GLP-1 Dose Escalation: Why Titration Matters

All GLP-1 receptor agonist medications use a gradual dose escalation protocol called titration. Starting low and increasing slowly is the single most effective way to minimize nausea, vomiting, and other GI side effects that cause many people to discontinue treatment prematurely. See our Side Effect Timeline to understand when symptoms typically peak and resolve.

Ozempic Dosing Schedule

Ozempic Standard Titration
WeeksDosePhaseNotes
1–40.25 mgInitiationStarting dose, not therapeutic
5–8+0.5 mgMaintenanceMinimum effective dose
13+1 mgEscalationIf more control needed
17+2 mgMaximumMaximum approved dose

Wegovy Dosing Schedule

Wegovy Standard Titration
WeeksDosePhase
1–40.25 mg weeklyInitiation
5–80.5 mg weeklyStep 2
9–121.0 mg weeklyStep 3
13–161.7 mg weeklyStep 4
17+2.4 mg weeklyMaintenance

Mounjaro & Zepbound Dosing Schedule

Mounjaro / Zepbound Standard Titration
WeeksDosePhase
1–42.5 mg weeklyInitiation
5–85 mg weeklyStep 2
9–127.5 mg weeklyStep 3
13–1610 mg weeklyStep 4
17–2012.5 mg weeklyStep 5
21+15 mg weeklyMaximum

Tips for Staying on Schedule

  • Same day, every week. Pick a day that's easy to remember.
  • Set a phone reminder. A weekly alarm 30 minutes before your planned injection time helps build the habit.
  • Don't rush escalation. If you're experiencing significant nausea, stay at your current dose an extra 2–4 weeks before increasing.
  • Log your doses. Use our Weight Tracker to log both your injections and weekly weight together.
  • Know what to do if you miss a dose. Use the Missed Dose Tool for specific guidance.