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Across the full incretin class, tolerance tracked escalation duration and number of steps, while the starting dose as a fraction of maintenance did not.²⁵ For adults who tolerate 2.4 mg for at least four weeks and need additional weight reduction, the current label allows a maximum of 7.2 mg weekly.²³ Ozempic uses a related diabetes ladder that ends at 2.0 mg weekly, a blood-sugar ceiling rather than the Wegovy obesity ceiling