Head-to-head · WeighScore
Better MedSpa vs Rivas Medical Weight Loss
The verdict
Better MedSpa takes it — 57.2/100 to 55.6/100, but only just.
Better MedSpa grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Better MedSpa is a physician-led Chicago (Lincoln Park) practice offering medical weight loss and body contouring, with telehealth across Illinois. Rivas Medical Weight Loss is close behind and may still be the better fit — see the factor split below.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | Better MedSpa | Rivas Medical Weight Loss |
|---|---|---|
| WeighScore | 57.2/100 | 55.6/100 |
| Grade | C | C |
| Scorecard rank | #402 | #437 |
| Semaglutide | Not disclosed | Not disclosed |
| Tirzepatide | Not disclosed | Not disclosed |
| Coverage | 1 state | 3 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Yes | Injection only |
Graded #402 · C
Strengths
- Broad menu: semaglutide, tirzepatide, and liraglutide
- Both oral and injectable formulations offered
- Physician-led; medical director Dr. Brett Brechner, DO
- Both in-person Chicago visits and statewide telehealth
- Doorstep delivery throughout Illinois
Where it loses points
- Telehealth limited to Illinois only
- No pricing published online
- Compounded vs brand formulation not specified
- Med-spa positioning blends weight loss with aesthetics
Graded #437 · C
Strengths
- Physician-founded (Paul Rivas MD) with 15 clinics plus telehealth
- Flat price for any dose; weekly provider visits included in every payment
- Offers both compounded semaglutide and tirzepatide
Where it loses points
- Expensive: about $498/mo for semaglutide and $715/mo for tirzepatide (billed weekly)
- Only available in Maryland, Virginia, and Florida
- Weekly-visit concierge model requires more frequent engagement than mail-order
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.
Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.