Semaglutide requires gradual dose increases to minimize side effects:
Week
Dose
Purpose
1-4
0.25 mg
GI adjustment period
5-8
0.5 mg
First therapeutic dose
9-12
1.0 mg
Increased if needed
13-16
1.7 mg
Optional increase
17+
2.4 mg
Maximum dose (Wegovy)
â ī¸ Important: Do not rush titration. Increasing too fast significantly increases nausea and GI side effects. Stay at each dose for at least 4 weeks.
đ§Ŧ What is Semaglutide?
Semaglutide is a GLP-1 (glucagon-like peptide-1) receptor agonist. It mimics a hormone naturally produced in your gut after eating.
How It Works
Slows gastric emptying â Food stays in your stomach longer, increasing fullness
Reduces appetite centrally â Acts on brain receptors that control hunger
Improves insulin sensitivity â Originally developed for type 2 diabetes
Reduces "food noise" â Many report less obsessive thoughts about food
Brand Names
Ozempic â FDA-approved for type 2 diabetes
Wegovy â FDA-approved for weight loss (same drug, higher dose range)
Rybelsus â Oral tablet form
⥠Side Effects & Management
Common Side Effects
Nausea â Most common, especially early. Usually improves over weeks.
Constipation or diarrhea â GI system adjusting
Decreased appetite â The intended effect, but can be extreme initially
Fatigue â Often related to reduced calorie intake
âšī¸ Disclaimer: This information is for educational and research purposes only. Semaglutide is a prescription medication. Always consult with a healthcare provider before using any medication.