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Instructions: Semaglutide Injection

DoctorAdam Logo

Your Complete Guide to
Semaglutide Injection Treatment

A simple step-by-step guide to preparing, injecting, storing, and safely using your prescribed semaglutide.

Administration

How to Use Your Semaglutide Injection

Semaglutide is injected subcutaneously, just under the skin, once weekly. Always follow the exact dose and number of units shown on your prescription label.

1
Wash Your Hands & Gather Supplies

Wash your hands thoroughly. Gather your semaglutide vial, a new sterile syringe and needle, alcohol swabs, and a sharps disposal container.

2
Prepare the Vial

Check your medication and prescription label. Clean the rubber stopper on the vial with an alcohol swab and allow it to dry before drawing your dose.

3
Draw Your Prescribed Dose

Using a new sterile syringe and needle, carefully draw the exact number of units listed on your prescription label. Do not estimate or change the number of units on your own.

4
Choose & Clean the Injection Site

Choose an appropriate injection area such as the abdomen, thigh, or upper arm. Rotate injection sites each week. Clean the area with an alcohol swab and let it dry.

5
Inject Under the Skin

Gently pinch the skin and insert the needle into the fatty tissue under the skin as instructed by your healthcare provider. Slowly inject the medication.

6
Dispose of the Syringe Safely

Place the used needle and syringe immediately into an appropriate sharps disposal container. Never reuse or share needles or syringes.

Preparing Your Injection

How to Prepare Your Syringe

Prepare your injection on a clean surface and use a new sterile syringe and needle for every dose. Check your prescription label before drawing medication from the vial.

1
Check Your Prescription

Confirm your medication, vial concentration, prescribed dose, and the exact number of syringe units listed on your prescription label.

2
Clean the Vial Stopper

Wipe the rubber stopper on the vial with an alcohol swab and allow it to dry completely.

3
Prepare a New Sterile Syringe

Remove the syringe from its packaging. Do not touch the needle or allow it to contact any non-sterile surface.

4
Insert the Needle Into the Vial

Insert the needle through the center of the rubber stopper. Turn the vial upside down while keeping the needle tip positioned within the liquid medication.

5
Draw Your Prescribed Units

Slowly pull back the plunger until it reaches the exact syringe marking specified on your prescription label.

6
Check the Syringe

Confirm the amount before removing the needle from the vial. If you are unsure about the syringe markings or prescribed units, contact DoctorAdam or your dispensing pharmacy before injecting.

How to Draw Semaglutide Medication From the Vial

How to draw semaglutide medication from a vial into a syringe

Educational illustration. Always follow the exact dose and syringe-unit instructions printed on your prescription label.

Understanding Your Syringe

What Does “Unit” Mean?

Your semaglutide dose is prescribed in milligrams (mg), while your syringe may be marked in units. Units describe liquid volume on the syringe and are not the same as milligrams.

100 Units
= 1 mL

On a U-100 syringe

50 Units
= 0.50 mL

On a U-100 syringe

10 Units
= 0.10 mL

On a U-100 syringe

1 Unit
= 0.01 mL

On a U-100 syringe

Understanding Syringe Unit Markings

U-100 syringe showing unit markings for semaglutide instructions

Syringe size and markings can vary. Always confirm the syringe supplied with your prescription.

Important: 10 units does not mean 10 mg. The amount of semaglutide contained in a specific number of units depends on the concentration of medication in your vial.
Dose & Concentration

How Are mg, mL & Units Related?

Your healthcare provider determines your dose in milligrams. Your pharmacy prepares the medication at a specific concentration and provides the corresponding syringe-unit instructions.

mg
Milligrams

The amount of semaglutide medication prescribed by your healthcare provider.

mL
Milliliters

The volume of liquid medication.

U
Units

The syringe markings used to measure a specific liquid volume.

1
Prescribed Dose

Your provider determines your dose in mg.

↓
2
Medication Concentration

Your pharmacy label identifies the concentration of medication in your vial.

↓
3
Prescribed Syringe Units

Your pharmacy converts the prescribed dose into the correct volume and syringe-unit marking.

Never calculate or change your syringe units based on mg alone. Different vial concentrations can require different numbers of units for the same milligram dose. Always follow your prescription label.

⚠️ Avoid These Common Mistakes

Do Not Guess Your Units The number of units depends on the concentration of your medication. Always follow the exact instructions on your prescription label.
Do Not Increase Your Dose Early Only increase your dose when instructed by your healthcare provider.
Do Not Reuse Needles or Syringes Use a new sterile needle and syringe for every injection.
Do Not Use the Same Injection Spot Every Week Rotate injection sites to help reduce irritation and tenderness.
Do Not Use Medication That Looks Abnormal If your medication appears unexpectedly cloudy, discolored, or contains particles, contact your pharmacy or provider before using it.
Do Not Freeze Your Medication Follow the storage instructions printed on your dispensing pharmacy label.
Treatment Schedule

Your Semaglutide Dosing Plan

Semaglutide dosing is increased gradually to help your body adjust to treatment. Your healthcare provider may modify your schedule based on your response and tolerability.

Month 1 Starting Dose
0.22 mg
Once Weekly
Month 2 Dose Increase
0.44 mg
Once Weekly
Month 3 Dose Increase
0.88 mg
Once Weekly
Month 4 Dose Increase
1.5 mg
Once Weekly
Maintenance Ongoing Treatment
2.2 mg
Once Weekly
Important: Your prescribed dose may differ based on your individual treatment plan. Always follow the exact dose and number of units printed on your prescription label. Never change your dose without instructions from your healthcare provider.
Injection Sites

Where Can I Inject Semaglutide?

