Your first month on Wegovy: week by week
The 0.25 mg starter month is deliberately gentle. What each week feels like, and what to ignore.
Week 1: the first dose
The 0.25 mg starter dose is sub-therapeutic, its job is adjustment. Expect little appetite change and possibly mild nausea in the first couple of days. The pen routine is the real week-one win: choose your day, learn the clicks, done.
Week 2: subtle shifts
Fullness arrives a little earlier. Some people notice nothing at all and worry it is not working, normal. The working doses begin at 0.5 mg and above.
Week 3: habits worth building now
Whatever the scales say, this is the week to install the maintenance habits: protein first at meals, steady fluids, a daily walk. People who build these on a quiet month have them ready when loss accelerates.
Week 4: the check-in
Your check-in weighs the month: weight trend, side effects, how eating feels. Most people step up to 0.5 mg. Some hold. Both are correct answers in the right circumstances.
Setting month-one expectations
Typical first-month loss is 2 to 3% of body weight. STEP 1's headline average of about 15% took 68 weeks, pace yourself against that arc, not against week two.
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Wegovy plan from £69 a month
Weekly injection, semaglutide. Price covers the medicine, prescriber review, monthly check-ins and tracked delivery.
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- Written by
- Able Clinic editorial team
- Clinical review
- Pharmacy team at Curb Healthcare Ltd, GPhC 9012581
- Last reviewed
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