The Wegovy injection ladder and pill ladder step by step, the 3-month block rule, how to switch between forms, and injection technique and storage basics.
Wegovy comes in two forms, a once weekly injection and a once daily pill, and each has its own dose ladder. The injection climbs through five steps, 0.25, 0.5, 1, 1.7 and 2.4 mg, one month per step, with 2.4 mg weekly as the usual maintenance dose. [1] The pill climbs through 1.5, 4, 9 and 25 mg, 30 days per step, with 25 mg each morning as maintenance. [1] Well Revolution prescribes the injection in 3-month blocks, and your first block covers steps 1 to 3. [2]
This article walks each ladder step by step, explains what a starter block is, covers what happens when a step is delayed for side effects, and gives the exact timing for switching from injection to pill or pill to injection. It is one spoke of the complete Wegovy guide. If you have not yet confirmed you qualify, start with who is eligible for Wegovy.
The injection is given under the skin once a week. The dose starts low and rises every 4 weeks so your stomach and gut have time to adjust. [1] [3] The label and the Well Revolution protocol number the steps the same way. [1] [2]
The maintenance dose for weight management is 1.7 to 2.4 mg weekly. [1] Some members stay at 1.7 mg if that is where they do best, and the label allows that. [1] The step to 2.4 mg is written on the label as "may increase," which means your provider decides whether and when you move up, not the calendar alone. [1]
The 0.25, 0.5, 1, 1.7 and 2.4 mg pens are each a separate product with a separate prescription. [1] Your provider sends a new script each time you move to the next step. This matters for two reasons. First, you should never try to stretch a pen across steps or reuse a strength you were not prescribed. Second, it is why some people try to count clicks to get a smaller or larger dose from a pen, which we explain and advise against in our article on click counting.
Well Revolution prescribes the Wegovy injection in 3-month blocks. [2] This was set by PA Michael Rubio, US Medical Director, and approved 2026-08-25. [2] The idea is simple: each block is three steps or three months of the ladder, so your prescriptions, your check-ins and your calendar line up. [2]
What happens at each check-in during a block, and what your provider looks at before writing the next one, is covered in the Wegovy follow-up schedule.
Nausea, reflux, constipation or diarrhea are common when a dose goes up. The label allows a step to be delayed by 4 weeks if you are not tolerating the current dose. [1] In practice that means you stay on the current strength for another month and then try the next step.
Under the Well Revolution protocol, a delayed step shifts the calendar. It does not change the ladder. [2] If you spend 8 weeks on 0.5 mg instead of 4, the next step is still 1 mg, and your block simply runs a month longer. [2] Tell your provider before you hold a dose so the prescription and the block stay in sync. For managing the symptoms themselves, see managing GLP-1 nausea, and for how to tell an ordinary side effect from one that means stop, see normal effects versus stop-now warnings.
There is a higher dose pen, 7.2 mg once weekly, that the label lists as the maximum. [1] It is only an option after at least 4 weeks on 2.4 mg. [1] Whether it is right for you is a provider decision made case by case. It is not part of the standard ladder and it is not something to ask for at your first block.
The oral form of Wegovy, covered in our article on the pill approval, is taken once each morning. It climbs in 30-day steps rather than 4-week steps. [1]
The pill only works if it is taken the right way, because food and other liquids block its absorption. [1] The label rules are:
The label does not set a 3-month block structure for the pill the way the Well Revolution protocol does for the injection. [1] [2] How the pill is written and renewed is set by your provider for your history.
You can move between forms in either direction. The timing is specific and comes straight from the label.
If you are on 2.4 mg weekly by injection, you can switch to 25 mg by mouth each morning. Take the first pill one week after your last injection, which is the day your next injection would have been due. [1] You go straight to 25 mg, not back to 1.5 mg. [1] The label describes this switch from the 2.4 mg dose. [1] If you are on a lower injection step, ask your provider how to handle it, since the label does not spell that out.
If you are on 25 mg by mouth, you can switch to 2.4 mg weekly by injection. Give the first injection the day after your last pill. [1] If 25 mg was not tolerated, the label allows switching to 1.7 mg weekly instead. [1] Either way, you do not restart at 0.25 mg.
Do not take both forms at the same time, and do not combine Wegovy with any other semaglutide product or any other weight or blood-sugar medicine unless your provider has prescribed it. [1]
Before your very first injection or pill, read what to know before your first Wegovy dose. If cost or coverage is the barrier to starting, see the NovoCare $499 direct option.
$80 for the Limited Treatment Plan. If approved, you will receive a 90 day treatment plan with 7 days a week support. Perfect for first time patients who are trying it out.
Or $90 for the Unlimited Membership. If approved, you will receive a full year of care with 7 days a week support, plus unlimited prescriptions, lab tests, imaging orders, letters and referrals with same day care, cancel anytime, no fees. Perfect for established patients looking for full care.
Care is chat-based with a licensed provider, same day, no appointment needed. Message us and we confirm coverage in your state, review your history, and if Wegovy is appropriate, write your starter block and walk you through step 1.
Reviewed by PA Michael Rubio, US Medical Director
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