Illustrative image for Compounded Semaglutide for Weight Loss in Maryland & Virginia
4.92800+ reviews

Compounded Semaglutide for Weight Loss in Maryland & Virginia

Weekly provider visits, in-office administration, and individualized dose review with medication included. Compounded medications are not FDA-approved finished drug products.

Safety & candidacy

Am I a good candidate for compounded semaglutide?

Your Rivas provider evaluates you at your first visit and makes the determination. The information below offers general context about who this treatment may fit.

compounded semaglutide may be a good fit if

  • You have obesity, or are overweight with a weight-related condition.
  • You have struggled to lose weight with diet and exercise alone.
  • You want weekly provider supervision and accountability.
  • You prefer in-office administration and individualized dose review.

compounded semaglutide may not be appropriate if

  • Do not use with a personal or family history of medullary thyroid carcinoma or with Multiple Endocrine Neoplasia syndrome type 2.
  • Treatment may not be appropriate during pregnancy, while trying to conceive, or while breastfeeding.
  • It may not be appropriate if you take another semaglutide or GLP-1 medication or have had a serious allergic reaction to semaglutide.
  • Common effects include nausea, vomiting, diarrhea, constipation, and sometimes fatigue or reflux. Your provider must review individual risks.
  • Compounded semaglutide is not an FDA-approved finished drug product and is not equivalent to Wegovy.

Common side effects

NauseaCommon
VomitingCommon
DiarrheaCommon
ConstipationCommon
FatigueLess common
Injection site reactionLess common

Side effects and their frequency vary by medication and patient. Your provider will review risks, contraindications, and medication interactions during your evaluation.

How It Works at Rivas

Appetite support with weekly clinical oversight

Semaglutide is a GLP-1 receptor agonist that helps reduce appetite. The patient experience depends on how carefully treatment is introduced, monitored, and adjusted over time.

Rivas sources compounded semaglutide from U.S.-licensed 503A compounding pharmacies. In the clinic program, the provider prepares and administers vial-based medication, reviews response each week, and can hold or adjust the plan according to tolerability and progress.

Illustration of a pharmacist organizing sealed, unbranded medication vials.
Illustration of a patient receiving a routine blood pressure check.

Why many patients choose compounded semaglutide

Vial-based medication allows smaller, gradual provider-directed changes based on week-to-week response.

Your Options

Compounded semaglutide vs. Wegovy® at Rivas

Compounded Semaglutide

A provider administers vial-based medication in-office and checks vitals and response each week.

Wegovy® (Brand-Name)

Wegovy is brand-name semaglutide approved for chronic weight management in eligible adults.

Individualized Care

A plan that accounts for real life

Your response is not just a number on the scale. Weekly conversations can account for sleep, stress, routines, side effects, and goals while your provider helps plan for maintenance and reduced rebound risk. Individual results vary and are not guaranteed.

Illustration of a woman reading at home as part of a restful evening routine.

All-inclusive. No surprises.

Every visit includes your provider consultation, medication, in-office injection, vitals, and dose adjustment — all in one price. No pharmacy. No surprises.

Weekly visit

$115per week · pay as you go
  • Best for trying the program
  • Provider visit, medication, and dose guidance included
  • Flexible week-to-week commitment

1-month package

$4374 weeks · $109.25/week

Save $23 · 5% off

  • Best for a month at a time
  • 4 weekly visits, medication, and dose guidance included
  • Gives your provider time to adjust and personalize your plan

3-month package · Most Popular

$1,24212 weeks · $103.50/week

Save $138 · 10% off

  • Best value for consistency
  • 12 weekly visits, medication, and dose guidance included
  • The most cost-efficient way to do this with full medical support
A $195 initial visit fee applies for new patients. Pricing subject to change · Cherry & CareCredit available for packages · HSA & FSA accepted.

01In-office evaluationMeet with a provider to review medical history, current medications, weight-loss goals, vitals, and prior treatment.
Evaluation covers
Medical history
Current medications
Goals
Prior GLP-1 experience
02Create the planYour provider discusses a starting approach, nutrition, hydration, likely side effects, and weekly follow-up.
Planning priorities
Provider-directed dosing
Nutrition and hydration
Side-effect guidance
Visit schedule
03Start in the clinicIf appropriate, the provider prepares and administers your first individualized compounded semaglutide injection.
Starting treatment
Candidacy confirmed
Individual prescription
Administration review
Questions answered
04Return each weekWeekly visits review weight, vitals, appetite, side effects, and whether the provider should hold or adjust the plan.
Follow-up review
Progress
Side effects
Dose decision
Maintenance goals
Your next step

Start with your provider

Choose a visit format to see how evaluation, individualized planning, and ongoing provider review fit together.

Begin with an individual assessment for compounded semaglutide, followed by supervised treatment and weekly check-ins.

Step 1

Arrange a consultation

Book a visit to discuss compounded semaglutide with a licensed provider.

Step 2

Confirm your eligibility

Review your history, safety considerations, and whether compounded medication is appropriate.

Step 3

Start weekly care

If appropriate and available, begin treatment with weekly weigh-ins, vitals, and dose reviews.

