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How-to · injection guide

How to inject Semaglutide

Semaglutide goes under the skin, not into muscle, once a week. You use the abdomen, thigh or upper arm, moving to a different spot each time, and you pick a day of the week and keep to it.

You can shift the day if you need to, as long as two doses stay at least 72 hours apart. The injection itself is taught by the prescriber or pharmacist who dispenses it, and everything below is what the label says.

What matters first

Where it goes
Under the skin of the abdomen, thigh or upper arm
How often
Once each week, on the same day
If the day changes
Keep at least 72 hours between doses

Sold as Wegovy and Ozempic and Rybelsus — the same molecule in every presentation, so the route is the same too.

Medically reviewed by Jennifer Montecillo, MD · non-practicing medical reviewerReviewed 2026-08-20open the primary sources

Where does semaglutide go?

Under the skin of the lower stomach, the front of the thigh and the back of the upper arm. Stay 2 inches (5 cm) from the belly button.

A front and a back body outline. They mark where Semaglutide goes under the skin: the lower stomach, the front of the thigh and the back of the upper arm. The area around the navel is hatched out. The label says to stay 2 inches (5 cm) from the belly button. Open circles inside each area are the spots to move between. One filled circle is this dose. The label says to use a different spot for every dose. The same body area can be used each week, as long as it is not the same spot. Never into muscle or a vein. And not skin that is tender, bruised, red or hard, or areas with scars or stretch marks.
Front and back, with the label’s own sites marked. The circles inside each area are the point of the drawing: they are spots to move between, not spots to hit.
Rotation
A different spot for every dose — the same body area can be used each week, as long as it is not the same spot.
Never into
Muscle or a vein. Not skin that is tender, bruised, red or hard, or areas with scars or stretch marks.

FDA labelSource: Wegovy (semaglutide) — FDA-approved Prescribing Information (DailyMed) · retrieved 2026-08-20

What does the label actually say?

  • Route. Subcutaneous only — the fat layer just under the skin, never a muscle or a vein.
  • Timing. Once a week, same day, food or no food. The day can move as long as two doses stay 72 hours apart.
  • Sharing. Pens and needles are never shared, even with a fresh needle.

FDA labelSource: Wegovy (semaglutide) — FDA-approved Prescribing Information (DailyMed) · retrieved 2026-08-20

How many units is each label dose?

A branded pen measures the dose for you. A vial does not — you draw it by volume, and every step of the schedule becomes a different number of units on the syringe. The table holds the water volume fixed so the steps line up side by side.

◆ Label doses at 5 mg in 2 mLU-100 syringe
StepLabel doseVolumeDraw to
10.25 mg0.10 mL10.0 units
20.5 mg0.20 mL20.0 units
31 mg0.40 mL40.0 units
41.7 mg0.68 mL68.0 units
52.4 mg0.96 mL96.0 units

Straight arithmetic for a 5 mg vial in 2 mL, where 1 U-100 unit = 0.01 mL. The doses come from the label; the unit column is the math at this concentration, not a recommendation.

Compute this for your own vial and water →

Two things about this molecule that catch people out

This is the only molecule on the site sold in a form that is not injected at all. It is also the only schedule here that ends in a choice between two amounts rather than at a single top. Both change what this page is being read for.

Does all of it have to be injected?

No, and this is the one molecule on the site where that answer is anything other than yes. Of the three brands on this page, one is a tablet that is swallowed. The other two are the injections this page is about.

A reader searching the molecule’s name lands on both worlds at once and the shopping results do nothing to separate them. The route is a property of the product, not of the substance, so the name alone will not tell anyone which one they have.

Why is the interval a week?

The page puts the time it takes the body to clear half of it at one week. A weekly injection therefore arrives while about half of the last one is still there. The level in the blood stacks up over the first month or so. It does not peak and vanish between doses.

That is also why moving injection day by a few hours does very little. The dose sits on top of a level that is already there, and the level is what moves slowly.

Where does this schedule end?

Not at one place. Its last two steps are both marked as places to stay. The end of this schedule is a decision rather than a summit. The prescriber makes it, on how the drug has been tolerated.

The two final doses require different syringe draws from the same vial. The unit table shows both, which is why the full schedule matters.

What should you do after a missed dose?

The label gives no rule for this situation. A rule from another drug cannot be assumed to apply.

So there is no number here to read. The document dispensed with the product answers it, and so does the prescriber. That is a real answer rather than a deflection. A rule invented to fill the gap would look exactly like one that came from a label.

