Coming off Wegovy is generally done by stepping down one dose at a time, with a minimum of one month on each strength. The aim is to reduce side effects and give you time to lean on the healthy habits you have built. If your weight comes back within 6 weeks of stopping, you may be able to return to the medication with us.
Who this applies to
This article applies to patients currently on Wegovy who are ready to come off the medication, whether because they have reached a healthy BMI, want to try managing without the medication, or have been advised to step down by the doctors. For patients on Mounjaro, see the separate Mounjaro coming-off article.
The principle: step down one dose at a time
Coming off Wegovy mirrors going up: one dose at a time, with a minimum of one month on each strength (although you may be able to step down 2 doses at a time if deemed clinicall appropriate for you by the prescriber). Going faster than that increases the chance of side effects and makes the transition harder.
If you are taking the 2.4mg maintenance dose and you reach a healthy BMI (25 or below) but your weight is continuing to drop, the doctors will request that you start stepping down on your next order.
Why step down rather than stop suddenly
Stepping down does two things:
- It lessens any side effects that might come with a sudden change.
- It gives you time to strengthen the healthy habits you have built up (water, food patterns, movement) and put them more into practice as the medication's help reduces.
Common scenarios
- You have reached a healthy BMI and the doctors have asked you to start stepping down as you are continuing to lose weight. Move to the next dose down on your next order.
- You have been doing well on a lower dose and feel ready to stop. Make sure you have spent at least a month on that dose before coming off.
- You came off Wegovy a few weeks ago and your weight is coming back up. Place a new order; if you are within 6 weeks and your BMI is 25 or over, you may be able to resume with us.
What to do next
When you are ready to step down, place your next order at the lower strength and complete the consultation. The doctors will review and confirm. If you are unsure which strength to drop to, contact us with your current dose and how long you have been on it.
Still need help?
See our Contact us article for the best way to reach our team.
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