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Here is the standard escalation for both formulations: Sources: Ozempic FDA prescribing information (2025), Wegovy FDA prescribing information
At the low end (20 units): 0.40 mg per injection per peptide
That could mean starting Zepbound treatment at 2.5 even if you were at a higher dose of Wegovy and increasing in 2.5 mg steps as tolerated
Lab Testing: What Gets Measured and Why It Matters Lab work may be required before starting GLP-1 medications like Ozempic or Mounjaro
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