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
| Weeks | Dose | Phase | Notes |
|---|---|---|---|
| 1–4 | 0.25 mg | Initiation | Starting dose, not therapeutic |
| 5–8+ | 0.5 mg | Maintenance | Minimum effective dose |
| 13+ | 1 mg | Escalation | If more control needed |
| 17+ | 2 mg | Maximum | Maximum approved dose |
Wegovy Dosing Schedule
Wegovy Standard Titration
| Weeks | Dose | Phase |
|---|---|---|
| 1–4 | 0.25 mg weekly | Initiation |
| 5–8 | 0.5 mg weekly | Step 2 |
| 9–12 | 1.0 mg weekly | Step 3 |
| 13–16 | 1.7 mg weekly | Step 4 |
| 17+ | 2.4 mg weekly | Maintenance |
Mounjaro & Zepbound Dosing Schedule
Mounjaro / Zepbound Standard Titration
| Weeks | Dose | Phase |
|---|---|---|
| 1–4 | 2.5 mg weekly | Initiation |
| 5–8 | 5 mg weekly | Step 2 |
| 9–12 | 7.5 mg weekly | Step 3 |
| 13–16 | 10 mg weekly | Step 4 |
| 17–20 | 12.5 mg weekly | Step 5 |
| 21+ | 15 mg weekly | Maximum |
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.