GLP-1 Plotter: Tirzepatide & Semaglutide Levels

Watch your level build to steady state — and how long the ladder takes.

Steady-state build-up

1.6×first dose

Tirzepatide half-life

5days

w0w2w4w6w8

Each weekly shot lands before the last has cleared, so your level climbs for the first few weeks and then plateaus at about 1.6× a single dose. That's why side effects often settle a few weeks into each new dose — and why the titration ladder waits. Relative levels only; not a blood-concentration prediction.

What a GLP-1 plotter shows

One idea, drawn out: each weekly injection lands before the last one has cleared, so the leftovers stack. Pick a medication and a number of weeks, and the tool adds up the decay curve of every dose given so far, normalised so a single first dose peaks at 1. The result is a rising sawtooth — a peak after each shot, a trough just before the next — that climbs steeply for the first few weeks and then stops climbing.

It stops because clearance catches up. Once the amount your body removes over seven days equals the amount you inject, the peaks stop getting higher. That flat ceiling is steady state, and everything useful about this page follows from when it arrives.

The arithmetic behind the plateau

How high the plateau sits depends on one thing: how much of each dose is still there when the next one goes in. That fraction is 0.5 raised to the power of 7 divided by the half-life in days. Plug in the half-lives the tool uses and the whole curve falls out.

MedicationHalf-life usedStill present when the next shot is duePlateau heightDoses to reach 95% of plateau
Tirzepatide~5 days38%1.6× a single dose4
Semaglutide~7 days49%2.0× a single dose5
Retatrutide~6 days (reported)45%1.8× a single dose4

The longer half-life is why semaglutide stacks higher and takes a week longer to settle. Those plateau multiples are this model's own arithmetic, not figures printed in any drug label — read the shape, not the decimal. What the labels do report is the timing, and it matches: steady state at 4 weeks of once-weekly tirzepatide, and 4–5 weeks for semaglutide.

How many weeks until you are actually on the top dose

Every plotter draws the curve for a dose you have already chosen. Almost none of them answers the question underneath it: so when do I get there? The labels do, and the answer is a calendar.

MedicationLadderMinimum weeks per stepEarliest week on the top doseEarliest week at steady state on it
Tirzepatide (Zepbound, Mounjaro)2.5 to 15 mg in 2.5 mg steps4Week 21About week 24
Semaglutide (Wegovy)0.25, 0.5, 1, 1.7, then 2.4 mg4Week 17About week 21
Semaglutide (Ozempic)0.25, 0.5, 1, then 2 mg4Week 13About week 17

The Wegovy label prints those week numbers directly in its escalation table. For Zepbound and Ozempic the weeks are the label's own minimum intervals added up. Either way these are floors, not schedules — a prescriber can hold you longer at any step, and many do, particularly where side effects or supply intervene. Wegovy's 7.2 mg step sits above the table: it is permitted only after at least 4 weeks tolerating 2.4 mg, so week 21 at the very earliest.

The tirzepatide row is also why vial strength keeps changing on the way up — Zepbound vial sizes covers what each rung is dispensed as. To put real dates against the rungs, map the titration ladder onto real dates.

Why two GLP-1 plotters draw different curves

Run the same query and you will get visibly different curves for the same drug from different tools. Here is the reason nobody discloses: the tirzepatide half-life is a range on the label — approximately 5 to 6 days on the US Zepbound label, about 5 days on the UK Mounjaro SmPC — and which end you pick changes the answer.

At 5 days, 38% of a dose is still present when the next is due and the plateau settles near 1.6× a single dose. At 6 days it is 45% and about 1.8×. Same drug, same arithmetic, a 12% difference in the ceiling purely from which label number the tool picked up. This one uses 5 days — which is why the shape, not the decimal, is the readable part. If a plotter will not tell you its half-life input and where it came from, it is asking you to trust an unlabelled axis; the Sources block below is this tool's answer to that. For the doses themselves rather than the curve, see the GLP-1 dose conversion chart.

