PeptideNerds

Semaglutide Dosage Guide

FDA Approved
FM

Reviewed by Fat Man in the Arena · Updated March 2026

Not medical advice. Dosage information is provided for educational purposes based on published research. Always consult a qualified healthcare provider before starting any protocol. Full disclaimer.

Dosage overview

Typical dose0.25 mg to 2.4 mg weekly (injection)
FrequencyOnce weekly subcutaneous injection
Cycle lengthOngoing — weight regain common after discontinuation

Dosing notes

Dose is titrated up gradually over 16-20 weeks to minimize GI side effects. Start at 0.25 mg/week for 4 weeks, then increase. The FDA-approved weight loss dose is 2.4 mg/week (Wegovy).

FDA-approved indications

Semaglutide is FDA-approved for: Type 2 diabetes (Ozempic), chronic weight management (Wegovy).

Off-label use should only be pursued under the guidance of a licensed healthcare provider.

Important safety information

Dosage ranges listed above are based on published clinical trial protocols. Individual dosing should be determined by a qualified healthcare provider based on your specific health profile, goals, and response to treatment.

  • Start at the lowest effective dose and titrate up gradually
  • Monitor for side effects, especially during dose increases
  • Do not exceed researched dose ranges without medical supervision

Research references

  • Once-Weekly Semaglutide in Adults with Overweight or Obesity (STEP 1)New England Journal of Medicine (2021) [PubMed]
  • Two-Year Effects of Semaglutide in Adults with Overweight or Obesity (STEP 5)Nature Medicine (2022) [PubMed]

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