semaglutide to tirzepatide conversion Switching from dosage chart: complete guide Switching from Semaglutide to Tirzapetide

Description

GLP-1 medications such as semaglutide and tirzepatide reduce appetite, which often makes a shorter eating window feel comfortable

We customize this with careful supervision

Can J Physiol Pharmacol (2018) 96:58796

Standard semaglutide titration: Weeks 1-4: 0.25 mg weekly Weeks 5-8: 0.5 mg weekly Weeks 9-12: 1.0 mg weekly Week 13+: 1.7 mg or 2.4 mg weekly (target dose) Hashimoto's-adjusted approach: Weeks 1-6: 0.25 mg weekly (extended to allow thyroid monitoring at week 6) Weeks 7-12: 0.5 mg weekly (TSH check before increasing) Weeks 13-16: 1.0 mg weekly Week 17+: Assess whether higher doses are needed The extended timeline allows for thyroid function checks at each step, ensuring levothyroxine doses are adjusted proactively rather than reactively