Week 1 Wegovy: What Should I Expect? Dosage & Changes

Wegovy (semaglutide) is a prescription medication designed to help manage chronic weight issues. It’s often prescribed to people with a body mass index (BMI) of 30 or higher, or a BMI of 27 or higher if they also have weight-related health conditions.

If you’re starting Wegovy, you probably have a lot of questions about what to expect. This article will guide you through your first week of Wegovy treatment, covering everything from managing your expectations to understanding potential side effects and making any necessary lifestyle changes.

Before starting Wegovy, it’s essential to talk with your doctor or another qualified healthcare professional. They can help you determine if Wegovy is right for you, discuss any potential risks, and create a treatment plan tailored to your specific needs.

Understanding Wegovy and how it works

Wegovy is a prescription medication that can help people lose weight. It works by mimicking a hormone in your body called GLP-1. GLP-1 tells your brain that you’re not hungry, which reduces cravings and helps you feel full after eating a smaller portion.

Wegovy is administered through a weekly injection. The starting dose is usually 0.25 mg, and your doctor will likely increase it gradually to minimize side effects and help your body adjust.

It’s important to remember that Wegovy isn’t a “magic bullet.” It’s most effective when you combine it with a healthy diet and regular exercise. Think of it as a tool to support lifestyle changes, not a replacement for them.

Preparing for Your First Week: Essential Steps Before Starting

Before you start taking Wegovy, there are a few things you should do to set yourself up for success.

Medical Assessment and Consultation

First, it’s important to get a thorough medical evaluation from your healthcare provider. They’ll want to make sure Wegovy is safe for you, and that there aren’t any potential contraindications or risks based on your health history.

Be prepared to openly discuss your medical history, including any existing conditions or medications you’re taking. Certain conditions, like thyroid cancer, some endocrine conditions, pancreas or kidney problems, or diabetes, might mean Wegovy isn’t right for you.

Setting Realistic Expectations

It’s also important to understand that weight loss with Wegovy is gradual. You probably won’t see immediate results, and it usually takes several weeks before weight loss becomes noticeable. The initial changes may be subtle as your body gets used to the medication.

Try to focus on overall health improvements rather than just the number on the scale. Celebrate small victories, like feeling more energetic or making healthier food choices, and keep your long-term health goals in mind.

Week 1: What to Expect – Dosage, Administration, and Initial Body Response

The first week on Wegovy is about acclimating to the medication and observing how your body responds. Here’s a breakdown of what to expect:

Taking Your First Dose

It’s super important to follow your doctor’s instructions about dosage and how to administer the injection. Keep a log of when you take your doses, and set reminders on your phone so you don’t forget.

Make sure you understand the proper injection technique. Some people find it helpful to inject Wegovy after they’ve eaten a meal.

Potential Side Effects

During the first week, some people experience side effects such as nausea, constipation, diarrhea, stomach pain, and fatigue. Usually, these symptoms are mild and don’t last long.

To manage the side effects, try eating smaller portions of bland foods, and drink plenty of water. Eat slowly, and if you feel queasy, get some fresh air.

Monitoring Your Body’s Response

Keep track of any symptoms you experience during the first week. This information can be really helpful when you talk with your healthcare provider about how things are going.

It’s unlikely you’ll see significant weight loss in the first week. Instead, focus on how your body is adjusting to the medication. Pay attention to any changes in your appetite, energy levels, and overall well-being.

Managing side effects during the first week

As your body adjusts to Wegovy, you may experience side effects. There are ways to ease the discomfort.

Dietary adjustments

  • Eat small meals frequently. Smaller meals are easier to digest and can help keep nausea at bay.
  • Choose bland foods. Opt for foods that are low in fat and easy on your digestive system. It’s best to avoid spicy, greasy, or highly processed foods for a while.
  • Increase your fiber intake. Fiber can help prevent constipation. Good sources of fiber include fruits, vegetables, and whole grains.

Hydration

  • Drink plenty of water. Staying hydrated is key to staving off dehydration and constipation. Water-rich foods, such as watermelon and cucumber, can also help.

Lifestyle modifications

  • Avoid strenuous activity. If you’re feeling nauseous or tired, take it easy on the exercise. Gentle walks are usually fine.
  • Rest and relax. Make sure you’re getting enough rest as your body adjusts to the medication. Relaxation techniques like mindfulness and meditation may also help.

The importance of diet and exercise (even in week one)

Wegovy isn’t a magic bullet. It works best when you use it in conjunction with a healthy diet and regular exercise. Here’s how to start forming those habits, even in your first week on the medication.

Starting healthy habits

It’s important to make any lifestyle changes gradually so they’re sustainable over the long term. I often advise people to begin by:

  • swapping out sugary drinks for water
  • adding a serving of vegetables to each meal
  • avoiding processed foods as much as possible

It can also be helpful to consult with a registered dietician or nutritionist to come up with a personalized meal plan that includes lean protein and healthy fats.

Incorporating exercise

Even if you’re not used to exercising regularly, it’s important to start moving your body. Start with something light, like walking or stretching, and tailor your activity to your individual needs and abilities.

Set realistic goals, like walking for 10 minutes a day, and gradually increase the intensity and duration of your workouts. Light exercise, like a stroll after meals, can sometimes help with the gastrointestinal issues that can be a side effect of Wegovy.

Psychological aspects and support systems

Starting Wegovy can be more than just a physical adjustment; it can also bring up a lot of emotions.

Mental health considerations

It’s important to remember that weight loss can be emotionally challenging, and having support can make a big difference. Don’t hesitate to lean on friends and family or seek guidance from a therapist.

Building a support system

Connecting with others going through similar experiences can be incredibly helpful. Consider joining a support group or an online community where you can share your journey, offer encouragement, and learn from others. Building a strong support system can make the process feel less isolating and more manageable.

Frequently Asked Questions

Will I lose weight the first week on Wegovy?

It’s possible, but not guaranteed. Some people experience a noticeable weight loss in the first week due to reduced appetite and food intake. However, everyone responds differently. Focus on consistent healthy habits and don’t be discouraged if you don’t see immediate results.

How do you feel after your first shot of Wegovy?

Experiences vary. Some people feel fine, while others experience mild side effects like nausea, fatigue, or headache. These are usually temporary and subside within a few days. Stay hydrated, eat smaller meals, and contact your doctor if side effects are severe.

What to expect in week 2 of Wegovy?

By week 2, your body is starting to adjust. You might find your appetite continues to be suppressed, and you may be adjusting to a new normal. Continue following your diet and exercise plan, and monitor any side effects you’re experiencing.

What day does Wegovy peak?

Wegovy reaches its peak concentration in your bloodstream roughly 1-3 days after each injection. It’s worth noting that because Wegovy is designed to be a long-acting medication, it will remain at a steady state in your body as long as you are taking it weekly.

The Bottom Line

Wegovy is designed to help you lose weight by imitating a hormone that makes you feel less hungry and fuller longer. The first week on Wegovy is about more than just the medication itself. It’s a time to understand how Wegovy works, how to manage any side effects you might experience, and how to make the necessary lifestyle changes that will support your weight-loss journey.

It’s important to remember that Wegovy isn’t a quick fix. It’s a long-term approach to weight management that requires commitment and patience. Think of healthy weight loss as a marathon, not a sprint.

Throughout your Wegovy journey, keep the lines of communication open with your healthcare provider. Regular check-ins can help ensure that your treatment is optimized and that any concerns are addressed promptly. With the right approach, Wegovy can be a valuable tool in achieving your weight-loss goals.