Semaglutide is injected into the fatty tissue just beneath the skin. Rotate the exact injection location each week.

Recommended Subcutaneous Injection Areas

Semaglutide injection sites showing abdomen thigh and upper arm

Common injection areas include the abdomen, thigh, and back of the upper arm. Rotate the exact injection spot each week.

1
Abdomen

Inject into the fatty area of the abdomen, avoiding the area immediately around the belly button.

2
Thigh

Use the front or outer portion of your upper thigh where there is adequate fatty tissue.

3
Upper Arm

The fatty area at the back or outer portion of the upper arm may also be used when appropriate.

Rotate your injection site each week. Avoid injecting into skin that is bruised, tender, red, hard, irritated, scarred, or otherwise damaged.
Safety Information

Possible Side Effects

Side effects may occur when starting semaglutide or after a dose increase. Gastrointestinal symptoms are among the most commonly reported.

Common Side Effects
Nausea
Diarrhea
Vomiting
Constipation
Abdominal discomfort
Headache
Fatigue
Dizziness
Bloating
Indigestion

💡 Eating smaller meals, avoiding very large or high-fat meals, and staying adequately hydrated may help with some gastrointestinal symptoms.

⚠️ Contact Your Healthcare Provider Promptly If You Experience:

  • Persistent or severe nausea, vomiting, or diarrhea
  • Symptoms of dehydration
  • Significant or persistent abdominal pain
  • Symptoms that may suggest gallbladder problems
  • Significant changes in blood sugar, particularly if you use diabetes medications
  • Any new, persistent, or concerning symptoms

🚨 Seek Urgent Medical Attention If You Experience:

  • Severe abdominal pain that does not go away, especially if the pain radiates to your back
  • Signs of a serious allergic reaction, including swelling of the face, lips, tongue, or throat, or difficulty breathing
  • Severe or rapidly worsening symptoms
Important Safety Information

Before Using Semaglutide

Tell your healthcare provider about your medical history, medications, supplements, and any upcoming medical procedures.

✓ Personal or family history of medullary thyroid carcinoma (MTC)
✓ Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)
✓ History of pancreatitis
✓ Gallbladder problems
✓ Kidney problems
✓ Use of insulin or medications that may cause low blood sugar
✓ Pregnancy, plans to become pregnant, or breastfeeding
✓ Upcoming surgery or procedures requiring anesthesia or deep sedation
Do not use another semaglutide-containing medication or another GLP-1 medication unless specifically instructed by your healthcare provider.
Common Questions

Frequently Asked Questions

Q: How often do I inject semaglutide?

Semaglutide is typically injected once weekly. Use it on the same day each week according to your prescription.

Q: Where should I inject it?

Semaglutide is injected under the skin of the abdomen, thigh, or upper arm. Rotate the exact injection site rather than repeatedly injecting into the same spot.

Q: How many units should I inject?

Use only the number of units printed on your prescription label. The number of units depends on the concentration of your medication. Do not use another patient's dosing chart or calculate a different dose yourself.

Your prescription label should always be your primary dosing reference.

Q: Can I increase my dose if I'm not losing weight?

Do not increase your dose on your own. Your healthcare provider determines whether and when a dose increase is appropriate based on your response and tolerability.

Q: What should I do if I miss my injection?

Follow the missed-dose instructions provided with your prescription. If you are unsure what to do, contact your healthcare provider or dispensing pharmacy. Do not take an extra dose to compensate unless specifically instructed.

Q: Can I inject into the same place every week?

You may use the same general injection area, but rotate the exact injection spot each week to help reduce irritation.

Q: Can I reuse my syringe?

No. Always use a new sterile needle and syringe for each injection. Dispose of the used syringe in an appropriate sharps container.

Q: What if my medication looks different than usual?

If the medication appears different from what you were instructed to expect, do not use it until you have confirmed with your dispensing pharmacy or healthcare provider.

Q: How long will I stay on each dose?

The DoctorAdam treatment schedule generally progresses monthly. However, your provider may keep you on a dose longer or modify your treatment depending on your response and tolerability.

Q: What if I'm not seeing results yet?

Response to treatment varies. Early doses are designed in part to allow your body to adjust to treatment. Continue following your prescribed plan and discuss your progress with your healthcare provider before making any dose changes.

❄️ Shipping Temperature Notice Cold packs may partially or completely thaw during transit. This does not necessarily mean your medication has been damaged. Refrigerate upon delivery as directed on your pharmacy label.
Storage Instructions

How to Store Your Semaglutide

Storage requirements can vary depending on the compounded formulation and dispensing pharmacy. Always follow the storage instructions printed on your pharmacy label.

🌡️ Follow Your Pharmacy Label Store your medication exactly as directed by your dispensing pharmacy.
❄️ Never Freeze Do not freeze your medication. If refrigeration is required, follow the temperature instructions provided by your pharmacy.
☀️ Protect From Heat & Light Keep your vial away from excessive heat and direct sunlight.
📅 Check the Beyond-Use Date Do not use the medication beyond the date specified by your dispensing pharmacy.
🔒 Keep Secure Keep medication, needles, and syringes safely away from children and pets.
💉 Store Supplies Safely Keep unused syringes and needles clean, dry, and protected until use.
⚕️ Medical Disclaimer

Medical information provided here is for educational purposes only and does not replace the instructions on your prescription label or advice from your licensed healthcare provider or dispensing pharmacist. Always use your medication exactly as prescribed. If the instructions on this page differ from your prescription label, follow your prescription label and contact your healthcare provider or pharmacy for clarification.

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