What to track in your first 30 days on semaglutide

Most people start semaglutide with a lot of questions and not enough structure. Your physician adjusts your dose based on what you report — which means the quality of your tracking directly affects the quality of your care.

What to log

Weigh yourself at the same time each week, not every day. Daily weigh-ins amplify normal water-weight swings and create unnecessary anxiety. Weekly is what your clinic uses.

Log every side effect by type and timing: nausea (when it hits, how long it lasts), fatigue, constipation or diarrhea. The pattern matters more than the episode. Your physician needs to know if nausea peaks at hour 4 post-injection or at hour 24 — those have different causes and different fixes.

Note injection site comfort. Rotating sites reduces lumps; most people settle into a pattern that works. If you are developing consistent soreness at one site, that is worth flagging.

What to expect

Weeks 1-4 are the adjustment phase. Weight loss is often minimal at the starting dose — that is not failure, it is titration. Energy and appetite changes usually appear before the scale moves.

Bring your log to your 4-week follow-up. A physician looking at 30 days of structured data can make a better titration decision in 10 minutes than one working from verbal recall in 30.