Wegovy

Five steps to 2.4 mg.

Wegovy is semaglutide licensed for weight management. The schedule runs 0.25, 0.5, 1, 1.7 and 2.4 mg weekly, holding each step for four weeks.

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The science

Why Wegovy climbs higher than Ozempic

01

Wegovy and Ozempic are the same molecule at different maximum doses. Wegovy escalates to 2.4 mg weekly; Ozempic stops at 2 mg, because the two are licensed for different purposes.

02

The 0.25 mg starting dose produces little effect by design. It is there so the gut adapts, and judging the medication on the first month is judging it on a dose not meant to do the job.

03

The 1.7 mg step exists only in the Wegovy schedule. It gives a gentler bridge to the maintenance dose than stepping straight from 1 mg to 2.4 mg.

04

Wegovy and Ozempic are the same molecule from the same manufacturer. Wegovy is licensed for weight management and escalates to 2.4 mg weekly; Ozempic is licensed for type 2 diabetes and stops at 2 mg. The difference is the licence and the ceiling, not the compound.

05

The 1.7 mg step exists only in the Wegovy schedule. It gives a gentler bridge into the maintenance dose than stepping directly from 1 mg to 2.4 mg, which is a meaningful jump for many people in terms of tolerability.

FAQ

Common questions

What are the Wegovy doses?

0.25 mg, 0.5 mg, 1 mg, 1.7 mg and 2.4 mg once weekly. Each is held for four weeks before increasing, with 2.4 mg as the maintenance dose.

How long until I reach the full Wegovy dose?

Sixteen weeks of escalation before reaching 2.4 mg, assuming each step is held the standard four weeks and none are extended.

Is Wegovy the same as Ozempic?

Both are semaglutide. Wegovy is licensed for weight management and goes to 2.4 mg; Ozempic is licensed for type 2 diabetes and goes to 2 mg.

What if I cannot tolerate a step up?

Staying longer at the current dose is common and is a decision for your prescriber. Some people remain below 2.4 mg indefinitely.

Can I stay below 2.4 mg on Wegovy?

Yes, and many people do. If a lower dose is producing the result you need and is easier to tolerate, staying there is a legitimate plan rather than a failure to progress. That decision belongs with your prescriber.

What happens if I miss a Wegovy dose?

Guidance generally allows a missed dose to be taken within a few days, after which you skip it and resume the schedule. Never double up to catch up. The prescribing information gives the exact window.

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