Ozempic tracker for your weekly shots

The first Ozempic box says 0.25 mg, and the instructions say to inject once a week on the same day. Easy enough in week one. By week six — with a dose step behind you, a pen that looks almost identical to the last one, and a vague memory of using your left thigh "recently" — the details start to blur.

How is Ozempic usually dosed?

According to the U.S. prescribing information, Ozempic starts at 0.25 mg once weekly for four weeks. That first dose is for getting started, not for glucose control. It then goes to 0.5 mg, and can be increased in further steps — to 1 mg, then 2 mg — after at least four weeks at each dose, if more glycemic control is needed.

Your schedule is your prescriber's call, and it may not follow the label's minimum steps exactly.

What to log	Why it pays off later
Date and time	Makes a missed week obvious instead of a guess
Dose (mg)	Shows exactly when each step happened
Injection site	Makes rotating sites easy, as the label instructs
How you felt	Connects nausea or fatigue to the dose before it

Does it matter what time of day I inject?

The label says Ozempic can be taken at any time of day, with or without meals. What matters is the day — the same one each week. The label also explains how to change your dosing day and what to do after a missed dose, based on how many days have passed; check it, or ask your pharmacist, rather than doubling up.

What side effects should I watch for?

The most common side effects in the Ozempic label are gastrointestinal: nausea, vomiting, diarrhea, abdominal pain and constipation. They often show up in the first days after starting or stepping up a dose. If you take insulin or a sulfonylurea as well, the label also flags a higher risk of low blood sugar.

What we'd track

1. Each shot, with the pen strength — the fastest way to answer "when did I go up?"
2. The site — abdomen, thigh or upper arm, left or right.
3. Symptoms in the three days after each shot — that's where the pattern lives.
4. Glucose readings, if you check them — next to the dose that preceded them.

Holt reminds you on Ozempic day with a Live Activity, keeps your dose and site history, and lines up symptoms against each shot — then turns it into a doctor-visit report.

Track your Ozempic shots with Holt