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GLP-1 titration schedule planner
See the standard dose-escalation ramp for semaglutide, tirzepatide and retatrutide, week by week from the starting dose up to maintenance. Adjust the pace to plan and track your own schedule.
Reference ramp · Semaglutide
- 1Weeks 1–40.25 mg
- 2Weeks 5–80.5 mg
- 3Weeks 9–121 mg
- 4Weeks 13–161.7 mg
- 5Week 17+ · maintenance2.4 mg
~16 weeks to reach the maintenance dose at this pace.
The standard weekly semaglutide escalation cited in the approved labeling: 0.25 → 0.5 → 1 → 1.7 → 2.4 mg, typically four weeks at each step before the next increase.
Why GLP-1 doses are titrated
GLP-1 and GLP-1/GIP compounds are escalated gradually rather than started at the maintenance dose. Stepping up slowly is the standard approach in the clinical literature for letting tolerability — particularly gastrointestinal side effects — settle between increases.
The ramps above are the commonly-referenced step ladders, not a prescription. The right starting dose, pace, and ceiling are individual — review any titration with a qualified clinician before changing it, and track what you actually take so you can see how each step lands.
Example: at 4 weeks per step, the semaglutide ramp is 0.25 mg in weeks 1–4, 0.5 mg in weeks 5–8, 1 mg in weeks 9–12 and 1.7 mg in weeks 13–16, then the 2.4 mg maintenance dose from week 17.
The tirzepatide ladder is 2.5 → 5 → 7.5 → 10 → 12.5 → 15 mg, typically 4 weeks at each step.
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