FDA label ladder
Semaglutide Ozempic label ladder to 2 mg: published ladder and modeled levels
Short answer
Semaglutide Ozempic label ladder to 2 mg: 0.25/0.5/1/2 mg weekly, 4 weeks per step (Novo Nordisk, Jun 1, 2026). The final 2 mg step begins in week 13. With t½ 7 days and R = 2, the modeled amount peaks at 3.56 mg-eq. As published, not a recommendation; as of Oct 19, 2026.
- Weeks per step
- 4 4 steps
- Final step
- 2 mg from week 13
- Modeled peak
- 3.56 mg-eq
- Accumulation R
- 2 t½ 7 d
- Weekly dose (published steps)
- Modeled amount (mg-eq)
- Stable window
| Weeks | Weekly dose | First week starts |
|---|---|---|
| 1–4 | 0.25 mg | Jan 5, 2026 |
| 5–8 | 0.5 mg | Feb 2, 2026 |
| 9–12 | 1 mg | Mar 2, 2026 |
| 13 onward | 2 mg | Mar 30, 2026 |
Weekly modeled amounts
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28 weeks. Highlighted rows start a new dose step. Model details: model card.
| Week | Starts | Dose mg | Peak | Trough | Average |
|---|---|---|---|---|---|
| 1 | Jan 5, 2026 | 0.25 | 0.215 | 0 | 0.165 |
| 2 | Jan 12, 2026 | 0.25 | 0.33 | 0.131 | 0.263 |
| 3 | Jan 19, 2026 | 0.25 | 0.387 | 0.197 | 0.312 |
| 4 | Jan 26, 2026 | 0.25 | 0.416 | 0.229 | 0.336 |
| 5 | Feb 2, 2026 | 0.5 | 0.645 | 0.246 | 0.513 |
| 6 | Feb 9, 2026 | 0.5 | 0.768 | 0.385 | 0.617 |
| 7 | Feb 16, 2026 | 0.5 | 0.829 | 0.455 | 0.669 |
| 8 | Feb 23, 2026 | 0.5 | 0.86 | 0.489 | 0.695 |
| 9 | Mar 2, 2026 | 1 | 1.303 | 0.507 | 1.038 |
| 10 | Mar 9, 2026 | 1 | 1.542 | 0.777 | 1.24 |
| 11 | Mar 16, 2026 | 1 | 1.662 | 0.913 | 1.342 |
| 12 | Mar 23, 2026 | 1 | 1.722 | 0.981 | 1.392 |
| 13 | Mar 30, 2026 | 2 | 2.607 | 1.014 | 2.077 |
| 14 | Apr 6, 2026 | 2 | 3.084 | 1.555 | 2.481 |
| 15 | Apr 13, 2026 | 2 | 3.324 | 1.826 | 2.683 |
| 16 | Apr 20, 2026 | 2 | 3.445 | 1.961 | 2.784 |
| 17 | Apr 27, 2026 | 2 | 3.505 | 2.029 | 2.835 |
| 18 | May 4, 2026 | 2 | 3.535 | 2.063 | 2.86 |
| 19 | May 11, 2026 | 2 | 3.55 | 2.08 | 2.873 |
| 20 | May 18, 2026 | 2 | 3.558 | 2.088 | 2.879 |
| 21 | May 25, 2026 | 2 | 3.561 | 2.092 | 2.882 |
| 22 | Jun 1, 2026 | 2 | 3.563 | 2.094 | 2.884 |
| 23 | Jun 8, 2026 | 2 | 3.564 | 2.095 | 2.885 |
| 24 | Jun 15, 2026 | 2 | 3.565 | 2.096 | 2.885 |
| 25 | Jun 22, 2026 | — | 2.167 | 1.088 | 1.566 |
| 26 | Jun 29, 2026 | — | 1.083 | 0.544 | 0.783 |
| 27 | Jul 6, 2026 | — | 0.542 | 0.272 | 0.392 |
| 28 | Jul 13, 2026 | — | 0.271 | 0.136 | 0.196 |
Sources
- OZEMPIC (semaglutide) injection, for subcutaneous use - Full Prescribing Information (SPL). Novo Nordisk / National Library of Medicine DailyMed, Jun 1, 2026. Accessed Oct 19, 2026.
- WEGOVY (semaglutide) injection, for subcutaneous use; WEGOVY (semaglutide) tablets, for oral use - Full Prescribing Information (SPL, Revised 6/2026). Novo Nordisk / National Library of Medicine DailyMed, Jun 18, 2026. Accessed Oct 19, 2026.