#1 Weight Loss Clinic in Maryland

Lose Weight & Feel Great

  • Weekly in-office or monthly virtual visits
  • Licensed provider care
  • Personalized treatment plans
Book Appointment
lose weight feel great

Tirzepatide + Expert Care – $165/week

Real Medical Weight Loss, Delivered with Care
  • 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

Get Expert Tirzepatide Treatment

Step 1

Book an Appointment

Meet with a medical provider in office or via video call to review your medical history and create a treatment plan

Step 2

Receive Medication

We’ll give you the shot in office or send them to your door via telehealth

Step 3

Lose Weight for Good

Meet with a medical provider every 1-4 weeks to manage your medications and keep your weight loss on track

Book Appointment
Excellent
Rivas Medical Weight Loss4.9
Based on 2785 reviews
Annette D.
5 days ago
This was my second visit after being away since October 2025. Before I got to my appointment I was feeling a little pessimistic because I didn't feel like I lost any weight. When I stepped on the scale and saw that I was down 5.6 lbs I was so excited. Chris "said go girlie". She is ALWAYS so encouraging. Even in the past when I didn't have a successful week, Chris always help me to know that I got this. The rest of the staff in Towson are always so friendly. The customer service is remarkable. Vince is wonderful. He takes the time to answers questions and offer suggestions for a successful journey.
Alicia M.
2 weeks ago
love the ladies. so nice. and losing weight at the same time.
India J.
2 weeks ago
I absolutely love this place, and a big part of that is because of the people who work there especially the two young ladies at the front desk. They are genuinely wonderful. Every time I come in, they’re warm, welcoming, and so easy to talk to.

They really change the whole experience. Instead of feeling like just another appointment, it feels like you’re visiting friends. That kind of energy makes a difference, and it doesn’t go unnoticed.

Whatever you’re paying them… they deserve a raise, seriously.
Michelle S.
2 weeks ago
I absolutely love the Hagerstown location. The staff here are always very professional and friendly.
Coretta B.
2 weeks ago
I am so Greatful for the staff at the Abington location I am done 65 pounds and one of the reasons I have such success is because of Jen, she is the resin I keep coming back to Rivas. The support and motivation that she provides is amazing. Jen is definitely the reason I keep coming back.
Brittney W.
3 weeks ago
All the ladies are so nice and so sweet and always so encouraging even the weeks I don’t make my weight goal. I love the Ellicott City office.
Beth
3 weeks ago
I love this place!
Evelyn B.
4 weeks ago
Absolutely love the staff at the Forrest Hill location! I’m having great results with my weight loss journey. Very excited about my future goals with the help of Rivas!
Janine T.
4 weeks ago
This is my third week with Rivas Medical Weight Loss and I have already lost 14 pounds in the first two weeks! Everybody in the office has been super friendly and Ili has been very supportive by providing me with the tools and Important information to help me follow through from week to week. I highly recommend Rivas!
Mary K.
1 month ago
Love Rivas Medical Weight. Great group of people. Always are a big help and very supportive! Highly recommended!!
Teresa F.
1 month ago
All of the staff are very nice and supportive. Love Deirdre and hate that she is leaving. Max and Rachel are awesome as well. Sorry I don't know all the names of the ladies that work the desk. They are awesome as well.
Red P.
1 month ago
Very informative. Its an uncomfortable topic, but I felt completely relaxed and comfortable after the consult. Great team! Love everyone at Rivas in Towson!
Kimberly A.
1 month ago
The office is amazing. Love everyone there.
Anita L.
2 months ago
Love the Annapolis Team. They are professional and knowledgeable, and have been so helpful. No judgement, just help and a care for good health, so not a “vanity” shop.
Dee H.
2 months ago
Love these people. Been going on and off for a long time. The new office in Forest Hill is so convenient for people coming from the north .
Debbie B.
2 months ago
I highly recommend Rivas Medical Weight Loss - not only for the effective weight loss I experienced years ago, but also for their Exomind equipment that I just tried! I'm 70 yrs. old and have been struggling with dealing with my son's rare form of cancer that the oncologists don't seem to know what to do with as well as helping to run a martial arts school that we both own and run together. And then there was just the general stress and tension that exists within our country right now added on top of everything else. At any rate, I was not only not getting good sleep, I was becoming a very angry driver as a result of all the stress and I didn't like that side of myself! Even after the first Exomind treatment (there are 4 total and then single follow-ups about 3 months apart), I felt a TREMENDOUS difference in my mood, calmness, my driving and my handling of various situations that can be stressful! It's been more than a week since I finished the 4th session and the effects are lasting! I am so relieved! In addition, my sleep seems to have improved and I lost 5 lbs after just the first session because I don't have the food cravings that I was having before I tried it! With all the stress and tension in the world today, this is a life changer! I highly recommend Exomind treatments!!
anita B.
5 months ago
I have lost 50 pounds through my journey with Rivas Medical Center. The Physician Assistants and the front desk receptionist and medical assistant are truly the best at the Rockville office and so supportive. I highly recommend them and would not be where I am on my weight loss journey to better health without them.
Michael S.
5 months ago
Great friendly staff. Very informative. They love to keep you on track. Highly recommend them
aydinkins
5 months ago
I do love this office and team. Always takes care of me. They keep a box for me for my additional medication. I would refer them to anyone. Get yourself together now for next year. ❤️
Devin R.
5 months ago
From The Moment That You Walk Into The Establishment You Are Greeted With Warm & Welcoming Smiles! Service Is Thorough & The PA On Site (Sherria) ALWAYS Ensures That The Right Dose Is Working For You By Obtaining Important Medical Facts That Could Contribute To Her Professional Opinion On If You Should Increase/Decrease/Stay Where You Are In Dosing To Receive The Highest Level Of Effectiveness. Sherria Always Provides You With Other Options Provided By The Clinic In Terms Of New/Different Medications That May Aid You In Your Weight Loss Journey Based Off Of Your Medical History. I Absolutely LOVE This Location & Staff! If You Are Looking To Shed Some Pounds, Do Not Waste Any Time - MAKE YOUR APPOINTMENT NOW 🙂
Winkd L.
5 months ago
I Absolutely love the staff!
And this product really works!
Nina B.
6 months ago
The Best Staff and Results. I lost over 45 lbs and had an amazing experience. Highly recommend.

Transparent Prices – No Surprises


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.
Includes video visit, 4-week medication kit, and shipping

$599

No insurance needed. No hidden fees. Just clear, all-inclusive pricing.

  • FSA and HSA Accepted
Book An Appointment
dr paul rivas
Meet Dr. Rivas

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!

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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 pregnantnursing, 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.

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