Wegovy doses: the 0.25 mg to 7.2 mg schedule

Five standard steps plus one high dose, one rule: move up only when the current dose is tolerated and progress has slowed.

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Each dose, in detail

DoseEarliest startWhat to expectPrice per month
0.25 mgWeek 1Adjustment month. Appetite dips. Scale movement modest.£69
0.5 mgWeek 5Clearer appetite control. Steady weekly loss often begins.£89
1 mgWeek 9A common long-term dose when loss and comfort balance well.£99
1.7 mgWeek 13Used when 1 mg is tolerated but progress has stalled for weeks.£119
2.4 mgWeek 17The licensed maintenance dose. STEP 1 averaged about 15% loss.£139
7.2 mgSelected patientsThree 2.4 mg injections weekly. STEP UP averaged about 20.7% loss with more gut side effects.£199

When to move up, and when to hold

At each monthly check-in your prescriber weighs tolerance, progress and your own preference. Holding at 1 mg for months because life feels good is a strategy, not a stall. The schedule is a ladder you climb at your own pace, never above one step every 4 weeks.

About the 7.2 mg dose

The 7.2 mg regimen is taken as three 2.4 mg injections on the same day each week, and is reserved for people who tolerated 2.4 mg well but need more effect. STEP UP recorded average loss of about 20.7%, with noticeably higher rates of nausea and some tingling (dysesthesia). It is a considered step, not a default.

Missed dose rules

Take a missed dose within 5 days, then resume your usual day. Beyond 5 days, skip it. If more than two weeks pass, message your prescriber before restarting, tolerance fades and you may restart lower. Every scenario is covered in the missed dose guide.

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About this page

Written by
Able Clinic editorial team
Clinical review
Pharmacy team at Curb Healthcare Ltd, GPhC 9012581
Last reviewed

Each page is checked against the UK licence for the medicine. Read our editorial policy.

Sources

  1. NICE TA875: semaglutide for managing overweight and obesity
  2. STEP 1 trial, New England Journal of Medicine 2021
  3. SELECT trial (cardiovascular outcomes), NEJM 2023
  4. Electronic medicines compendium: Wegovy product information
  5. MHRA Yellow Card scheme
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