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scheduleTherapeutic phase (Weeks 13-24) · 24 guides

Settling into higher doses through month six. Habits consolidate.

Semaglutide

Week 13 on Semaglutide: Titrating Toward 1.7mg

Week 13 brings the jump from 1.0mg to 1.7mg semaglutide. Side effects can flare briefly. Here is what to expect and how to handle the new dose.

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Tirzepatide

Week 13 on Tirzepatide: Stepping Up to 10mg

Week 13 on tirzepatide is the first injection at 10mg. Expect a brief return of GI side effects, a deeper appetite quiet, and a higher weekly loss range.

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Semaglutide

Week 14 on Semaglutide: Settling at 1.7mg

Week 14 is the second injection at 1.7mg. The titration shock typically fades and the new dose becomes the new baseline. Here is what to expect.

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Tirzepatide

Week 14 on Tirzepatide: Settling at 10mg

Week 14 on tirzepatide is the first full settled week at 10mg. Side effects ease, appetite suppression stabilizes, and the loss trend resumes.

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Semaglutide

Week 15 on Semaglutide: Mid-Titration Steady

Week 15 is the midpoint of the 1.7mg block. Side effects are usually quiet, weight loss is steady, and the focus shifts to habits over heroics.

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Tirzepatide

Week 15 on Tirzepatide: Mid-10mg Plateau Watch

Week 15 on tirzepatide is the mid-cycle mark at 10mg. The honeymoon ends for some, the trend continues for others — here is how to read the scale this week.

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Semaglutide

Week 16 on Semaglutide: Closing Out 1.7mg

Week 16 is the last week at 1.7mg before the final titration to 2.4mg. Here is how to review progress and prepare for the target dose.

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Tirzepatide

Week 16 on Tirzepatide: Closing Out 10mg

Week 16 on tirzepatide is the final dose at 10mg before the next titration window. Time to review the four-week trend and prepare the 12.5mg conversation.

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Semaglutide

Week 17 on Semaglutide: Stepping Up to 2.4mg

Week 17 brings the final titration to 2.4mg, the target Wegovy dose. Side effects can briefly return. Here is what to expect at the top of the schedule.

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Tirzepatide

Week 17 on Tirzepatide: Stepping Up to 12.5mg

Week 17 on tirzepatide is the first injection at 12.5mg. Side effects can return briefly, appetite suppression deepens, and the loss curve often reaccelerates.

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Semaglutide

Week 18 on Semaglutide: First Week on the Target Dose

Week 18 is the second injection at 2.4mg. The titration shock fades, the target dose becomes the new baseline, and maintenance work begins.

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Tirzepatide

Week 18 on Tirzepatide: Settling Into 12.5mg

Week 18 on tirzepatide is the first settled week at 12.5mg. The titration bump fades, appetite stays near-silent, and the trend continues at a sustainable pace.

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Semaglutide

Week 19 on Semaglutide: Settling Into 2.4mg

Week 19 is the third week at 2.4mg. The target dose feels routine, side effects are usually quiet, and the focus shifts to sustainable habits.

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Tirzepatide

Week 19 on Tirzepatide: Mid-12.5mg

Week 19 on tirzepatide is the mid-cycle mark at 12.5mg. The dose is at full steady state and the loss trend, with or without a flat week, is the focus.

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Semaglutide

Week 20 on Semaglutide: Steady at Target

Week 20 closes the first full month at 2.4mg semaglutide. The dose is settled, habits are consolidating, and the long maintenance phase begins.

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Tirzepatide

Week 20 on Tirzepatide: Closing Out 12.5mg

Week 20 on tirzepatide is the final dose at 12.5mg before the 15mg window opens. Time to weigh maximum-dose benefits against staying where you are.

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Semaglutide

Week 21 on Semaglutide: Five Months In

Week 21 marks five months on semaglutide. The dose is settled, habits are deepening, and the long maintenance phase reveals its rhythm.

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Tirzepatide

Week 21 on Tirzepatide: Stepping Up to 15mg

Week 21 on tirzepatide is the first injection at the 15mg maximum dose. Side effects can return, appetite goes near-silent, and the loss curve gets its final boost.

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Semaglutide

Week 22 on Semaglutide: Building Habits at Target Dose

Week 22 is deep in the 2.4mg maintenance phase. Habits are doing more of the work than novelty. Here is what to focus on at this stage.

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Tirzepatide

Week 22 on Tirzepatide: First Full Week at 15mg

Week 22 on tirzepatide is the first settled week at the maximum 15mg dose. Titration noise is gone, appetite is near-total, and the trend continues at a sustainable slope.

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Semaglutide

Week 23 on Semaglutide: Approaching the Half-Year Mark

Week 23 is the last week before the six-month milestone on semaglutide. A natural time to prepare data and questions for the half-year review.

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Tirzepatide

Week 23 on Tirzepatide: Approaching the Half-Year Mark

Week 23 on tirzepatide is the third dose at 15mg and the last week before the six-month milestone. Time to prepare the data and read the half-year picture.

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Semaglutide

Week 24 on Semaglutide: The Six-Month Milestone

Week 24 marks six months on semaglutide. STEP trial data shows ~10% mean body-weight loss at this point. Here is how to review and plan ahead.

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Tirzepatide

Week 24 on Tirzepatide: The Six-Month Milestone

Week 24 on tirzepatide marks six months. SURMOUNT-1 puts cumulative loss near 20% on 15mg at this point. Time to review the half-year and plan ahead.

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