Wegovy Dose Schedule: Every Step from 0.25mg to 7.2mg (November 2026)

01 · The schedule

The Wegovy dose schedule, week by week

The dose steps up after 4 weeks on each of 0.25mg, 0.5mg, 1mg and 1.7mg, so the 2.4mg maintenance dose starts from week 17.⁶ A dose increase to 7.2mg is possible after a minimum of 4 weeks on 2.4mg, for adults with a BMI of 30 or above.²

The weeks shown are the earliest possible. Many people take longer at a step.

02 · Support

Who decides your dose

A GPhC-registered prescriber reviews your progress and side effects before each step up. Wegovy (semaglutide) is a prescription-only medicine, supplied only after an online consultation reviewed by a GPhC-registered prescriber. This page is information, not a substitute for medical advice.

03 · How increases are decided

How dose increases are decided

Stepping up is not automatic. Before each increase, the prescriber looks at your progress, whether side effects from the last step have settled, and your wider health and other medicines. If side effects are troublesome, staying on a dose for longer is normal and sensible. In STEP 1, adults on the 2.4mg maintenance dose lost on average 14.9% of body weight over 68 weeks, compared with 2.4% on placebo.¹

04 · The 7.2mg dose

The 7.2mg dose

The MHRA approved doses up to 7.2mg in January 2026 for adults with obesity, meaning a BMI of 30 or above. It does not cover adults with a BMI below 30, or people using Wegovy to lower their heart risk.² At first the 7.2mg weekly dose was given as three 2.4mg injections on the same day; in April 2026 a single-dose 7.2mg pen was approved.³ Follow the instructions for the pen you are supplied.

05 · One pen, four doses

One pen, one strength, four doses

Each Wegovy pen holds four weekly doses of one strength, so moving to a new dose means a new pen. Do not try to split doses, count clicks or "microdose" from a pen. The pen is not designed for it, and you cannot be sure how much medicine you are getting. If you need a slower increase, talk to the prescriber, who can keep you on your current dose for longer.

06 · Side effects after an increase

Side effects after a dose increase

Common side effects include nausea and vomiting, constipation, diarrhoea and tiredness.⁴ They are most likely in the days after each increase and usually ease as your body adjusts. Smaller meals, stopping when you feel full and plenty of fluids help most people. Our Wegovy side effects guide covers what helps.

07 · Missed doses

Missed doses

If it is 5 days or less since you should have had your dose, inject as soon as you remember. If it is more than 5 days, skip the missed dose and take the next one on your usual day. If you have missed more than one dose, contact the prescribing team before your next injection.⁴

08 · Wegovy vs Mounjaro dosing

Wegovy vs Mounjaro dose schedule

The milligram numbers cannot be compared, because they are different medicines, and there is no direct conversion between them. If you switch, the prescriber decides when to switch and which dose to start on. Our Mounjaro vs Wegovy page compares them in full.

09 · Tablets

The Wegovy pill schedule

Wegovy tablets follow a different, daily schedule: 1.5mg, then 4mg, 9mg and the 25mg maintenance dose, with at least one month at each step.⁵ See our Wegovy pill guide.