Why GLP-1 medications require titration
Starting at the full maintenance dose causes high rates of nausea, vomiting, and GI discomfort. Titration protocols begin at a sub-therapeutic dose and increase every 4–8 weeks, allowing the body to adapt. For Wegovy, the titration process takes 16 weeks to reach the 2.4 mg maintenance dose from the 0.25 mg starting dose.
Clinicians may slow titration further if side effects are troublesome — remaining at a lower dose for an extra 4 weeks is common. The schedule shown here reflects the standard manufacturer titration; your clinician's guidance takes precedence.