Three program tiers — all physician-supervised, all including labs and in-person monitoring. Choose based on your timeline and goals. Pricing is discussed at your first consultation.
For patients who want to begin with a physician evaluation and first month of supervised medication management before committing to a longer program. The right entry point if you are new to GLP-1 therapy.
3-month supervised weight loss program — the minimum clinical timeline for meaningful, measurable results on GLP-1 therapy. Includes monthly in-person visits, dosage titration, and quarterly labs. Recommended for most patients beginning a semaglutide or tirzepatide program.
Full-year commitment for patients pursuing comprehensive metabolic transformation — including GLP-1 therapy, hormone optimisation, and long-term maintenance strategy. The most thorough program Clinic 45 offers. Priority scheduling, dedicated care coordination, and the lowest per-month cost of any tier.
Program fees cover physician time, monitoring, and lab orders. Medication costs depend on your insurance coverage and the specific medication selected. Dr. Sleiman provides a complete cost breakdown before any prescription is written. There is no surprise billing at Clinic 45.
Yes. Ozempic and Wegovy are brand names for semaglutide. Ozempic is approved for type 2 diabetes management; Wegovy is approved specifically for chronic weight management at higher doses. Dr. Sleiman prescribes the appropriate formulation and dose for your clinical situation — not necessarily the name you've seen advertised.
Usually yes — if your baseline labs are already available and you have no contraindications. If labs are not yet done, Dr. Sleiman will order them at your first visit and the prescription typically follows within a few business days after results are reviewed.
Coverage varies significantly. Many insurance plans cover Ozempic for type 2 diabetes but have limited coverage for weight loss use (Wegovy). Zepbound (tirzepatide for weight loss) has broader coverage than it did in 2023. Dr. Sleiman's team will help you navigate the coverage landscape before your prescription is submitted.
Weight regain is common after stopping GLP-1 therapy without a plan. That is why Clinic 45 builds an exit strategy into every program from the beginning — not as an afterthought at the end. The exit plan includes a taper schedule and a metabolic maintenance protocol designed to hold as much of the loss as possible.
In-person evaluation, personal lab review, monthly in-person monitoring, and Dr. Sleiman's direct phone availability between visits. Telehealth services dispense prescriptions efficiently — Clinic 45 provides clinical medicine. If your goal is the lowest-friction path to a prescription, telehealth is faster. If your goal is the best clinical outcome, you need a physician who is actually watching.
Yes. B12 injections and IV hydration sessions can be booked independently without being enrolled in a weight loss program. Walk-in availability exists for B12. IV sessions should be booked in advance.
Choose a program after meeting Dr. Sleiman — not before. The right tier depends on your labs, your timeline, and your goals. Start with the conversation.