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Head-to-head · WeighScore

Rivas Medical Weight Loss vs Thriving Again

Rivas Medical Weight Loss
Graded #437

Lower grade

vs+3.8999999999999986
Thriving Again
Graded #341

Higher grade

The verdict

Thriving Again takes it — 59.5/100 to 55.6/100.

Thriving Again grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Thriving Again is a US telehealth platform positioned around premium men's health and optimization, with hormone/TRT, peptides, and a GLP-1 weight loss line.

We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.

Factor by factor

The same six graded dimensions, side by side. See the methodology.

Cost valueEven
45
45
Dose & formulationEven
40
40
Clinical oversightRivas Medical Weight Loss +5
81
76
Labs & monitoringThriving Again +35
53
88
FulfillmentRivas Medical Weight Loss +3
65
62
Contract termsEven
55
55
Rivas Medical Weight Loss · left barThriving Again · right bar

The numbers

MetricRivas Medical Weight LossThriving Again
WeighScore55.6/10059.5/100
GradeCC
Scorecard rank#437#341
SemaglutideNot disclosedNot disclosed
TirzepatideNot disclosedNot disclosed
Coverage3 statesCoverage not published
Brand-name accessCompounded onlyCompounded only
Oral / sublingualInjection onlyInjection only

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
Thriving Again

Graded #341 · C

Strengths

  • Compounded GLP-1 with at-home labs and ongoing provider messaging
  • Advertises nationwide coverage with 500+ licensed providers
  • Pre-filled syringe delivery simplifies dosing
  • Combines weight loss with hormone and peptide optimization

Where it loses points

  • No specific GLP-1 dose or monthly pricing published online
  • Weight loss is one vertical alongside men's hormone and TRT care
  • Compounded products are not FDA-approved or evaluated

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.

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