How to use it
- Step 1Pick Zepbound or Mounjaro.
- Step 2Enter how many weeks it's been since your first dose.
- Step 3Say whether you're tolerating your current dose.
- Step 4Read the label step for your week and the earliest week for the next step.
Explainer · 0:22
Read the transcript
- GLP-1 doses start low. Zepbound starts at 2.5 mg, a starter dose that gives your gut time to adjust.
- After at least 4 weeks, your prescriber may step it up by 2.5 mg, up to a maintenance dose of 5, 10 or 15 mg.
- Stomach side effects like nausea often flare for a few days after each increase, then settle on the same dose.
- Staying on a dose longer is common and allowed by the label. Never increase faster than your prescription says.
The label ladder
| Dose | Fastest schedule | Role |
|---|---|---|
| 2.5 mg | Weeks 1 to 4 | Starter, not a maintenance dose |
| 5 mg | Weeks 5 to 8 | Maintenance option |
| 7.5 mg | Weeks 9 to 12 | Step |
| 10 mg | Weeks 13 to 16 | Maintenance option |
| 12.5 mg | Weeks 17 to 20 | Step |
| 15 mg | Week 21 on | Highest label dose |
For Mounjaro (type 2 diabetes), 5 mg to 15 mg can all be maintenance doses. Each step is at least 4 weeks.
Label math only
This shows where the fastest label schedule would put you, not what you should take. Holding a dose longer is common and on-label. We don't publish syringe unit conversions for vials; that needs a pharmacist. See tirzepatide dosage and Zepbound dosage.
Prefer a chart? See Zepbound weight-loss by start weight: precomputed tables for common inputs.
More glp-1 tools
GLP-1 weight-loss projection
Expected loss by drug, dose and week, from trial data
OpenGLP-1 dose schedule
Your titration calendar with calendar export
OpenSide-effect timeline
What the label reports at your dose step and week
OpenGLP-1 cost and savings
List, self-pay and savings-card prices side by side
OpenTDEE on a GLP-1
Your calorie needs vs what you actually eat now
OpenWeigh-in tracker
Log weekly and compare with the trial curve
OpenCommon questions
What is the starting dose of tirzepatide?
Both Zepbound and Mounjaro start at 2.5 mg once a week for 4 weeks.
How long until I can go up to 5 mg?
The label allows an increase after at least 4 weeks on 2.5 mg, if your prescriber decides to.
What is the maximum tirzepatide dose?
15 mg once a week for both Zepbound and Mounjaro.
Can I stay on 5 mg?
Yes. 5 mg is a label maintenance dose for weight management, and many people stay there.
Sources
Clinician review pending. Drafted from primary sources and waiting for sign-off by a licensed clinician (MD, DO or PharmD) before launch. Every number is checked against its source. Drug facts are re-checked quarterly, prices monthly and whenever a label changes. How we review · Report an error
