What is the Wegovy Maintenance Dose? | Dr. Dan Obesity Expert

[@oldjoe4881]

"It doesn't mean you are a failure or cheating. If it is allowing you to achieve your healthiest and happiest life, that is A-OK. Everybody else, can go catch a chicken!" Amen, Doc!

[@kit.e6864]

if only all doctors had that mindset

[@CZMuzic2714]

Tell that to the diabetics that can’t get these drugs because it’s the latest get thinner quick fix! If you aren’t diabetic, you should not have access to these drugs that are necessary for those with diabetes. Maybe if they boiled some chicken and chose to eat that instead of crap food, they might have their weight under control.

[@oldjoe4881]

Tell what to the diabetics? Your reply is off topic and irrelevant.@@CZMuzic2714

[@klodomir]

@@CZMuzic2714Diabetics are on Ozempic, overweight people without diabetes are on Wegovy. Go complain to the manufacturer instead. What you’re talking about happened two years ago, before Wegovy was approved.

[@BoringTroublemaker]

@@CZMuzic2714Wegovy is only for weight loss. It’s not for diabetics. Stay in your lane.

[@Vanessa-i5u]

I have been taking ozempic since april 2023. I took .25mg for 4 weeks and increased to 0.5mg on week 5. My dosage is still 0.5mg as of today. My a1c is now under 7. I have loss 25 lbs and maintaing my weight loss using the 0.5mg dosage. I am at my goal weight.

[@kimgab123]

i dont mind taking wegovy the rest of my life. I dont want to gain my weight back! I have been on wegovy since february 2024 and its now sept 2024. I have lost about 38 lbs. I was 172 I am now 134. I think i want to make it to 130 then maintenance. I feel so much better at this weight and i know i look better. Hopefully my insurance will keep covering the prescription.

[@DeskundigeLevenscoachenMeester]

Why do you need the drug to maintain your weight? because you refuse to eat healthy, exercise etc etc. there is literally no other reason.

[@DeskundigeLevenscoachenMeester]

oh and btw if you intend to and try you will beyond shadow of a doubt suffer for it health wise. If you don't know how I would suggest that you educate yourself!

[@sharingmyfun8804]

It’s so nice to have some straight talk. Nice job. Thank you. 8:54

[@zahararay5611]

I’ve been on Ozempic for two weeks and I’ve definitely noticed a decline in my thoughts about and interest in food. I’m only on .25 but I’m excited about it. Also since I haven’t been interested in over eating I’m less interested in binge watching Netflix and have gotten on my elliptical more often. I’m looking forward to moonwalking my way to my goal weight😂 Dr. Dan, I’ve read that there is a correlation on Ozempic lessening compulsive behaviors, I love to hear your thoughts/video.

[@theofficialdrdan]

I can certainly do a video discussing that. Great work by the way!

[@zahararay5611]

@@theofficialdrdan Thank you. Looking forward to it!

[@williamroberts6327]

Day 30, down 13.5 pounds. Staying at 0.25 for now. Mild to moderate side effects. Minor depression, glum feeling. 2-3 nights a week itching, occasional nausea all mild. Not sure how long I want to do this. B G morning numbers down too👍👍Day 34 down 15 pounds , Side effects down to mild this week.

[@zahararay5611]

@@williamroberts6327 wow! That’s great. I’m 4 weeks in 3 lbs down 😐. Better than nothing, but I’m not thrilled, considering how much less I’m eating. Just started .5. I ate at 11am, it’s now 7pm and still full AF😂. Let’s see… Congrats on your weight loss.

[@williamroberts6327]

@@zahararay5611 Thank you, 16 now.😁

[@ccartwright2348]

I'm on 15mg Mounjaro... on maintenance and I've spread out my doses 3 weeks (every 21 days). I will continue to monitor. If I can spread it out a month I will look at dropping this prescription. 21 days is working for me. No regain and I've been doing this since March 2023.

