See the standard dose-escalation schedule for semaglutide and tirzepatide, your current step, and how many weeks to the maintenance dose. ⚕️ Educational
Dose schedule • By week
⚕️ Educational only — standard manufacturer schedules. Your prescriber may go slower if you have side effects. Not medical advice.
GLP-1 medications are titrated slowly — increased every 4 weeks — to reduce nausea and side effects while your body adjusts. Semaglutide (Wegovy) steps through 0.25 → 0.5 → 1.0 → 1.7 → 2.4 mg weekly, reaching the maintenance dose around week 17. Tirzepatide (Zepbound) steps through 2.5 → 5 → 7.5 → 10 → 12.5 → 15 mg, reaching maximum around week 21.
These are the standard manufacturer schedules; your prescriber may hold you at a lower dose longer if it controls appetite well or if you have side effects. Never increase faster than directed. This is educational, not medical advice.
GLP-1 medications are escalated gradually — typically every four weeks — because starting at a therapeutic dose causes nausea, vomiting and diarrhoea severe enough to make most people stop. The titration schedule is set by the manufacturer and validated in trials, so the dates are arithmetic once the start date is known. Clinically, a step is often held longer than four weeks if side effects are troublesome, which delays subsequent steps without changing the sequence. Missed doses have their own rules depending on how long the gap has been, and a long gap can require restarting at a lower dose.
Step n start date = Treatment start + (n − 1) × 4 weeksTotal escalation time = (number of steps − 1) × 4 weeksHolding a step adds its extra duration to every later datewhere:
Assumptions: General information only, not medical advice. Schedules differ by product and indication and are set by the prescriber. Do not accelerate titration to reach a target dose sooner — the schedule exists for tolerability, not convenience.
Map a standard four-week titration onto real dates, then account for a hold.
ResultMaintenance dose reached 23 June — 16 weeks from starting
Roughly four months to reach maintenance is the expected timeline, and it is worth knowing at the outset, because early weeks are on sub-therapeutic doses. Extending a step for tolerability is common and delays the endpoint without compromising it.