GLP-1 dosing and titration, explained
Why GLP-1 doses start low and step up over months, and how to keep track of where you are.
In short: Doses are increased gradually to limit side effects; keep a record of each step.
GLP-1 medications are almost always started at a low dose and increased on a schedule, often every four weeks, toward a maintenance dose. Starting low gives your gut time to adjust, which is the single biggest factor in how tolerable the medication feels.
Because the schedule spans months and the doses look similar, it's easy to lose track of where you are and when the next step is due. A simple log of each injection, with the dose written down, removes that guesswork and gives your prescriber an accurate history at your next visit.
Your clinician sets the pace, and it's normal to stay longer at a dose that's working or to pause a step if side effects flare. This is general information, not a dosing recommendation. Follow the plan you and your prescriber agree on.