Wegovy Dosing Schedule Week by Week: From 0.25 mg to 2.4 mg
Wegovy (semaglutide 2.4 mg) follows a fixed five-step escalation designed to let your body adapt before each increase. Here's the standard schedule, why it's gradual, and how to keep your own titration on track.
The standard Wegovy titration schedule
| Weeks | Weekly dose | Phase |
|---|---|---|
| 1–4 | 0.25 mg | Starter — not a therapeutic dose; lets your gut adapt |
| 5–8 | 0.5 mg | Escalation |
| 9–12 | 1.0 mg | Escalation |
| 13–16 | 1.7 mg | Escalation |
| 17+ | 2.4 mg | Full maintenance dose |
Each step lasts four weeks because that's roughly how long semaglutide takes to reach a steady level in your body after a dose change. Moving up before you've adapted is the most common cause of rough nausea weeks.
When the schedule flexes
- Side effects at a new dose: prescribers often hold the current step an extra four weeks, or drop back one step, until symptoms settle. The FDA label explicitly allows 1.7 mg as an ongoing maintenance dose if 2.4 mg isn't tolerated.
- Supply gaps: if you're off Wegovy for more than two weeks, check with your prescriber — restarting at a lower dose is common.
- Good results at a lower dose: some people stay at 1.0 or 1.7 mg by design. The "right" dose is the one your prescriber lands on with you, not necessarily the maximum.
All of these decisions depend on an accurate record of what dose you took, when, and how you felt — which is exactly what your tracker should hold.
How to track your titration in Wellion
- Log each weekly dose with its strength. Wellion records the mg with every injection, so your dose history rebuilds your titration timeline automatically.
- Watch the dose journey chart. The Progress tab plots your dose steps against your weight curve — you can literally see how each escalation affected your progress.
- Log side effects at each step. Daily symptom check-ins (nausea, fatigue, constipation) tell you and your prescriber whether a step-up was tolerable — evidence for holding, advancing, or stepping back.
- Set your reminder once. The weekly injection reminder keeps your four-week blocks clean; missed doses are what stretch titrations out for months.
Wellion is free, private, and needs no account — see all features.
Medical disclaimer: This guide is for tracking and educational purposes only and is not medical advice. Always follow your prescriber's instructions and talk to your doctor before changing your medication, dose, or schedule.
Frequently asked questions
How long does it take to reach the full Wegovy dose?
Following the standard schedule, you reach the 2.4 mg maintenance dose at week 17 — four months in. Many people take longer if a step needs to be held for tolerability, which is normal and fine.
Do you lose weight on the starter doses of Wegovy?
The 0.25 mg starter dose is not considered therapeutically active, but many people do see early appetite reduction and some weight loss during escalation. Significant average losses in trials occurred at the higher doses over months.
What if I can't tolerate the 2.4 mg Wegovy dose?
Tell your prescriber. The label allows dropping back to 1.7 mg weekly as ongoing maintenance if 2.4 mg isn't tolerated. A symptom log like Wellion's helps you show exactly what happened after the increase.
