OPTAVIA Review (2026): It's Trilivy Now. Is the Coach Business Still Worth It?

If you searched for OPTAVIA lately, you may have landed on a website with a different name. That's not a mistake. In July 2026, OPTAVIA renamed itself Trilivy.

So what actually changed, and is the coach business still worth joining? This OPTAVIA review covers the new name, what a coach pays to start, how coaches get paid, and what the parent company's own numbers say about where things are heading.

Quick answer: OPTAVIA is now Trilivy. It's the same Medifast-owned, coach-led business, with a $199 coach kit. But Medifast reported 11,700 active earning coaches in the second quarter of 2026, down 48.7% from a year earlier, and it expects that number to keep falling in 2026.

I've been inside 8 network marketing companies since 2004, and I always start with the company's own words. For this review I read trilivyhealth.com, the "Becoming Trilivy" announcement, Medifast's investor releases, the most recent public compensation plan I could find, and the company's public social media profiles. You can browse every company I've reviewed on one page.

Here's what I found.

Is OPTAVIA Still in Business?

Yes, under a new name. When I visited optavia.com on October 14, 2026, it redirected straight to trilivyhealth.com.

The company's own blog post, "Becoming Trilivy," opens with "OPTAVIA® is now Trilivy™." It was posted on July 16 and updated on September 25. Medifast, the public company that owns the brand, announced Trilivy in an investor release dated July 17, 2026.

So the business is running. The name is what changed. You can compare its status with other companies in the full MLM company directory.

What Is OPTAVIA (Trilivy)?

Trilivy describes itself as a three-phase metabolic health system with coaching. The name, per the company, comes from "Trilogy" plus "Vita" and "Via," meaning life and way, "just like 'VIA' in OPTAVIA."

The "since 2017" line matters. That's when the OPTAVIA brand started, and the company counts its impact from that year.

Who's Behind It?

Trilivy is owned by Medifast. On June 1, 2026, Nicholas Johnson became Medifast's CEO, succeeding Dan Chard, who stayed on as Chairman. Medifast's release says Johnson joined the company in 2018 as Market President of OPTAVIA USA.

The program's habits framework comes from Dr. Wayne Scott Andersen, known as "Dr. A." The company says he left critical care medicine and developed the "Habits of Health Transformational System."

What OPTAVIA (Trilivy) Sells

The plans pair the company's meal replacements, called Fuelings, with home-cooked meals from its Lean & Green recipes, plus a coach and a community. These are the company's own descriptions, and I'm not making any claim about results. If you're thinking about a weight-loss plan, talk to your doctor first.

Here's what Trilivy's plan page showed on October 14, 2026:

Each price is shown as "starting at," and the autoship price saves 20%. The page I read doesn't say how long an order lasts, so ask before you buy. The page also says the plans are HSA and FSA eligible.

Is OPTAVIA an MLM?

The company calls it coaching, and the coaching is real. But the money side runs like network marketing: independent coaches earn on their clients' orders, and the compensation plan pays bonuses tied to the coaches on their team.

Most coaches start as clients. Trilivy's coach page says "About 90%" of coaches "were clients first."

Is it a pyramid scheme? I don't use that label for a company selling real products to real customers, and Trilivy does. What I'd watch is the same thing I'd watch anywhere: how much of a coach's income depends on recruiting other coaches instead of serving clients.

How OPTAVIA Coaches Get Paid

I couldn't find a Trilivy-branded compensation plan published online. The most recent public plan document I found is OPTAVIA's Integrated Compensation Plan, dated July 2018. Here's what it lays out:

• Client Support Commission: "Coaches earn a 15% commission on the Personal Volume of orders placed by their Frontline (Level 1) Clients," paid weekly.
• Certification Bonus: an extra 3% on Frontline Volume for coaches who are certified.
• Client Support Bonuses: paid at volume levels on a coach's own clients.
• Team bonuses: the plan also names Consistency, Generation and Elite Leadership bonuses, with titles running from Senior Coach up through several Director levels.

A plan from 2018 may not match what new coaches sign up under today, so ask for the current version before you join.

On income, Trilivy's own words are clear: "Trilivy makes no guarantee of financial success." It points to the Trilivy Income Disclosure Statement for actual coach earnings. Read that document before you count on anything. I don't quote figures from it here.

