Wegovy Doses for Weight Loss: Complete Titration Guide

Medically Reviewed By
Dr. Rabih Wassel, MBBS, BSc, MSc, MRCS, MRCGP
Chief Medical Officer

Wegovy (semaglutide 2.4mg) follows a carefully designed titration schedule that gradually increases your dose over 16-20 weeks. This slow escalation minimises side effects like nausea while allowing your body to adjust to the medication. Understanding this dosing journey is crucial for maximising weight loss results and staying comfortable throughout treatment.
Understanding Wegovy Dosing
Wegovy is administered as a once-weekly subcutaneous injection. Unlike some medications where you start at the full dose immediately, Wegovy uses a gradual dose escalation approach to:
- Reduce gastrointestinal side effects (nausea, vomiting, diarrhoea)
- Allow your body to adapt to the medication's effects
- Identify the lowest effective dose for each individual
- Improve treatment adherence and long-term success
The Titration Schedule Explained
| Weeks | Dose | What to Expect |
|---|---|---|
| 1-4 | 0.25mg | Minimal side effects, appetite begins to reduce |
| 5-8 | 0.5mg | Appetite suppression increases, initial weight loss |
| 9-12 | 1mg | Steady weight loss, fullness after meals |
| 13-16 | 1.7mg | Accelerated weight loss, sustained appetite control |
| 17+ | 2.4mg | Maintenance dose, maximum weight loss effect |
Maintenance Dose and Long-term Use
The 2.4mg weekly dose is the approved maintenance dose for Wegovy. Most patients remain on this dose for the duration of their weight loss journey and beyond. Key points:
- Continue 2.4mg weekly as long as you're tolerating it well and seeing benefits
- Weight loss typically continues for 68+ weeks on the maintenance dose
- Some patients may benefit from staying on Wegovy long-term to maintain weight loss
- Your doctor may adjust the dose based on your individual response and tolerability
What to Do If You Miss a Dose
Missed Dose Guidelines
If less than 2 days have passed:
- Take the missed dose as soon as you remember
- Resume your regular schedule the following week
If more than 2 days have passed:
- Skip the missed dose entirely
- Take your next dose on the regularly scheduled day
- Do NOT double up to make up for a missed dose
Adjusting Doses Based on Response
Your doctor may modify your Wegovy dose based on:
- Side effects: If you experience intolerable nausea or vomiting, your doctor may delay dose escalation
- Weight loss response: Some patients achieve excellent results at doses lower than 2.4mg
- Medical history: Certain conditions may warrant dose adjustments
- Individual tolerance: Not everyone needs or tolerates the maximum dose

Dr. Rabih Wassel
Chief Medical Officer • MBBS, BSc, MSc, MRCS, MRCGP
Dr. Rabih Wassel is a board-certified physician specializing in obesity medicine with over 15 years of experience in weight management and metabolic health.