Hear what they have to say about us.

gold Member · Since 2022

Feel Like $1M Bucks

I feel like a million bucks… The only thing I regret is not doing it sooner.

silver Member · Since 2019

Amazing Experience

It's been an amazing experience losing the weight. I'm feeling great and I'm very happy.

silver Member · Since 2023

Moved The Needle

It was what moved the needle… I have never lost this much weight… ever.

gold Member · Since 2021

It's So Easy

There's no judging. You can ask them anything.

Bruce
silver Member · Since 2024

Almost a Miracle

I have so much energy now. The cost is affordable.

Melissa

Rated 4.9 across our Maryland locations.

K
Kiana J.
3 days ago on Google

The staff from the time I walked thru the door until I walked out was simply amazing! Excellent customer service, seamless intake process.

T
Tamika F.
30 days ago on Google

This staff are very friendly and professional. The pricing is AMAZING, and I love it even more that I'm able to get my prescriptions in house.

C
Catherine P.
2 months ago on Google

I had a wonderful experience here!! The front desk staff Alexys and Gabrielle were very helpful and friendly. 10/10 would recommend.

S
Sarah C.
2 months ago on Google

Every week I drive 30 minutes to Bowie and 30 minutes home again. I keep coming back, week after week, for one reason: I love this staff.

J
jeremy K.
4 days ago on Google

Excellent staff, advice and overall consideration for patients.

S
Shelly S.
21 days ago on Google

Everyone is so kind and encouraging.

K
Kiana J.
3 days ago on Google

The staff from the time I walked thru the door until I walked out was simply amazing! Excellent customer service, seamless intake process.

T
Tamika F.
30 days ago on Google

This staff are very friendly and professional. The pricing is AMAZING, and I love it even more that I'm able to get my prescriptions in house.

C
Catherine P.
2 months ago on Google

I had a wonderful experience here!! The front desk staff Alexys and Gabrielle were very helpful and friendly. 10/10 would recommend.

S
Sarah C.
2 months ago on Google

Every week I drive 30 minutes to Bowie and 30 minutes home again. I keep coming back, week after week, for one reason: I love this staff.

J
jeremy K.
4 days ago on Google

Excellent staff, advice and overall consideration for patients.

S
Shelly S.
21 days ago on Google

Everyone is so kind and encouraging.

R
Rebecca H.
2 months ago on Google

I've had a great experience with Rivas Medical Weight Loss. The staff has been friendly, professional, and supportive.

S
Samantha A.
2 months ago on Google

I was very happy with finding this gem. Very fast and efficient service. Great service, friendly staff. Highly recommend!!!

T
Tierra D.
3 months ago on Google

Great service! I felt welcomed from the start of the door. The doctor was efficient and very knowledgeable.

T
Tracy S.
3 months ago on Google

Really appreciate the folks that work here; very friendly and efficient. Appointments are typically always on time.

V
Valdeatha L.
2 months ago on Google

Great customer service, answered my questions with detail and allowed me to guide the pace of my treatment.

S
SLSand75
3 months ago on Google

Very knowledgeable staff! They made the process very easy and comfortable.

A
A S.
4 months ago on Google

Rivas Medical Weight-Loss Clinic is the right place to be for your weight-loss journey.

S
Sherri W.
last month on Google

The staff is amazing. I enjoy the encouragement they give.

A
Angie M.
last month on Google

The staff is amazing, they are quick to attend to clients, service is reliable.

D
Donna K.
last month on Google

Always clean. The staff are always professional. I love it there.

R
Rebecca H.
2 months ago on Google

I've had a great experience with Rivas Medical Weight Loss. The staff has been friendly, professional, and supportive.

S
Samantha A.
2 months ago on Google

I was very happy with finding this gem. Very fast and efficient service. Great service, friendly staff. Highly recommend!!!

T
Tierra D.
3 months ago on Google

Great service! I felt welcomed from the start of the door. The doctor was efficient and very knowledgeable.

T
Tracy S.
3 months ago on Google

Really appreciate the folks that work here; very friendly and efficient. Appointments are typically always on time.

V
Valdeatha L.
2 months ago on Google

Great customer service, answered my questions with detail and allowed me to guide the pace of my treatment.

S
SLSand75
3 months ago on Google

Very knowledgeable staff! They made the process very easy and comfortable.

A
A S.
4 months ago on Google

Rivas Medical Weight-Loss Clinic is the right place to be for your weight-loss journey.

S
Sherri W.
last month on Google

The staff is amazing. I enjoy the encouragement they give.

A
Angie M.
last month on Google

The staff is amazing, they are quick to attend to clients, service is reliable.

D
Donna K.
last month on Google

Always clean. The staff are always professional. I love it there.

Weekly provider visits, in-office administration, and individualized dose review with medication included. Compounded medications are not FDA-approved finished drug products.

Care journey
Provider evaluationOngoing support

Answers about sourcing, administration, treatment choices, and weekly support.

Choose a visit format to see how evaluation, individualized planning, and ongoing provider review fit together.