Dosing and How to Take Them Semaglutide Dosing For weight loss (Wegovy): Start: 0.25 mg weekly for 4 weeks Increase gradually to 2.4 mg weekly Take as injection under the skin once per week Also available as daily pill (Rybelsus) for diabetes Tirzepatide Dosing For weight loss (Zepbound): Start: 2.5 mg weekly for 4 weeks Can increase up to 15 mg weekly Take as injection under the skin once per week Only available as injection, not as pills Both medications work best when you increase the dose slowly
Complementing these findings, preliminary data from human synovial fibroblasts show that GLP-1 stimulation reduces cytokine production and alters inflammatory gene expression, suggesting broader immunomodulatory effects across key synovial cell populations
Kom et al., Diabetes Care 2025: commentary describing GLP-1 and GLP-1/GIP multidose-pen fractional titration below the FDA-approved starting dose for GI tolerability, drug transitions, or cost
Glomerular filtration rate and associated risks of cardiovascular events, mortality, and severe hypoglycemia in patients with type 2 diabetes: secondary analysis (DEVOTE 11)
For long-term maintenance: Traditional methods build lasting habits and improve overall health
[insert before and after photos] Weeks 1 to 4: Initiation Phase Starting Dose: Treatment typically begins at 0.25 mg once weekly