Head-to-head · WeighScore
California Trim Clinic vs Rivas Medical Weight Loss
The verdict
Rivas Medical Weight Loss takes it — 55.6/100 to 53.2/100.
Rivas Medical Weight Loss grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Rivas Medical Weight Loss is a physician-founded program (Paul Rivas MD LLC) combining 15 in-person clinics with telehealth across Maryland, Virginia, and Florida.
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Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | California Trim Clinic | Rivas Medical Weight Loss |
|---|---|---|
| WeighScore | 53.2/100 | 55.6/100 |
| Grade | C | C |
| Scorecard rank | #470 | #437 |
| Semaglutide | Not disclosed | Not disclosed |
| Tirzepatide | Not disclosed | Not disclosed |
| Coverage | Coverage not published | 3 states |
| Brand-name access | Compounded only | Compounded only |
| Oral / sublingual | Injection only | Injection only |
Graded #470 · C
Strengths
- Women's microdosing program specifically designed for perimenopause/menopause weight management
- 100% virtual nationwide telehealth; medications shipped discreetly to patients' homes
- 503A state-licensed compounding pharmacies with patient-specific prescription preparation
- $199 initial plan covers doctor consultation, telehealth setup, and full onboarding
- Ongoing 3-month treatment plans include compounded medication and licensed provider check-ins
Where it loses points
- Ongoing medication pricing not publicly disclosed — revealed only after $199 intake and provider approval
- No LegitScript certification or any other third-party accreditation visible on the site
- No physician names or clinical leadership disclosed publicly
- States served listed as 'nationwide' for telehealth but no state-by-state list published
- Microdose framing uses sub-clinical doses — potentially lower weight-loss efficacy than standard GLP-1 protocols
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.