Does the label say how far from the navel?

This label gives the clearance in both inches and centimeters. Labels for drugs in the same class can use different instructions, so each one is kept as written.

Where a label is silent, the page is silent too. A distance that looks precise but came from us rather than the label would be the least trustworthy number on the screen.

Why does the site have to move?

Using the same spot over and over hardens the tissue underneath, and hardened tissue absorbs differently. Since absorption decides how much of a dose actually reaches you, moving the site is about consistency as much as comfort. The label directs rotation between doses, and against injecting skin that is already tender, bruised, red or hardened.

Private rotation log

Keep track of where you injected

stays on this device

Save the date, body area and a short note about the spot. This log records your choice; it does not choose an injection site for you.

Body area

Recent entries

No entries yet. Your most recent records will appear here.

Nothing is sent to HealthspanLedger. Entries stay in this browser until you clear them or clear its storage.

Label rule: a different spot for every dose — the same body area can be used each week, as long as it is not the same spot. Do not inject into skin that is tender, bruised, red or hard, or areas with scars or stretch marks.

Where does the needle go afterwards?

Used needles belong in an FDA-cleared sharps container, or failing that a heavy-duty plastic container with a tight lid — never loose in household trash or recycling. What happens to a full container is set locally rather than federally, so collection varies by state and city.

Boxed warning

Risk of thyroid C-cell tumors

Semaglutide caused thyroid C-cell tumors in rodents. It is not known if this happens in people. The label rules it out for anyone with a personal or family history of MTC or MEN 2.

Questions people ask about injecting semaglutide

Where is semaglutide injected?

Under the skin of the abdomen, thigh or upper arm, moving spot between doses. The label does not describe injecting into muscle or a vein.

Does the injection site change how well it works?

The label lists the three sites without ranking them, so it comes down to comfort and rotation. What it does direct against is tissue hardened by repeated use, because absorption from damaged tissue is less predictable.

Can the injection day be changed?

Yes, as long as two doses stay at least 72 hours apart.

What happens if a dose is missed?

We could not find a published missed-dose rule for semaglutide. Check the instructions supplied with the product or ask the prescriber.

Does the injection hurt?

The needles are short and fine, and most people describe barely feeling it. Some redness or soreness at the spot is expected rather than unusual — reactions where you inject are listed as common on the label.

Is the technique the same for a vial as for a pen?

The route and the sites are the same, but a pen measures the dose for you and a vial makes you draw it. That is where the unit table above comes in — and where reaching for a U-40 syringe instead of a U-100 would put you 2.5 times out.

Dosage chart and titration schedule

The label schedule week by week, with the source on every row.

Semaglutide side effects

Common and serious reactions, each quoted from the label.

These steps summarize the prescribing label. They do not replace the injection training the clinician or pharmacist who dispenses the product gives you, and nothing here recommends a dose.

Questions readers ask

How long does it take to lose 20 lb on semaglutide?

No trial here publishes a time to any weight in pounds, so there is no honest schedule to give. What SURMOUNT-5 measured was percentages over a fixed stretch of time.

Over 72 weeks, 751 adults with obesity lost a mean 13.7% of body weight on semaglutide and 20.2% on tirzepatide. On a 150 lb start, 13.7% comes to about 21 lb — that is arithmetic on an average, not a finding. A mean describes a group, and nobody in it is the average.

Can I inject semaglutide wrong?

Yes, and the label names the ways it knows about. It states a clearance of 2 inches (5 cm) from the belly button, and a different spot for every dose.

It also names skin to leave alone: tender, bruised, red or hard skin, and areas with scars or stretch marks. The same body area can be used each week, as long as it is not the same spot.

Where is the best place to inject semaglutide?

The label names three and ranks none: the lower stomach, the front of the thigh, and the back of the upper arm.

What it does insist on is movement. The same body area can come round again each week, but the same spot cannot. Around the stomach it asks for 2 inches (5 cm) of clearance from the belly button.

What time of day should I inject my semaglutide?

The label sets a weekly interval, not an hour, and it names no time of day at all. The day of the week is the unit that matters.

This page gives semaglutide a half-life of about seven days. One dose is still in the body when the next falls due. An hour either way is a small shift against that.

Where to read next about semaglutide

This page stops at the injection. These carry what happens either side of it.

1primary source, each with the day we read it — open the documents used on this page