Congratulations on completing the semaglutide 1mg phase! Next, we will be titrating your medication. This means increasing it slowly on a weekly basis, making sure you tolerate each dosage increase before going to the next one.

Continue to watch out for side effects, most commonly:

Nausea and/or vomiting
- If you are having a lot of issues, we can send an anti-nausea prescription to your pharmacy. Just give us a call at (513) 559-1222 or text us during business hours at (513) 572-1718.
Constipation
- It’s a good idea to use over the counter stool softeners (colace, Senekot), fiber, or Miralax if you are having trouble with constipation.
GERD
- Acid reflux/GERD symptoms can be treated with over the counter Pepcid (famotidine) or Prilosec (omeprazole).

If you are having major trouble with side effects, it is recommended to go back to your previous dosage for a week or two and then try increasing again.

Month 4-Week 1

Order: Semaglutide 10mg vial

You will need a new 10mg semaglutide vial. If you don’t already have one ordered, please contact us by phone at (513) 559-1222 or by text at (513) 572-1718
In the first week of month 4, you will advance to 30 units.

.3mL in a .5mL syringe — 30 units in a 50 unit syringe

Semaglutide 10mg Vial
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Month 4-Week 2

You will continue to use the same semaglutide vial.
In the second week of this phase, you will advance to 40 units.
If you are having any issues tolerating the new dose, go back to 30 units for a week and then try again.

.4mL in a 0.5mL syringe — 40 units in a 50 unit syringe

Month 4-Week 3

You will continue to use the same semaglutide vial.
In the third week of this phase, you will advance to 50 units.
If you have any trouble tolerating the increased dose, go back to 40 units for a week and then try again.
50 units once a week is the maximum dosage for semaglutide!

.5mL in a .5mL syringe — 50 units in a 50 unit syringe

Month 4-Week 4

You will continue to use the same semaglutide vial.
In the fourth week of this phase, you will remain at 50 units.

What's Next?

You will have enough left over for the first 1-2 injections next month, but from here on you will need a new vial every month moving forward. A live visit is required to start month 5 so this can be ordered then. You will receive injection instructions for month 5 after your visit as well.

Sharps Disposal

clorox bottle IMPORTANT: DO NOT DISCARD USED NEEDLES/SYRINGES DIRECTLY IN THE TRASH. Place your used needles and syringes into a thick plastic container (such as an empty bleach bottle). Use a sharpie to mark “SHARPS” on the bottle. Once it is full, or when you are done with the program, use tape to secure the lid and place it in a trash receptacle.