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Wegovy maintenance
Written by: James Reynolds – MPharm, DipClinPh, PgCert Derm, SCOPE, IP
You’ve put in the effort to get here. Wegovy maintenance dosing means keeping it off without upending your life. This page explains the dose you’re likely to stay on, what to do if hunger or weight creep back up, how to handle travel and busy weeks, and when it’s best to speak to someone at Lotus Weight Loss.
Aims of maintenance: Stay on the lowest weekly dose that keeps your weight steady and your appetite quiet, with side‑effects you can live with. We’ll review regularly and adjust if life changes.
Not sure what to do? Message the clinic and let a prescriber help.
The typical Wegovy maintenance doses are 1.7mg or 2.4mg weekly, however you can choose to remain on a lower dose than this (0.25mg, 0.5mg or 1mg) if you find this is what works best for you. Use this table as a guide.
| Weekly dose | When we use | What to watch | Next step |
| 1.7 mg | You feel ok. Hunger mostly quiet. | Returning hunger, grazing, or 2-3kg up in 4-8 weeks. | If needed, step up to 2.4mg, review in 4-8 weeks. |
| 2.4 mg | 1.7mg was not enough. | More nausea / constipation for some. | If well‑controlled 8-12 weeks but side‑effects annoy, trial 1.7mg. |
| Wegovy maintenance dose can be lower (0.25mg, 0.5mg or 1mg) if that’s what works for you. | |||
Note: At lower BMIs we keep a light touch. We won’t increase dose below a healthy BMI unless there’s a clear clinical reason we agree together.
Look at your weight trends, not just a single weigh‑in. If you’re 2-3kg up across a month or two, or clothes tighten and hunger feels loud most days, treat that as your early warning.
For one week, do the basics well. Eat three meals. Add a palm of protein each time. Go heavier on veg and fibre. Keep water close. Add 2,000 steps above your usual routine. Keep a steady bedtime. On day eight, take stock. If your weight is still climbing message the clinic and we’ll adjust your plan together.
Maintenance rests on a few easy wins.
Those being:
Small, boring habits do most of the heavy lifting during Wegovy maintenance. Medication supports them; it doesn’t replace them. If you’re peri‑ or post‑menopausal, or your cycle shifts appetite, tell us so we can pace reviews and targets accordingly.
Keep pens in hand luggage. If the pen is in use you can keep it at room temperature below 30 °C. In hot weather use a small medication cooler.
Don’t arrive starving. Eat normally through the day. Start with protein and veg, enjoy what you fancy, and move on. The next day, return to normal. No ‘punishment’ routines.
Set two easy wins: a simple breakfast (e.g., yoghurt with berries and oats, or eggs on toast) and a 10‑minute walk after lunch. Tiny habits will keep you steady.
Eat first, set a limit upfront, and alternate with water. The goal isn’t perfection; it’s staying in charge.
Wegovy maintenance can slow stomach emptying. Most everyday medicines are fine, but if you take medicines that need tight monitoring such as warfarin tell your prescriber so they can keep an eye on levels or INR as usual. Do not change doses of any medicines without advice.
Combined hormonal contraception generally still works; if vomiting or severe diarrhoea happens soon after a pill, follow your brand’s missed‑pill instructions or speak to a pharmacist. Always tell any new clinician you’re using a GLP‑1 medicine so they can tailor advice.
On the NHS, Wegovy is used within specialist services under set criteria and time‑limited pathways. In private care, we follow the same safety evidence and review you regularly, with clear goals and adjustments based on clinical need and how you’re feeling. Either way, the plan is safe, monitored and tailored to your life.
Many people regain some weight after stopping Wegovy maintenance. That’s biology, not failure. If you plan a break, keep the easy habits such as protein, fibre, steps and sleep. Book a follow‑up in 4-8 weeks. If weight starts to climb and keeps going, we can talk about restarting or other options.
When to act: If hunger is 6+ most days for two weeks, or your weight trend rises for four weeks, tighten the basics for a week. If it doesn’t settle, contact the clinic to review your plan or dose.
Common questions
Not necessarily. Wegovy maintenance isn’t a life sentence; it’s a period of keeping results steady on the lightest touch that works. Some people taper down over time as habits bed in; others need longer support. We’ll review and adapt if life changes.
Check the basics for a fortnight. Check protein at meals, sleep, steps and alcohol. If hunger stays loud or weight creeps up despite doing the basics, contact the clinic. We’ll look for triggers (stress, medicines, cycle) and decide whether to persist, step down briefly to settle side‑effects, or explore alternatives.
You can, but pace yourself. Alcohol lowers food judgement and can irritate reflux. Eat first, set a limit up front, and alternate with water. If you notice snacky evenings after drinking, plan a protein‑rich meal before you go out and keep simple options at home so you don’t end the night in the biscuit tin.
No. We don’t escalate dose below a healthy BMI unless there’s a clear clinical reason we agree together. The aim of Wegovy maintenance is the lowest effective dose that keeps you well. If side‑effects grow or appetite is quiet, we’ll consider holding or stepping down and see how you feel over the next 8-12 weeks.
—James Reynolds
Lead Clinical Pharmacist, Lotus Weight Loss Clinic
James is a UK-registered pharmacist with over 15 years’ experience in NHS and private healthcare. He specialises in weight management and GLP-1 prescribing, and holds SCOPE certification in obesity care — a globally recognised standard for evidence-based treatment. More about James
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