[@sasfiremaiden840]

Once my body became adjusted to the Wegovy. I only need one dosage per month...with no weight gain. It reset my metabolism.

[@fofo-4555]

Can you please update us, what happened with you did you gain weight back

[@ccartwright2348]

​@@fofo-4555 No weight gain. Lost 53 lb Sept 22-Feb 23. Been in maintenance for almost 11 months. So far so good.

[@mattiec7072]

Keep us updated PharmD here curious

[@Kate-wz4nd]

Do you experience any nausea waiting that long to take such a big dose?

[@cloakster]

As always, excellent topic and vid. 👌 You’re a gifted communicator… would be great to see you talking to an even broader segment of the obesity/T2D community. Have you considered going on other ppl’s shows, such as Man on the Mounjaro, the Plus SideZ, etc? 🤔

[@theofficialdrdan]

Would love to. I honestly haven't had the time to reach out and set something up!

[@cloakster]

@Dan Hmm… well I do interact with Dave K a bit (Man on the Monjauro). I’ll pass along that you’re interested. 👌 He’s a fun, outgoing guy and utter GLP-1 nerd… you two would likely be great on camera together. 🎥 I don’t know the Plus SideZ gals as well, but can suggest it to them too. Their show is very good as well.

[@elisedevore]

Thank you very much. HCP here looking for advice on this and has been hard to find. Much appreciated Dr. Dan!

[@DeskundigeLevenscoachenMeester]

Well HCP, if you take advice from this quack you're not going to be serving your clients/patients with anything good and/or safe thats for sure. Shame on you. If you actually are a HCP then you have access to all of the knowledgeable, science based info you need and none of it is from morons like this!

[@terrischofield4671]

I started Feb 24 now at 15 of Mounjaro. I’m 5’ 6” Lost from 190 to 150 as of 6/25/24 My boyfriend says I’m too skinny. Thats the first time in my life I’ve ever heard that 😂 I have 6 weeks left of injections and I’m going to see how I do. Thanks Dr for the information. I’ve been asking this question for months.

[@brianne571]

Are you still doing good with the 15? Did you reduce or did your body get used to it so your hunger is back?

[@Indy2-hr2ct]

Thank you for making this video.

[@theofficialdrdan]

🥰🥰

[@MomOfSeven123]

Would a person's body continue to lose weight on tirzepatide such that the person reaches an "underweight" BMI if the person continues on the weekly dose that led them to their goal? Or do our bodies naturally stall once a healthy BMI is reached?

[@nikkiturnup1688]

What is the maintenance dose for mounjaro after reaching weight goal to stop losing weight and not gain weight ???

[@noneyabusiness-m8x]

Will you PLEASE make a video about all of the fear mongering around these medications? I’ve been on Wegovy for a year now & it’s changed my life. I haven’t had any issues thus far but there’s so much negative talk around this drug that it does start to make me paranoid sometimes.

[@theofficialdrdan]

I have reviewed all the side effects etc in detail! Check out my other vids!

[@martheseciantar7177]

Is it good Healthwise to keep taking ozempic for years to keep the target weight? Thanks for the information you re giving us

[@theofficialdrdan]

Yup no issues!

[@johnbergen9663]

Very helpful, thanks Doctor!

[@hotlatte3230]

I think everyone's maintenance dose will be subjective to their own body and how it reacts. After I hit my goal body fat % my doctor and I are going back down a dose and so forth like you said 4 weeks so I can gain more muscle mass and get to where I want to be. I think finding that right dosing and spacing it out can keep it affordable and sustainable for myself.

[@DeskundigeLevenscoachenMeester]

If your doc signed off on that plan then you need a new one. There are 3 top tier things needed to gain muscle mass. Food, Exercise (leading to muscle hypertrophy) and sleep. How do you expect to gain muscle mass while taking a drug that slows gastric emptying making you not interested in eating enough food to gain muscle. Thats retarded!

