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Head-to-head · WeighScore

Rivas Medical Weight Loss vs Tru2u

Rivas Medical Weight Loss
Graded #438

Lower grade

vs+8.800000000000004
Tru2u
Graded #244

Higher grade

The verdict

Tru2u takes it — 64.4/100 to 55.6/100.

Tru2u grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. Tru2u is a US direct-to-consumer telehealth and wellness store offering provider-guided compounded GLP-1 weight-loss therapy alongside hair, skincare, and supplement lines.

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 valueTru2u +11
45
56
Dose & formulationTru2u +43
40
83
Clinical oversightRivas Medical Weight Loss +13
81
68
Labs & monitoringRivas Medical Weight Loss +2
53
51
FulfillmentTru2u +3
65
68
Contract termsEven
55
55
Rivas Medical Weight Loss · left barTru2u · right bar

The numbers

MetricRivas Medical Weight LossTru2u
WeighScore55.6/10064.4/100
GradeCC
Scorecard rank#438#244
SemaglutideNot disclosed$225/mo
TirzepatideNot disclosed$345/mo
Coverage3 statesCoverage not published
Brand-name accessCompounded onlyCompounded only
Oral / sublingualInjection onlyYes

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
Tru2u

Graded #244 · C

Strengths

  • Offers compounded semaglutide and tirzepatide plus a combined GLP Squared injection
  • Both injectable and oral GLP-1 tablet options available
  • Transparent upfront monthly pricing with free shipping

Where it loses points

  • No compounding pharmacy publicly named and no LegitScript seal shown
  • Tirzepatide at 345 dollars per month is higher than many compounded competitors
  • States served are not published; site states US-only availability

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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