Begin a structured program with medication included, weekly provider support, and dose adjustments based on your response. Compounded medications are not FDA-approved finished drug products.
Safety & candidacy
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.
Common side effects
Side effects and their frequency vary by medication and patient. Your provider will review risks, contraindications, and medication interactions during your evaluation.
Tirzepatide activates GLP-1 and GIP receptors. GLP-1 helps signal satisfaction sooner and slows digestion, while GIP supports the body’s hormonal response after eating and fat metabolism.
Rivas adds structured weekly oversight. Compounded tirzepatide is sourced from U.S.-licensed 503A compounding pharmacies, prepared from a vial, and administered in the office. Your provider can hold or adjust the dose according to appetite, side effects, and progress rather than relying only on fixed pen steps.
Vial-based medication lets your provider make smaller, gradual changes based on how you respond from week to week.
Your Options
Medication is administered from a vial during a weekly Rivas visit.
Zepbound is the FDA-approved brand-name tirzepatide option for adults who meet its clinical criteria.
Care does not end when the scale reaches a target. Your provider can shift the plan toward maintenance, monitor changing needs, and help build routines that support keeping weight off over time. Individual results vary and are not guaranteed.
Every visit includes your provider consultation, medication, in-office injection, vitals, and dose adjustment. Save with monthly or 3-month packages.
Weekly visit
1-month package
Save $33 · 5% off
3-month package · Most Popular
Save $198 · 10% off
Choose a visit format to see how evaluation and follow-up fit into provider-directed care.
Discuss compounded tirzepatide with a provider, confirm whether it is appropriate, and plan your weekly follow-up care.
Step 1
Meet with a provider to explore whether compounded tirzepatide fits your needs.
Step 2
Discuss your history, medication availability, and the risks of compounded treatment.
Step 3
When appropriate and available, start in-office injections with weekly progress and dose reviews.
Hear what they have to say about us.
Rated 4.9 across our Maryland locations.
The staff from the time I walked thru the door until I walked out was simply amazing! Excellent customer service, seamless intake process.
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.
I had a wonderful experience here!! The front desk staff Alexys and Gabrielle were very helpful and friendly. 10/10 would recommend.
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.
Excellent staff, advice and overall consideration for patients.
Everyone is so kind and encouraging.
The staff from the time I walked thru the door until I walked out was simply amazing! Excellent customer service, seamless intake process.
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.
I had a wonderful experience here!! The front desk staff Alexys and Gabrielle were very helpful and friendly. 10/10 would recommend.
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.
Excellent staff, advice and overall consideration for patients.
Everyone is so kind and encouraging.
I've had a great experience with Rivas Medical Weight Loss. The staff has been friendly, professional, and supportive.
I was very happy with finding this gem. Very fast and efficient service. Great service, friendly staff. Highly recommend!!!
Great service! I felt welcomed from the start of the door. The doctor was efficient and very knowledgeable.
Really appreciate the folks that work here; very friendly and efficient. Appointments are typically always on time.
Great customer service, answered my questions with detail and allowed me to guide the pace of my treatment.
Very knowledgeable staff! They made the process very easy and comfortable.
Rivas Medical Weight-Loss Clinic is the right place to be for your weight-loss journey.
The staff is amazing. I enjoy the encouragement they give.
The staff is amazing, they are quick to attend to clients, service is reliable.
Always clean. The staff are always professional. I love it there.
I've had a great experience with Rivas Medical Weight Loss. The staff has been friendly, professional, and supportive.
I was very happy with finding this gem. Very fast and efficient service. Great service, friendly staff. Highly recommend!!!
Great service! I felt welcomed from the start of the door. The doctor was efficient and very knowledgeable.
Really appreciate the folks that work here; very friendly and efficient. Appointments are typically always on time.
Great customer service, answered my questions with detail and allowed me to guide the pace of my treatment.
Very knowledgeable staff! They made the process very easy and comfortable.
Rivas Medical Weight-Loss Clinic is the right place to be for your weight-loss journey.
The staff is amazing. I enjoy the encouragement they give.
The staff is amazing, they are quick to attend to clients, service is reliable.
Always clean. The staff are always professional. I love it there.
15 clinic locations across Maryland and Virginia — plus telehealth in MD, VA & FL.
55 Kensington Pkwy, Abingdon, MD 21009
(410) 205-1371
134 Holiday Court #312, Annapolis, MD 21401
(410) 405-7639
6915 Laurel Bowie Rd #300, Bowie, MD 20715
(240) 200-0265
9055 Chevrolet Dr #100, Ellicott City, MD 21042
(410) 424-5041
10301 Democracy Lane #203, Fairfax, VA 22030
(571) 281-0359
2018 Rock Spring Rd #A6, Forest Hill, MD 21050
(410) 429-7900
2100 Old Farm Dr Ste C, Frederick, MD 21702
(301) 264-8700
408 Crain Highway S #7, Glen Burnie, MD 21061
(410) 449-4412
13424 Pennsylvania Ave #204, Hagerstown, MD 21742
(240) 200-5170
9199 Reisterstown Rd #203B, Owings Mills, MD 21117
(410) 497-8251
8817 Belair Rd #200, Nottingham, MD 21236
(410) 497-8666
15201 Shady Grove Rd #103, Rockville, MD 20850
(240) 203-9857
8555 16th St #405, Silver Spring, MD 20910
(301) 284-8329
7801 York Rd #350, Towson, MD 21204
(410) 583-5677
3500 Old Washington Rd #201, Waldorf, MD 20602
(301) 302-7979
Begin a structured program with medication included, weekly provider support, and dose adjustments based on your response. Compounded medications are not FDA-approved finished drug products.
Answers about sourcing, administration, treatment options, and ongoing care.
Choose a visit format to see how evaluation and follow-up fit into provider-directed care.