[@clarkkent7973]

I wished the Step 5 trial had gone longer instead of stopping at week 104 (4:29). Dr. Brian Yeung in his video "When Does Ozempic or Wegovy Stop Working?" argues that people start regaining their weight at week 68. What are you seeing in your patients? Do you have any Ozempic patients that have been taking the medication for longer than 104 weeks?

[@theofficialdrdan]

Yup. People can maintain their weight on the medication. But again obesity is chronic and progressive so weight regain is exp3cted.

[@sneauxone]

Is weight regain expected even when maintaining the dose, diet, and exercise?

[@Dancer810]

@@sneauxone If the individual is doing everything correctly and monitoring their diet and exercise, regaining weight should be minimal to none, depending on the person. Of course, this assumes that the person continues a maintenance dose of the medication.

[@chrisloredo3639]

Excellent video.

[@theofficialdrdan]

🥰

[@KatrinaTrys]

Exactly what i was looking for before i speak to my dr .. Would it be wise to use the same dosage but every other week?

[@Iluvpaws_1]

“You are not a failure.” “You are not cheating.” Got that, Jillian Michaels?

[@robertusga]

Excellent. Can you throw in Mounjaro maintenance dose?

[@theofficialdrdan]

It would be the same principles!

[@dieseIboy]

and ozempic? @@theofficialdrdan

[@amandamaisel1498]

Hey so today I weighed in and down another two pounds. Will the doctor put me on a very low dose of Wegovy? Is it safe to just stay on what I’m on? Seeing the doctor who prescribed me the Wegovy in another couple weeks

[@rdavis46]

Can’t even get on the starting dose of wegovy. Was prescribed it over a month ago but not in stock. It’s on back order. Seems to be issue with most doses. I even called several pharmacies and get the same answer. So until I able to get my wegovy I am gaining weight. Ugh. I was approved by my insurance for it but cant even find it. You mention that this is life long medication will the insurance continue to pay for it once you hit your target weight?

[@theofficialdrdan]

They should!

[@rdavis46]

@@theofficialdrdan I was at my pharmacy today and again they haven’t gotten it in been pushed again they were told end of January it is now Feb 7, 2024. I was prescribed it on Nov 29, 2023 so little over 2 months now. Wow! I need my wegovy!

[@andyklapper8484]

This is why I'm trying to keep my maximum dose as low as possible. Its actually a benefit of using a compounding pharmacy - I can adjust in increments between the pen doses that Ozempic comes in. I'm trying to eat better, I've always been an exercise freak so that was never my problem, with the goal of using this stuff to supercharge my weight loss program. Then I'll follow your advice and try to back down slowly and monitor how I'm doing till I'm either off the stuff entirely, or I'm down to a lower amount, though to be honest my amount is so low now that I suspect that getting off it entirely is not going to be a problem.

[@robertusga]

Friends don't let friends use compounded semaglutide. Compounders never reveal the source of their "semaglutide". A lot of them are using semaglutide salts which have not been tested in humans. Novo Nordisk is going after them for trademark infringement. I'm all about getting affordable drugs, but no fan of injecting "mystery juice".

[@itsalljan]

So, I just started 2.4 Wegovy, but I have not met my goal yet. Should I be on 2.4? Or should I be on 1.7?

[@lasignoraluna2367]

true words, doc. 👍 and: You are the king of graphics and moving pictures 😆😆very entertaining!

[@theofficialdrdan]

Thank you lol

[@amandamaisel1498]

What if I don’t want to come off of it? and I wanna stay on the 1.7

[@bobb2426]

What is the max dose for Ozympic in a insulin syringe ? I have heard 40 and some say 60

[@theofficialdrdan]

Ozempic comes in a preloaded pen?

[@hunchofoxx]

Good stuff!

[@theofficialdrdan]

🥰

[@MemphisJones]

I was on Mounjaro at the 10mg dose and doing fine, then my coupon expired and it took me 3 months to get Wegovy. OMG that first shot almost killed me. I threw up so hard, I lost my nose ring. It's time to take the second dose and I'm scared 😳.