Why every step of the ladder waits four weeks

This is the thing the curve explains better than any paragraph. Tirzepatide climbs from 2.5 mg to 15 mg in 2.5 mg steps, with at least four weeks at each step. Ozempic runs 0.25 mg to a 2 mg maximum. Wegovy runs 0.25 mg to 2.4 mg, with a further 7.2 mg step permitted since 2026 and 1.7 mg allowed as a maintenance dose. In every case the hold is about as long as it takes to reach the new steady state.

So a verdict formed in week one or two of a new dose is a verdict on a level you have not settled at yet — you are still on the climbing part of the curve, and the peaks are still rising underneath you. It is also why the first fortnight after a step-up is the roughest part: when Zepbound side effects peak tracks that window, and what to expect when you increase your Ozempic dose does the same for semaglutide. Sitting out the full interval is what turns "how do I feel on this dose" into a question with a real answer. Dose changes are your prescriber's call; the plot only explains why the interval exists.

The trap: reading it as a blood level

The vertical axis is relative and has no units. There is no mg/L on it, and nothing in the model knows your weight, your kidney function, your injection site, or the milligrams you are actually on. Two consequences. Your curve is not comparable with anyone else's. And the plot holds one dose constant for the whole window: a step up simply lifts the whole curve to a proportionally higher plateau and restarts the same 4–5 week climb, which is why the top-dose table above tells you more than an animated step would.

A related misreading: a bigger dose does not take longer to reach steady state. Time to plateau is set by the half-life alone. Double the dose and the plateau doubles; it still arrives in the same four to five weeks.

Stopping is not instant either

Run the same arithmetic backwards and the tail is long. Semaglutide is still present in the circulation about 5 weeks after a last dose on the Ozempic label, and the Wegovy label puts it at about 5–7 weeks. Tirzepatide clears faster — a half-life of roughly 5 to 6 days on the Zepbound label, about 5 days on the Mounjaro and UK labels — but is still measurable for weeks. That is why appetite does not come back the morning after a missed shot, and why a side effect that started this week may belong to a level built up over the last month.

Days since last shotTirzepatide (5-day half-life)Semaglutide (7-day half-life)
7 days38%50%
10 days25%37%
14 days14%25%
21 days5%12%
28 days2%6%
35 days1%3%

Like the plateau table, those figures are this model's own arithmetic on the label half-lives — 0.5 raised to days ÷ half-life — not numbers printed in any label. But they check out against one: five weeks is five halvings of a roughly week-long half-life, leaving about 3% of a dose, which is the arithmetic behind the Ozempic label's own statement that semaglutide is present in the circulation for about 5 weeks after the last dose. For a shot that is merely late rather than stopped, see what the labels say when you miss a dose; for a planned exit, weaning off semaglutide.

Where this tool does not apply

It models once-weekly injection only. Daily oral dosing has a different shape entirely and this curve says nothing about it, and splitting a weekly dose across the week changes the sawtooth rather than the plateau — splitting a weekly GLP-1 dose goes through what that actually does. Retatrutide is investigational and not approved anywhere; the ~6-day half-life is a reported figure with no approved label behind it, so treat that line as illustrative only. And the model has no absorption phase — it places each peak at the instant of injection, whereas a real peak arrives some time after the shot. It is a teaching diagram for the shape of accumulation, not a pharmacokinetic prediction for you.

