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Wegovy pill dose schedule and titration
About this page. Written by the GLPInfo editorial team with AI assistance from the official sources listed at the end, and approved by the site owner before publication. It has not been reviewed by a named clinician. Published 27 Aug 2026 · last updated 27 Aug 2026 · next scheduled review 27 Nov 2026.
This page is information, not medical advice. It never tells you which medicine, dose or format is right for you: those decisions sit with you and a qualified prescriber. Spotted an error? Tell us and we'll fix it fast.
The daily Wegovy tablet steps through four strengths to its maintenance dose, with at least a month at each step, prescriber-controlled throughout. The administration rules matter as much as the ladder: the tablet only absorbs properly when the fasting routine is followed every day.
The licensed ladder
| Dose | When | Role |
|---|---|---|
| 1.5mg | Month 1 | Starting dose, taken once daily |
| 4mg | From month 2, after at least a month on 1.5mg | Escalation step |
| 9mg | After at least a month on 4mg | Escalation step |
| 25mg | After at least a month on 9mg | The licensed maintenance dose |
Every dose is taken whole, on an empty stomach after an overnight fast, with only a sip of water, then nothing to eat or drink for at least 30 minutes. Skipping the routine can substantially reduce absorption, which effectively lowers the dose you are actually getting. Increases wait at least a month per step and remain prescriber decisions; the leaflet covers missed doses.
What each step costs today
| Dose | Lowest first month | Lowest ongoing month | |
|---|---|---|---|
| 1.5mg | £49 (New Health) | £59.99 (MedExpress) | compare all |
| 4mg | £59.99 (MedExpress) | £59.99 (MedExpress) | compare all |
| 9mg | £59.99 (MedExpress) | £59.99 (MedExpress) | compare all |
| 25mg | £59.99 (MedExpress) | £59.99 (MedExpress) | compare all |
Lowest published price across the providers we list, not whole-of-market. First-order prices carry conditions on each provider page.
Related: what is Wegovy pill? · Wegovy pill price comparison · true cost guide · switching GLP-1 medicines
Frequently asked questions
Can I skip steps on the Wegovy pill ladder?
No. The minimum time at each step is part of the licence and exists to manage side effects. Dose changes are prescriber decisions; never increase your own dose, and if you miss doses follow the patient information leaflet rather than doubling up.
Do I have to reach the top Wegovy pill dose?
No. The right dose is the one that works and is tolerated, decided with your prescriber. Staying at an intermediate dose is normal practice, and it also changes what treatment costs: the table above shows today's lowest price at every dose.
What does each Wegovy pill dose cost?
The table above shows the lowest current UK online price per dose, first month and ongoing, re-checked every 12 hours, with links to compare every provider at that dose. The true cost guide shows multi-month totals including the step-up.