Wegovy Tracker — Weekly Shots, Dose Steps & Missed Doses

It's Sunday evening, the pen is in the fridge, and you're trying to remember whether last week's shot went in your left thigh or your stomach. Was that week three on 0.5 mg, or week four? Wegovy only asks for your attention once a week, which is exactly why the details slip.

This page is about keeping those details straight — what the Wegovy label actually expects from a weekly routine, and what's worth writing down so the weeks don't blur.

What does a Wegovy week actually look like?

The label keeps it simple. Wegovy injection is given once a week, on the same day each week, at any time of day, with or without meals. It goes under the skin of your stomach, thigh or upper arm, and the label asks you to rotate the injection site with each dose.

That's the whole routine. But the label also builds in a slow climb in dose, a rule for missed doses, and a rule for changing your shot day — and each of those depends on you knowing what happened last week.

How do the dose steps work?

The label starts everyone low and moves up every four weeks, to give your stomach time to adjust. The schedule it lists for the injection:

Weeks	Weekly dose
1–4	0.25 mg
5–8	0.5 mg
9–12	1 mg
13–16	1.7 mg
17 onward	Maintenance dose set by your prescriber

For weight reduction in adults, the label lists 1.7 mg or 2.4 mg (recommended) as the maintenance dose. The current label also allows a higher 7.2 mg weekly dose for adults who have tolerated 2.4 mg for at least four weeks when further weight reduction is clinically indicated.

The label also says that if a step isn't tolerated, the prescriber can consider delaying the next increase by four weeks. So the table is a default, not a promise. Your own calendar may run slower, and that's normal. It's also why "I'm on week 10" means less than "I've had four doses at 1 mg."

What if I miss a shot?

This is where a log pays for itself. The label's rule for one missed dose turns on a single question: how far away is your next scheduled dose?

• More than 2 days (48 hours) away — take the missed dose as soon as you can.
• Less than 2 days away — skip it, and take your next dose on your usual day.

If two or more doses in a row are missed, the label says the dose climb may need to restart lower to reduce stomach side effects. That's a conversation for your prescriber before your next shot, not a decision to make alone.

Why track injection sites at all?

Because the label asks you to rotate them, and memory is bad at "which side did I use three weeks ago?" Logging the site turns rotation into a quick glance at the last few entries.

It also helps if a spot gets sore or red. You'll know which shot it was and how long ago, which is what your care team will ask.

Which pen am I using — and does it matter?

The current label covers more than one Wegovy injection presentation — single-dose pens, single-dose syringes, and a multi-dose FlexTouch pen — and says patients should get training for the specific one they're prescribed, plus fresh training if it changes. It's worth noting which one you have in your log, especially if a pharmacy fill switches it.

The same label also covers Wegovy tablets, a once-daily pill. That's a different routine entirely, with its own rules. If you're considering it or have switched, our Wegovy pill tracker walks through the daily version.

What we'd track

If we were setting up a Wegovy log from scratch, this is what we'd capture each week:

1. Shot date and time. The date powers the 48-hour missed-dose rule. The time is optional, but it helps you notice drift.
2. Dose and step. Write the mg, and how many doses you've had at it. That's how you'll answer "how long have you been on 1 mg?" accurately.
3. Injection site. Stomach, thigh or upper arm, and which side — so rotation is something you can see, not something you have to remember.
4. How you felt over the next few days. A one-line note on nausea, appetite or energy, tied to the dose day. Patterns after a step-up are much easier to talk about when they're written down.
5. Weight, if it's part of your plan. A trend over weeks is more useful than any single morning.

Holt does this in one place: weekly reminders with a Live Activity on your lock screen, injection-site logging so you can see your recent spots, side effects lined up against dose days, and a doctor-visit report you can bring to appointments.

Track your weekly Wegovy shots with Holt

Whatever you use, the goal is the same: when your prescriber asks how the last step went, you have an answer that isn't a guess.