staff are very friendly, professional and organized. The staff are very efficient & accommodating to each patients needs. I would recommend them to my family & friends.Michelle P.Michelle P. ★★★★★ The customer service at the Frederick location is top notch. They are extremely friendly and knowledgeable and I absolutely love them.Bob C.Bob C. ★★★★★ Jennifer is an excellent coach for my weight loss program. I feel so much better losing some weight, I hope I can continue to build on the number of pounds I have lost so far.Tradawn H.Tradawn H. ★★★★★ I am so glad I picked Rivas in Ellicott city to be my doctor and my journey to weight loss. They are caring, efficient, and truly interested in my well being and health.Chantel P.Chantel P. ★★★★★ Very friendly staff. No waiting.Cindy E.Cindy E. ★★★★★ Shante T.Shante T. ★★★★★ billur C.billur C. ★★★★★ Sky Alexis P.Sky Alexis P. ★★★★★ Bob H.Bob H. ★★★★★ The staff in Perry Hall is amazing! Kelly is very helpful and able to answer all of my questions. She really takes the time to listen and is a big advocate in your journey. Val at the front desk is wonderful! She is always there to greet you with a smile and a friendly face! She is the first and last person you see in the office and I can't think of a better person to be the face of the business! A truly amazing office with wonderful staff!patricia K.patricia K. ★★★★★ Employees are Awesome, and their service works! Highly recommend them and their products you will see results! Dr Rivas has found a system that works, try it!Katie W.Katie W. ★★★★★ Chanta B.Chanta B. ★★★★★ Avier G.Avier G. ★★★★★ From the moment I walked into Rivas Weight Loss Clinic, I felt an overwhelming sense of hope, comfort, and genuine warmth. I was not just another client but a person with unique needs, goals, and challenges.The clinic's team (Sam, Liz & DJ) is a compassionate and dedicated ensemble of professionals. They make me feel like family and I could not ask for more any health providers. If I could give them 10 stars I would. I am so thankful they opened a clinic in Bowie!Jennifer C.Jennifer C. ★★★★★ Jeanette C.Jeanette C. ★★★★★ I love love love all the ladies in this office every single one them. They genuinely care about you it feels more like family than a doctors officeRhonda J.Rhonda J. ★★★★★ Friendly , supportive weight loss help.R M.R M. ★★★★★ The office staff are very nice and welcoming! They made me feel hard with my journey!Nwakaego E.Nwakaego E. ★★★★★ The office is cute and clean. Staff is super pleasant. DJ takes the time to explain and answer questions. Definitely recommend them! I love that there's opportunities to message via text as well. Liz and Sam are super sweet and always have a positive attitude-- like seriously. Try them out! You won't be disappointed.Katina H.Katina H. ★★★★★ The Staff are very professional, They answers any questions that you may have , they are very accommodating when scheduling.your visits very encouraging in your journey!!!N D.N D. ★★★★★ Lovely office. Staff are very helpful knowledgeable and pleasant. Will continue to use services for my weight-loss goalsMobley 5.Mobley 5. ★★★★★ The girls at the front are awesome and so helpful. Highly recommend!Nate PNate P ★★★★★ Great customer service and flexible appointment times! Great front office teamAlexis H.Alexis H. ★★★★★ Just getting started on my journey, and I am so excited! The entire staff is so nice, and DJ is very relatable and kind. Can’t wait for the transformation!Dale P.Dale P. ★★★★★ Jessica J.Jessica J. ★★★★★ Brandy C.Brandy C. ★★★★★ C C.C C. ★★★★★ Receptionist very professional, and friendly. Made you feel welcomed.oday C.oday C. ★★★★★ Schinek D.Schinek D. ★★★★★ The Dr explained everything and answered all of my questions throughly.Melissa M.Melissa M. ★★★★★ This was my first visit. I had a great experience. The staff was pleasant. Questions were answered. I look forward to my journey!Linda A.Linda A. ★★★★★ Subqueen1021Subqueen1021 ★★★★★ Liz S.Liz S. ★★★★★ Very informative! The doctor made sure I understood everything. I came early and was taken care of immediately. Super easy!js_loader
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Convenient Treatment

  • Early, late, and weekend hours
  • Online booking and forms
  • Medications dispensed on-site
  • 9 convenient locations
  • Always visit with a Doctor or PA