The semaglutide titration schedule, explained
Why semaglutide starts low and steps up — and how to keep track of which week and dose you're on, privately.
Semaglutide isn’t a take-and-stay medication — it climbs. Whether you have it as Ozempic, Wegovy, or a compounded version, you start low and step up over several months. Here’s why, and how to keep the schedule straight.
Why the slow climb
Starting at a low dose and increasing gradually gives your body time to adjust, which is what keeps early side effects manageable. The first dose is deliberately sub-therapeutic — it’s a ramp, not the destination. That’s why “how much weight have I lost?” in week two is the wrong question.
What a typical schedule looks like
The standard clinical schedule moves up in steps every few weeks. Wegovy, for weight management, climbs to a higher maintenance dose than Ozempic typically does. Your prescriber sets your actual pace — and may hold you at a level longer if side effects need it.
We don’t print dose numbers as guidance here; the point is the shape: low start, step-ups, a maintenance dose you settle at. Your own schedule is the one that matters.
“What week am I on?”
This is the question that gets lost. Once you’ve stepped up a couple of times, the weeks blur. Knowing your current dose and how long you’ve been on it tells you whether it’s time to expect a step-up — and gives your prescriber an accurate picture.
A tracker that shows your current step, with the option to hold or step back, turns a fuzzy memory into a clear answer.
Keep your schedule yours
Your titration history is personal. With Lirea it stays on your device — encrypted, no account, no server.
Low start, gradual steps, a dose you settle at — and a clear record of where you are.
Track the step, not just the shot, and the climb stays legible the whole way up.