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How is Wegovy typically started? Wegovy starts at 0.25 mg injected once weekly for four weeks. The dose then rises to 0.5 mg for another four weeks. What happens at week nine? At week nine the dose doubles to 1 mg weekly. That level stays constant for four weeks. When does the dose reach its maximum? After the 1 mg phase, the schedule moves to 1.7 mg for four weeks. From week seventeen onward, the recommended maintenance dose is 2.4 mg once per week. What options exist if patients tolerate the increases poorly? Some patients stay at 1.7 mg permanently when 2.4 mg produces unacceptable side effects. How does the dose escalation help? Gradual increases give the body time to adjust and reduce gastrointestinal upset. Why do doctors sometimes keep patients at lower doses indefinitely? Doctors keep patients at lower doses if weight loss goals are already met or when strong side effects appear at higher levels.
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