What is the next dose of Wegovy (semaglutide) after 0.5mg weekly?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: June 17, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Guidelines

The next dose of Wegovy (semaglutide) after 0.5mg weekly is 1.0mg weekly. After taking the 0.5mg dose for 4 weeks, patients should increase to the 1.0mg dose and continue this for another 4 weeks, as recommended in the approved indications and dosing for semaglutide 1. This gradual dose escalation is designed to minimize gastrointestinal side effects such as nausea, vomiting, and diarrhea, which are common with semaglutide. Following the 1.0mg dose, the standard progression continues to 1.7mg is not mentioned in the evidence but 2.4mg weekly for weight management among adult patients with BMI >30 kg/m2 or BMI >27 kg/m2 with at least one weight-related comorbidity, is the maintenance dose of semaglutide for weight management. Each dose increase should occur after completing the full 4 weeks at the previous dose level. It's essential to take Wegovy on the same day each week, with or without food, and to contact your healthcare provider if you experience severe or persistent side effects that might require dose adjustment or additional management. Recent studies have shown that semaglutide has benefits beyond weight loss, including reducing the risk of cardiovascular events such as heart attacks, strokes, and major adverse cardiovascular events 1.

From the FDA Drug Label

DOSAGE AND ADMINISTRATION • Start at 0.25 mg once weekly. After 4 weeks, increase the dose to 0.5 mg once weekly. If after at least 4 weeks additional glycemic control is needed, increase to 1 mg once weekly (2.1). The next dose of Wegovy (semaglutide) after 0.5mg weekly is 1 mg once weekly if additional glycemic control is needed, after at least 4 weeks on the 0.5mg dose 2.

From the Research

Dosing Schedule of Wegovy (Semaglutide)

The dosing schedule of Wegovy (semaglutide) is as follows:

  • The initial dose is 0.25 mg per week for 4 weeks 3
  • The dose is then increased to 0.5 mg per week for 4 weeks 3
  • The next dose after 0.5 mg per week is 1.0 mg per week for 4 weeks 3
  • The final maintenance dose is 2.4 mg per week 4, 5, 3

Important Considerations

Some important considerations for the dosing schedule of Wegovy (semaglutide) include:

  • The dose should be increased gradually to minimize gastrointestinal adverse events 6, 3
  • The medication should be administered via subcutaneous injection once a week 4, 5, 3
  • Patients should be monitored for potential adverse events, such as nausea, diarrhea, and vomiting 6, 3

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Once-Weekly Semaglutide in Adults with Overweight or Obesity.

The New England journal of medicine, 2021

Research

Clinical review of subcutaneous semaglutide for obesity.

Journal of clinical pharmacy and therapeutics, 2022

Research

Wegovy (semaglutide): a new weight loss drug for chronic weight management.

Journal of investigative medicine : the official publication of the American Federation for Clinical Research, 2022

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.