This is your guide to starting semaglutide. For step-by-step instructions on how to administer semaglutide, please watch the applicable videos in our Well World App.
Before You Start:
Before you can get started with semaglutide, you will need to order a sharps container and syringes (1cc 31G 5/16” insulin syringe)
from Amazon. You may also pick up these items at your local drug store.
Here are examples:
Reconstitute the Medication
IF DIFFERENT RECONSTITUTION INSTRUCTIONS COME FROM THE PHARMACY, IGNORE THEM – THOSE INSTRUCTIONS WILL GIVE YOU A DILLUTED PRODUCT. IF YOU FOLLOW THOSE INSTRUCTIONS, YOU WILL HAVE TO INJECT EXTRA FLUID, WHICH IS UNCOMFORTABLE!
Prime the Medication
Prime a 7mg vial and reconstitute with 1.4ml bacteriostatic water (you will be throwing out most of the bacteriostatic water). This will result in an easy-to-dose 5mg/ml concentration.
Watch the video in the Well World App for detailed instructions on taking semaglutide.
Administer the Injection
Pull back the plunger on the syringe to the unit indicator. Push the needle through the rubber top and inject the air. Withdraw medication to the unit indicator. If it is difficult to tell, draw up excess medication and then push it back into the vial. Inject the medication by pinching an area of skin and fat on the side of the abdomen and injecting into the pinched area. Do not inject deep into a muscle.
Week |
Dose |
How much to inject
(1ml insulin syringe) |
1-4 |
0.25mg |
5 units |
5-8 |
0.5mg |
10 units |
9-12 |
1.0mg |
20 units |
How do I know if I’m at the optimal dose?
- If you have been at a dose for 4 weeks and aren’t losing, you should go up.
- If you have been at a dose for 4 weeks and are continuing to lose, consider staying at the lowest effective dose.
- If you have severe side effects, your next dose should always be lower, or even skip a week. You can try a higher dose again after 4 weeks of no side effects.
- DO NOT increase the dose more quickly than every 4 weeks without checking in with Dr. Erica to have an increase approved.
- When in doubt, message us through the App, or call the office.
Side effects and solutions
Dr. Oberg has a bundle of supplements in FullScript designed to help you combat the potential side effects of semaglutide.
Side effect |
Options |
Nausea/vomiting |
● Smaller portions
● Ginger tea, ginger chews
● Aromatherapy – peppermint, lemon, any essential oil scent that you love |
Constipation |
● Hydration – drink more water
● Magnesium supplement – start at 200mg before bed and go up as needed
● Natural Laxative
● Smooth Move tea (in whole foods)
● More fiber with water |
Fatigue |
● B vitamins
● Green tea
● Reduce dose to the last dosage lower
● Get outside in the sunshine |
Get Fit and Healthy with Help from Dr. Oberg’s Medical Weight Loss Program
Do you feel fed up with how you look a
Week |
Dose |
How much to inject
(1ml insulin syringe) |
1-4 |
0.25mg |
5 units |
5-8 |
0.5mg |
10 units |
9-12 |
1.0mg |
20 units |
How do I know if I’m at the optimal dose?
- If you have been at a dose for 4 weeks and aren’t losing, you should go up.
- If you have been at a dose for 4 weeks and are continuing to lose, consider staying at the lowest effective dose.
- If you have severe side effects, your next dose should always be lower, or even skip a week. You can try a higher dose again after 4 weeks of no side effects.
- DO NOT increase the dose more quickly than every 4 weeks without checking in with Dr. Erica to have an increase approved.
- When in doubt, message us through the App, or call the office.
Side effects and solutions
Dr. Oberg has a bundle of supplements in FullScript designed to help you combat the potential side effects of semaglutide.
Side effect |
Options |
Nausea/vomiting |
● Smaller portions
● Ginger tea, ginger chews
● Aromatherapy – peppermint, lemon, any essential oil scent that you love |
Constipation |
● Hydration – drink more water
● Magnesium supplement – start at 200mg before bed and go up as needed
● Natural Laxative
● Smooth Move tea (in whole foods)
● More fiber with water |
Fatigue |
● B vitamins
● Green tea
● Reduce dose to the last dosage lower
● Get outside in the sunshine |
Get Fit and Healthy with Help from Dr. Oberg’s Medical Weight Loss Program
Do you feel fed up with how you look and feel when you wake up in the morning? Is it more challenging for you to engage in regular activities and enjoy life due to being overweight? Are you prepared to escape from this situation and shed pounds in a healthy manner? If you’re ready to embark on a life-changing journey towards successful medical weight loss, get in touch with Dr. Erica Oberg today. Before you know it, you’ll be well on your way to living your best life.
nd feel when you wake up in the morning? Is it more challenging for you to engage in regular activities and enjoy life due to being overweight? Are you prepared to escape from this situation and shed pounds in a healthy manner? If you’re ready to embark on a life-changing journey towards successful medical weight loss, get in touch with Dr. Erica Oberg today. Before you know it, you’ll be well on your way to living your best life.