What dose of semaglutide (Ozempic) is administered with 35 clicks on a 1 mg Ozempic pen?

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Last updated: January 29, 2026View editorial policy

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Ozempic Pen Dosing Calculation

35 clicks on a 1 mg Ozempic pen delivers 0.875 mg of semaglutide.

Understanding the Ozempic Pen Mechanism

The Ozempic pen is designed with a click-based dosing system where each click represents a specific increment of medication. For the 1 mg pen formulation:

  • Each click delivers 0.025 mg of semaglutide 1
  • The pen allows for precise dose adjustments in these small increments
  • 35 clicks × 0.025 mg per click = 0.875 mg total dose

Clinical Context for This Dose

This 0.875 mg dose falls between the standard maintenance doses used in clinical practice:

  • Standard type 2 diabetes dosing starts at 0.25 mg weekly, escalates to 0.5 mg weekly after 4 weeks, then to 1.0 mg weekly (the typical maintenance dose) 1
  • The 0.875 mg dose represents approximately 87.5% of the standard 1.0 mg maintenance dose
  • This intermediate dosing may be used when titrating between 0.5 mg and 1.0 mg if a patient experiences tolerability issues at the full 1.0 mg dose

Important Dosing Considerations

For type 2 diabetes treatment, the approved Ozempic dosing is 0.25 mg once weekly for 4 weeks, then 0.5 mg once weekly, with potential escalation to 1.0 mg weekly if additional glycemic control is needed 1. Some patients may require 2.0 mg weekly as a maximum dose.

For weight management (Wegovy formulation), semaglutide follows a different titration schedule starting at 0.25 mg weekly and escalating over 16 weeks to a maintenance dose of 2.4 mg weekly 2, 3.

Common pitfall: Do not confuse Ozempic (approved for type 2 diabetes with doses up to 2.0 mg weekly) with Wegovy (approved for weight management with doses up to 2.4 mg weekly) - they are the same molecule but different formulations with different approved indications 4, 5.

References

Guideline

Recommended Dosing Regimen for Wegovy (Semaglutide)

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Wegovy Dose Escalation and Maintenance

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2026

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

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.

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