Short answer

Week of step k = 1 + weeks per step × (k − 1). From a Jan 5, 2026 start, 0.25, 0.5, 1 and 1.7 mg run 4 weeks each and 2.4 mg begins week 17 (Apr 27). It shows the FDA label ladder, not a recommendation; your prescriber sets your steps. Dates as of Oct 19, 2026.

Weekly doses in order, separated by commas.

5 steps.

  1. 0.25 mg from week 1 (Jan 5, 2026)
  2. 0.5 mg from week 5 (Feb 2, 2026)
  3. 1 mg from week 9 (Mar 2, 2026)
  4. 1.7 mg from week 13 (Mar 30, 2026)
  5. 2.4 mg from week 17 (Apr 27, 2026)
0.25 mgwk 10.5 mgwk 51 mgwk 91.7 mgwk 132.4 mgwk 17
Each tread is one step; width is weeks held, height is the weekly dose.
Wegovy label ladder to 2.4 mg: week-by-week from Jan 5, 2026
WeekDatesWeekly dose
1Jan 5, 2026 – Jan 11, 20260.25 mg
2Jan 12, 2026 – Jan 18, 20260.25 mg
3Jan 19, 2026 – Jan 25, 20260.25 mg
4Jan 26, 2026 – Feb 1, 20260.25 mg
5Feb 2, 2026 – Feb 8, 20260.5 mg (step up)
6Feb 9, 2026 – Feb 15, 20260.5 mg
7Feb 16, 2026 – Feb 22, 20260.5 mg
8Feb 23, 2026 – Mar 1, 20260.5 mg
9Mar 2, 2026 – Mar 8, 20261 mg (step up)
10Mar 9, 2026 – Mar 15, 20261 mg
11Mar 16, 2026 – Mar 22, 20261 mg
12Mar 23, 2026 – Mar 29, 20261 mg
13Mar 30, 2026 – Apr 5, 20261.7 mg (step up)
14Apr 6, 2026 – Apr 12, 20261.7 mg
15Apr 13, 2026 – Apr 19, 20261.7 mg
16Apr 20, 2026 – Apr 26, 20261.7 mg
17Apr 27, 2026 – May 3, 20262.4 mg (step up)
18May 4, 2026 – May 10, 20262.4 mg
19May 11, 2026 – May 17, 20262.4 mg
20May 18, 2026 – May 24, 20262.4 mg

Math, parameters and sources: model card.

Where the ladders come from

Semaglutide ladders in this calculator
LadderSteps (mg, weekly)Source
Wegovy label ladder to 2.4 mg0.25 → 0.5 → 1 → 1.7 → 2.4Novo Nordisk, Jun 18, 2026
Ozempic label ladder to 2 mg0.25 → 0.5 → 1 → 2Novo Nordisk, Jun 1, 2026

FDA labels set a minimum of 4 weeks per step; a prescriber may hold a step longer. The table assumes exactly 4 weeks so the dates are a best case, not a plan.

Frequently asked questions

What is the Wegovy dose schedule on the label?

Wegovy starts at 0.25 mg once weekly for 4 weeks, then 0.5 mg, 1 mg and 1.7 mg for 4 weeks each, then the 2.4 mg maintenance dose (1.7 mg is an alternative). Ozempic starts at 0.25 mg for 4 weeks, then 0.5 mg, with 1 mg and 2 mg steps after at least 4 weeks each.

Can the weeks per step be changed?

Yes, the calculator accepts any number of weeks per step. The published label uses at least 4 weeks per step; labels allow a prescriber to hold a step longer.

Does the table show doses or dates first?

Each row is one week: week number, the Monday-to-Sunday dates from your start date, and the weekly dose. Step changes are highlighted, and the first date of each new step is listed separately.

Where can I see how a ladder changes modeled levels?

Open the same ladder in the Semaglutide plotter: it draws each step above the modeled amount so you can see the build-up after each increase.

Is semaglutide FDA approved?

Yes. FDA approved as Ozempic (type 2 diabetes) and Wegovy (weight management, cardiovascular risk reduction). Numbers on this page quote the FDA prescribing information; your prescriber sets your dose.

Sources

  1. 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.
  2. OZEMPIC (semaglutide) injection, for subcutaneous use - Full Prescribing Information (SPL). Novo Nordisk / National Library of Medicine DailyMed, Jun 1, 2026. Accessed Oct 19, 2026.