How is Wegovy started and increased?
Wegovy starts low and goes up every four weeks, so the stomach has time to adjust. The prescribing information sets the same steps for adults and for children 12 and older:
| Weeks | Weekly dose |
|---|---|
| 1 to 4 | 0.25 mg |
| 5 to 8 | 0.5 mg |
| 9 to 12 | 1 mg |
| 13 to 16 | 1.7 mg |
| 17 onward | 1.7 mg or 2.4 mg |
If a step isn’t tolerated, the label says your prescriber can consider waiting another four weeks before the next increase. Since March 2026 the US label also includes a 7.2 mg dose, sold as Wegovy HD, for adults who have taken 2.4 mg for at least four weeks and need more weight reduction (FDA approval letter).
What the trials found is an average, not a promise. In STEP 1, adults without diabetes taking 2.4 mg lost 14.9% of their body weight on average after 68 weeks, against 2.4% on placebo (Wilding et al., NEJM 2021). In the trial behind the 7.2 mg dose, the average was 18.8% after 72 weeks, against 15.5% on 2.4 mg and 3.9% on placebo (Wegovy prescribing information). Logging each step in Mingo lets you see your own curve, with each stretch of the weight chart colored by the dose you were on.
What should you log on a Wegovy shot day?
A few seconds of logging on shot day, and a minute in the days after, give your prescriber something concrete to work with:
- The dose and the site. Write down the dose and where you injected. The label says to inject in the abdomen, thigh or upper arm, on the same day each week, at any time of day, and to rotate the site with each dose. Mingo pre-fills the opposite side of your last shot if you turn on side alternation.
- How you feel over the next few days. Digestive side effects are the most common, so a quick 0 to 10 rating of nausea or constipation each day shows whether they follow your shot day or a dose increase.
- Water. The Wegovy label warns about acute kidney injury in people who lose fluids through vomiting or diarrhea. Cleveland Clinic suggests sipping water through the day, because eating less can mean drinking less too (Cleveland Clinic).
- Protein. With a smaller appetite, protein is easy to miss. Mingo shows a daily protein target you can adjust with your dietitian or prescriber.
Which Wegovy side effects are worth writing down?
In the weight-loss trials of the 2.4 mg dose, these were the most common side effects, compared with placebo (Wegovy prescribing information, adverse reactions table):
| Side effect | Wegovy 2.4 mg | Placebo |
|---|---|---|
| Nausea | 44% | 16% |
| Diarrhea | 30% | 16% |
| Vomiting | 24% | 6% |
| Constipation | 24% | 11% |
| Abdominal pain | 20% | 10% |
| Headache | 14% | 10% |
| Fatigue | 11% | 5% |
In those trials, 6.8% of people on Wegovy stopped because of side effects, against 3.2% on placebo. The label also carries a boxed warning: semaglutide caused thyroid C-cell tumors in rodents, it isn’t known whether it does in humans, and Wegovy must not be used by people with a personal or family history of medullary thyroid carcinoma or with MEN 2. For the warning signs that need a call to your prescriber, read our guide to GLP-1 side effects.
For the full list by dose, the warnings and when to call your prescriber, see our Wegovy side effects guide.
What if you miss a Wegovy dose?
The label’s rule depends on how close your next dose is. If it’s more than two days away, take the missed dose as soon as possible. If it’s less than two days away, skip it and take the next one on your usual day. If you miss two or more doses in a row, your prescriber restarts the escalation at a lower dose, because going straight back to a high dose can bring the digestive side effects back.
Mingo’s part is the reminder: if a planned dose isn’t logged, it nudges you two hours later. What to do next comes from the label and your prescriber, not from the app.
Wegovy shot or Wegovy pill?
Since December 22, 2025, Wegovy also comes as a daily tablet for weight reduction. It starts at 1.5 mg and moves to 4 mg, 9 mg and then 25 mg, 30 days at each step. It’s taken in the morning on an empty stomach with up to 4 ounces of water, and you wait at least 30 minutes before eating, drinking or taking other medicines. In its main trial, people on 25 mg lost 13.6% of their body weight on average after 64 weeks, against 2.4% on placebo (Wegovy prescribing information; the published paper reports 2.2% for placebo, Wharton et al., NEJM 2025).
Mingo logs the pill under its pill list, and the reminder can be set to every day. Our Wegovy pill guide covers how it differs from the shot.
What Mingo doesn’t do
Mingo is a tracker. It doesn’t prescribe, set or change your dose, and it has no titration plan of its own: the steps above come from the label and your prescriber. The medication-level curve is calculated from the doses you log, not measured in your blood. If something feels wrong, call your prescriber rather than waiting for a pattern in the app.
