Months 1–2 · The Warm-Up
Your body is adjusting. Doses ramp gradually. Progress feels slow — that's by design.
Limited offer: start a 6-month plan and save the cost of a month.
Don’t quit right before the breakthrough
Commit to weight loss.
Give it the full 6 months* — one month on us.
Most weight-loss journeys stall around month two — right before real results kick in. Start a full 6-month plan of Compounded Tirzepatide + B12, quiet the food noise, and we'll take a month's cost off your program.
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A month on us — on every 6-month plan
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Care membership included — unlimited provider messaging & clinician support
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Zero hidden fees — medication, shipping, and premium care covered
$100 off your first month
See if I qualify2-minute check · No insurance needed
Secure checkout · HIPAA compliant
Prescribed only if medically appropriate after provider review.
−16%
avg. loss in trials*
You save
1 month
*SURMOUNT-1 trial average for tirzepatide. Individual results vary.
Why most people fail
Quitting early is the most expensive mistake in weight loss.
Your biology doesn't match the industry's month-to-month promises. Here's the pattern behind most weight-loss plateaus.
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Month 2.5 · The Stall Point
This is where most people quit — mistaking the biological loading phase for failure.
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Month 3+ · The Breakthrough
Appetite quiets. The scale moves. A full 6-month plan carries you to the moment it works.
See the science
Why 6 months matters.
Quit in month two and you miss the drop. Clinical-trial averages, 24 weeks:
Your Potential
See your 6-month transformation.
Drag to your current weight. Projections use clinical-trial averages.
Current weight
220lbs
Month 3 — The Breakthrough
202 lbs(−8%)
Month 12 — The Goal
187 lbs(−15%)
Based on clinical study averages (SURMOUNT-1). Not a guarantee. Individual results vary.
The Timeline
What you’ll feel, month by month.
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The Warm-Up
~2–4% avg. loss*
- Mild appetite shift
- Dose titrating up
- Energy building
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The Shift
~5–8% avg. loss*
- Food noise quieting
- Cravings fading
- Dose increasing
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The Breakthrough
~8–12% avg. loss*
- Scale moving
- Appetite in your control
- Habits locking in
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The Reward
~12–15%
The results you stayed for.
- Momentum locked
- Results compounding
- Habits that hold
*Weight-loss ranges reflect clinical-trial averages, not a guarantee. Individual results vary.
100%
U.S.-compounded
~15%
avg. weight loss at 1 year*
$0
hidden fees. Ever.
LegitScript
Certified
*Clinical-trial averages. Individual results vary.
Price-Lock Guarantee
A month on us. On 6-month plans.
Choose your medication and start a full 6-month plan. Commit to the complete program and we take a month’s cost off — one time, up front. Zero hidden fees.
Compounded GLP-1 injection
Semaglutide + B12
The proven path to quiet cravings and steady weight loss.
$199/mo
Regular price $279/mo
with 6-month plan
- Care membership included ($425 value)
- Clinically established GLP-1
- Unlimited provider visits
- 1-on-1 clinician support
Save $279 on a 6-month plan*
Start with Semaglutide + B12Compounded GLP-1/GIP dual-action injection
Tirzepatide + B12
Our most powerful formula — two hunger pathways, greater results.
$299/mo
Regular price $399/mo
with 6-month plan
- Everything in Semaglutide + B12, plus:
- Targets 2 hunger pathways (GLP-1 + GIP)
- Highest average weight loss in its class*
- B12 for energy & tolerability support
Save $399 on a 6-month plan*
Start with Tirzepatide + B12*In head-to-head trial data (SURMOUNT-5). Prescribed only if medically appropriate after provider review. Prices shown are program defaults.
Compounded medications are not FDA-approved. They are prepared by a licensed pharmacy for individual patients when prescribed by a licensed clinician.
Every plan includes
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Unlimited provider visits
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1-on-1 clinician support
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Care-team messaging, 7 days a week
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Free cold-chain shipping
$425 of expert care — included at no extra cost.
Compare RIVA vs. the rest
More support, more flexibility, more results for your money.
| What you get |  |
Ro | Hims |
|---|---|---|---|
| Monthly membership | Included | $145/mo | $69/mo |
| 1-on-1 clinician visits | Yes | No | No |
| Video provider visits | Yes | Yes | No |
| Unlimited care messaging | Yes | No | No |
| Free cold-chain shipping | Yes | No | No |
| A month on us (6-mo plan) | Yes One-time | No | No |
Comparison based on publicly available information as of July 2026; details may change. RIVA is not affiliated with or endorsed by these brands.
See If You Qualify
Prescribed only if medically appropriate after provider review.
FAQ
Get the answers you need
Still have questions? Our care team answers seven days a week at care@rivahealth.co.
Who qualifies for weight-loss medication?
You must be 18 or older. Most members qualify with a BMI of 27 or higher alongside a weight-related condition, or a BMI of 30 or higher. A licensed provider makes the final determination after reviewing your online health evaluation — medication is prescribed only if it’s medically appropriate for you.
What is Compounded Tirzepatide + B12?
It’s a once-weekly injection that pairs tirzepatide — a dual GIP/GLP-1 receptor agonist that helps regulate appetite — with vitamin B12. Each order is prepared for you by a U.S.-licensed compounding pharmacy according to your provider’s prescription.
Compounded medications are not FDA-approved. They are prepared by a licensed pharmacy for individual patients when prescribed by a licensed clinician.
How does the 6-month plan discount work?
When you start a full 6-month plan, we take one month’s cost off your program — applied up front as a one-time promotional discount. It isn’t a recurring free month; it’s a bundle saving for committing to the complete course your provider recommends.
Do I need insurance?
No. RIVA uses transparent cash pricing — no insurance, no prior authorizations, no surprise bills. HSA/FSA funds may apply; check with your plan administrator.
How do I take it?
It’s a once-weekly self-injection with a very small needle. Your shipment arrives with full step-by-step instructions, and your care team is there whenever you want a walkthrough. Your provider titrates your dose gradually over time.
Can I cancel?
Yes — you can cancel anytime from your account. If your medication hasn’t shipped yet, our refund policy applies to that order.
The next evolution of you
Don’t miss the breakthrough.
Thousands almost quit around month two. The ones who committed to the full program are the ones who transformed. Start your 6-month plan, with a month on us.
- Secure checkout
- HIPAA compliant
- No hidden fees
Prescribed only if medically appropriate after provider review.