[@amandamaisel1498]

Hey, I have been on wegovy for awhile and have lost about 50 something pounds and my doctor said that I don’t need to really loose more. However wegovy has been wonderful for me, and have been really nervous about having my doctor take me off of it or putting me on maintenance. Seeing my nutritionist who put me on it in September, and I don’t know how to go about having him leave me on it

[@theofficialdrdan]

Just have an honest conversation. Maintenance is about finding the right dose for you. For some they can reduce the dose down. Others we need to keep them on 2.4mg once weekly. It all depends.

[@amandamaisel1498]

@@theofficialdrdan thanks appreciate it

[@Fusionw3]

in the research it does mention that these compounds work better for lighter individuals, couldn't that mean you dont need as much when maintaining?

[@theofficialdrdan]

I'd argue the research shows larger individuals get more benefit. But it would be more likely someone in a smaller body would probably need less to support weight loss overall and that lower dose they use can then just be their maintenance

[@K8Stuff]

What I'd love to know is - for the people in the trial that gained the weight back - did they gain the weight back despite having changed their lifestyle (i.e. calorie count / exercise etc.) ?

[@theofficialdrdan]

The thing is, the drug makes those changes much easier to implement. It corrects physiological abnormalities. When the drug is gone, those patterns become harder to maintain. 95% of people gain the weight back.

[@mamatezkamau9182]

I stopped taking wegovey for 5 weeks and started up where I had left off at 2.4 doze and lord my headache are terrible , feeling sleepy and tired , weakness and nauseous. Should I have gone a dose down to 1.7 ? Feeling sick

[@theofficialdrdan]

You should have started back at 0.25mg

[@kb6605]

I am so happy to have found you! My doctor prescribed Wegovy and sent me on my merry way. So I try to learn from from you and people on semaglutide, here on yt. My challenge so far on 1 mg, is that my cravings for sugar is still a struggle. I feel full most of the time, and get full with less food than normal. But I crave sugar. And I am looking forward to every meal, and the food tastes good. I have lost 12 kilos which is lovely, I am just worried about the next 12, since my sugar cravings is a daily struggle. Any advice? Love from Norway!

[@theofficialdrdan]

Don't be overly restrictive. Enjoy the foods you love in moderation. Ensure you are eating enough protein and not in too great of a calorie deficit.

[@kb6605]

@@theofficialdrdan Thank you so much for great advice!

[@strongstallionwest9557]

You get liposuction when you get to your target weight. It’ll be cheaper because there will be less fat to remove.

[@kellytripp7755]

This makes a lot of sense, but the gastrointestinal issues are so bad on Wegovy that it's overwhelming to think about taking it long-term. Is there anything I can do to reduce diarrhea and nausea?

[@billydee1879]

What dose are you on?

[@nadinegamal3704]

Can u take mounjaro with pregnancy?

[@theofficialdrdan]

Nope.

[@Ungariansrock836]

How do we get our insurance companies to seriously consider this a necessary drug for obesity and should be covered?!

[@rha1978]

Is there no truth in saying that if you can stay in a weight for 2 years, the body is going to reset to the new weight..?

[@Sindiya]

Why is weight the target? How come they don't measure fat percentage loss? And muscle mass weight?

[@wrusst]

Because it's expensive to do it , let's say there's 1000 people in the phase 3 that's a minimum of 2000 dexa scans and even then dexa isn't that accurate on an individual level so not a data a typical doctor can use . However I agree it would be good to have that stat

[@Sindiya]

@@wrusstand what about tracking body fat % loss? You can do that easily, why isn’t that metric tracked?

[@wrusst]

@@Sindiya again you state easily but accurate body fat testing is expensive like 4 compartment under water weighing. Calipers etc are pretty inaccurate. It's likely a cost and a logistics thing

[@praxisfurnaturheilkunde5394]

Noch eine Frage: Glauben Sie, dass es bald möglich sein wird, Semaglutid anders aufzunehmen als subkutan?