Frequently asked

What is a GLP-1 plotter?
A GLP-1 plotter draws how much medication is in you week by week on a once-weekly injection. Because each shot lands before the last one clears, the level climbs for the first 4–5 weeks and then plateaus. It covers tirzepatide (Mounjaro, Zepbound) and semaglutide (Ozempic, Wegovy), whose different half-lives give different plateau heights.
How many weeks until I can be on the top dose?
At the label minimums: week 21 for tirzepatide 15 mg, week 17 for Wegovy 2.4 mg and week 13 for Ozempic 2 mg. Those are floors, not schedules — every step needs at least four weeks, and a prescriber can hold you longer at any rung. Add roughly four more weeks on top before you are at steady state on the new dose.
How long until a GLP-1 reaches steady state?
About 4 weeks of consistent once-weekly tirzepatide, and 4–5 weeks for semaglutide, which is what the labels report. The plot arrives at the same answer from half-life alone: tirzepatide is within 5% of its plateau by the fourth weekly dose, semaglutide by the fifth. Semaglutide takes longer because its half-life is roughly a week against tirzepatide about five days.
Why do I feel worse in the first couple of weeks on a new dose?
Your level is still climbing. Until the plateau is reached, each weekly peak is higher than the one before, so the first fortnight of a dose is not representative of that dose. It usually settles once the curve flattens, which is exactly the point the four-week hold is built around. If symptoms are severe or not settling, speak to your prescriber rather than waiting it out.
Why must each dose be held for four weeks before going up?
Because roughly four weeks is how long it takes to reach the new steady state, so tolerability judged earlier reflects a level you have not settled at yet. The tirzepatide ladder specifies at least four weeks per 2.5 mg step for this reason, and the semaglutide ladders use the same four-week interval. Your prescriber decides when and whether to step up.
Is this my actual blood concentration?
No. The vertical axis is relative, normalised so one dose peaks at 1, and the model knows nothing about your body weight, kidney function, or the milligrams you inject. It shows the shape of accumulation, not a concentration. Treat it as an explanation of why steady state takes weeks, not as a personal measurement.
Does a higher dose take longer to reach steady state?
No. Time to plateau depends only on the half-life, not on the size of the dose. A larger dose gives a proportionally higher plateau that still arrives in about the same four to five weeks. That is why the hold between steps stays the same length all the way up the ladder.
How long does it take to clear after I stop?
Longer than one week. The Ozempic label states semaglutide is still present in the circulation about 5 weeks after the last dose, and the Wegovy label gives about 5 to 7 weeks. Tirzepatide clears somewhat faster on a roughly 5 to 6 day half-life, but is still measurable for weeks. This is why appetite and side effects both fade gradually rather than switching off.

Sources

  • Zepbound (tirzepatide) US prescribing information — DailyMedSections 2.1–2.2: 2.5 mg to 15 mg ladder in 2.5 mg steps, at least 4 weeks per step. Section 12.3: half-life about 5 to 6 days, steady state at 4 weeks of once-weekly dosing
  • Ozempic (semaglutide) US prescribing information — DailyMedSection 2.2: 0.25 mg once weekly for 4 weeks, then 0.5 mg, then 1 mg after at least 4 weeks on 0.5 mg, then a 2 mg maximum after at least 4 weeks on 1 mg — so week 13 at the earliest on 2 mg. Section 12.3: half-life about 1 week, steady-state exposure achieved following 4 to 5 weeks of once-weekly administration, present in the circulation about 5 weeks after the last dose
  • Wegovy (semaglutide) US prescribing information — DailyMedSection 2.2 Table 1 prints the escalation by week: 0.25 mg weeks 1–4, 0.5 mg weeks 5–8, 1 mg weeks 9–12, 1.7 mg weeks 13–16, maintenance from week 17. 1.7 mg is permitted as a maintenance dose, and a maximum of 7.2 mg is allowed after at least 4 weeks tolerating 2.4 mg. Semaglutide present about 5 to 7 weeks after the last dose
  • Mounjaro (tirzepatide) UK summary of product characteristics — eMCSections 4.2 and 5.2: UK dosing intervals and a stated tirzepatide half-life of about 5 days. There is no UK Zepbound; UK tirzepatide is Mounjaro

Medical disclaimer. Tiro is a tracking companion, not a medical device, and nothing on this site is medical advice. Always follow the titration schedule and dosing instructions from your prescriber. Never change your dose without talking to them first.