What Medifast's Own Numbers Say

This is the part most OPTAVIA reviews leave out. Medifast is a public company, so it reports its numbers every quarter. Its second-quarter 2026 release, dated August 3, 2026, says:

• Revenue: $76.4 million, down 27.6% from $105.6 million a year earlier.
• Active earning coaches: 11,700, down 48.7% from 22,800 a year earlier.
• The reason it gives: pressure on getting new clients, "including rapid adoption of GLP-1 medications for weight loss."
• The outlook: it "expects the number of active earning coaches to continue to decline in 2026."
• Net loss: $3.1 million for the quarter.

The CEO's quote in the same release is hopeful: "we believe we are on track to return to profitability in the fourth quarter." That's the company's belief, not a result yet.

For anyone thinking about becoming a coach, this is the most important section of this review. The number of active earning coaches is about half what it was a year earlier, and the company says the drop isn't over.

What Trilivy's Social Media Shows Right Now

These numbers were read from each public profile on October 14, 2026.

The company moved its audience over to the new name quickly. Both accounts posted the day before I checked. For a coach, that means there's fresh company content to share under the new brand.

The Good: What OPTAVIA Gets Right

• A real, public parent company. Medifast reports its results every quarter, so you can see the numbers yourself.
• A defined program. Clear phases, published plan prices, and a coach for every client.
• Low cost to start. The coach kit is $199, and the company says it includes a year of your website.
• Honest about income. No guarantee, and an Income Disclosure Statement to read.
• Active brand accounts. 189K Instagram followers and fresh posts under the new name.

The Concerns: What You Need to Know

• The coach count fell by almost half in a year. 11,700 active earning coaches, down from 22,800, and Medifast expects more decline in 2026.
• The weight-loss market shifted. Medifast itself names GLP-1 medications as a reason for the pressure.
• The public pay plan is old. The newest one I could find is dated July 2018.
• A new name means old links. Older OPTAVIA content, hashtags and bookmarks now point at a brand that has been renamed.
• A past lawsuit, settled. The company's own footer links to a settlement notice for Douglass v. Optavia LLC, a class action over whether its website worked for blind customers using screen readers. Under the proposed settlement, the company agreed to take steps to make its website and apps accessible, with a final approval hearing set for January 23, 2023.

On the legal side, a search of federal court dockets on October 14, 2026 found three cases with "Optavia LLC" in the case name, the settled one included. I couldn't get the FTC's own website search to answer reliably that day, so I'm not making a claim about regulators either way.

Product Alternatives

If you like the idea of convenient, portion-controlled eating but don't want a plan or a coach business, here's what else is out there. This isn't medical advice, and these aren't weight-loss programs. Talk to your doctor before you change how you eat.

The Amazon prices are the buy-box prices on each listing when I checked on October 14, 2026, and all four were in stock. Prices change, so check before you buy.

OPTAVIA vs Other Weight-Loss Network Marketing Companies

If you're comparing nutrition companies built on shakes and coaching, read about Herbalife, my Isagenix review and what happened at Beachbody. Compare them on the same three things: what you keep on a client's order, what it costs to start, and whether the number of active sellers is growing or shrinking.

My Verdict: Is OPTAVIA (Trilivy) Worth It in 2026?

One More Thing...

OPTAVIA's business was built on one person helping another: a client gets results, then becomes a coach. That still works. What changed is that fewer people are walking in the door on their own.

When you learn to reach people online with useful content about what you know, you stop waiting for referrals. And that skill works with any company, under any name.

That's what The Sponsoring System teaches. It's a free email series where I share the digital marketing that actually works for networkers. If you want it, start the free series here.

Frequently Asked Questions

Is OPTAVIA still in business?

Yes, under a new name. OPTAVIA became Trilivy in July 2026, and optavia.com now redirects to trilivyhealth.com. It's still owned by Medifast, and the company says its coaching and community model isn't changing.

Is OPTAVIA an MLM?

It runs on independent coaches who earn commissions on their clients' orders, and its compensation plan also pays bonuses tied to the coaches on a coach's team. That is a multi-level structure, even though the company calls it coaching.

How much does it cost to become an OPTAVIA coach?

Trilivy's coach page lists a coach kit for $199. The company says it includes tools, plan information, 12 months of a personalized website and a smart scale.

How do OPTAVIA coaches get paid?

The most recent public plan document I found is dated July 2018. It pays a 15% Client Support Commission on the orders of a coach's own clients, plus a 3% Certification Bonus and several team bonuses. The company makes no guarantee of income and publishes an Income Disclosure Statement.

What is the average monthly cost of OPTAVIA?

Trilivy doesn't publish an average. Its plan page lists the Reset 5 & 1 plan starting at $384 with Premier+ autoship, or $480 without it, but the page I read doesn't say how long that order lasts, so ask a coach before you buy.