[@theofficialdrdan]

We already have an oral version available rybelsus

[@DANNYTHEFROG123]

If they disagree with what someone else puts in their own body the problem is them

[@SHUB281]

I've been on wegovy for three weeks and it ain't doing shit

[@theofficialdrdan]

It's been 3 weeks. Patience, my friend.

[@SHUB281]

@@theofficialdrdan We'll see. I've been on Metformin, Qysmia,Phentimine and now this stuff. lol

[@TracesofTwaunsLife]

Catch a chicken 😂

[@billydee1879]

.25 did nothing for me.

[@theofficialdrdan]

Did you increase it?

[@praxisfurnaturheilkunde5394]

Hier in Deutschland wird es nicht möglich sein, für den Rest meines Lebens Wegovy zu bekommen. a) Ich musste meine Hausärztin mit allen Mitteln überreden. b) Ich werde es mir vermutlich nicht leisten können. Die Krankenkasse übernimmt die Kosten nicht.

[@theofficialdrdan]

Hopefully that will all change in the future!

[@DeskundigeLevenscoachenMeester]

1. Dr Dan IS NOT a doctor. Not a doctor of any type. He is a pharmacist. I'm sorry but being a pharmacist does not make you qualified tooffer medical advice of any type with the exception of perhaps info regarding OTC things. Telling people stay on the medication forever at the same dose, or any other dose for that matter, is not only irresponsible but it is also highly incorrect. he keeps using the term "WE". Who exactly is "WE" as again he is not a doctor of any type, again he is only a pharmacist! While you are taking any of the GLP-1 you also need to be relearning how to eat to live vs living to eat which is the problem people generally suffer from. If you have not learned how to maintain a healthy level of nutrition and exercise then you have missed the entire point. AGAIN, there is NO maintenance dose for any of these GLP-1 medications. They were NEVER meant to be taken for life! Long term administration of these drugs is where you are going to see the most serious and negative issues with them, which is again, another reason why you do not stay on them forever!!! if in fact you do not learn how to eat more healthy and maintain a healthy level of activity/lifestyle and instead then opt to try and take any of these medications for life then YES INDEED, you are most definitely a FAILURE as you have failed to learn the life lessons required to lead a healthier, happier life without the drugs! There is no one, who is otherwise healthy, that has absolutely any reason or legitimate way to justify taking these drugs for life. You are simply lying to yourself with whatever justifications you are citing! I can't stress this enough or state it loudly enough. Stop listening to these quacks that are telling people it is ok to take these GLP-1 drugs for life if you need to, and by need, again, I mean people who THINK they need to simply because they refuse to change their eating habits/lifestyle to be healthier! And NO, you are not allergic to carbs, you do not have a genetic predisposition in your family to being fat, and you DO NOT need to take these drugs for life if you get up off your behind, lead an active healthy life and for god sakes stop stuffing your cake hole every chance you get!

[@theofficialdrdan]

My friend, it sounds like you are going through some things. I feel for you - we have all been there. I sincerely hope you are reaching to those around you and getting the support you need to get through it! Sending you my love ❤.

[@avrilcollinsmartinez6704]

Hmmmmm....are you a doctor?

[@DeskundigeLevenscoachenMeester]

@@theofficialdrdan Nope not at all I just haven't taken leave of my common sense like the people who want to take advice from an unqualified quack seem to have.

[@DeskundigeLevenscoachenMeester]

@@avrilcollinsmartinez6704 No, I am not, however I will offer that I am quite well educated with a PhD in an area that makes me highly qualified to comment on this and personal experience i the fitness realm that makes that even more the case. Would you or the good "non" doctor care to challenge that with anything superior. Noticing that the good "non" doc went straight to a passive aggressive ad nauseum attack in his response! That is so much the indication of someone who is strong in their confidence of their knowledge/stand on a topic when challenged! NOT!