Starting semaglutide for weight loss is an exciting step toward better health, but understanding what to expect during the first week is crucial for long-term success.
This guide breaks down what happens in your body, how your appetite may shift, and what strategies can help you maximize your progress. Whether you’re new to semaglutide or preparing for your first dose, Morph Wellness MD is here to guide you every step of the way.
What to Expect Before Starting Semaglutide
Personalized Telehealth Consultation
Before beginning semaglutide, it’s important to speak with a qualified provider. At Morph Wellness MD, we offer $0 consultations through a convenient telehealth platform. During your consultation, one of our licensed physicians will review your health history, assess your goals, and determine whether semaglutide is appropriate for your needs.
Establishing Baseline Metrics
Before your first dose, record your starting weight, BMI, and waist measurements. These benchmarks help track your progress and allow your provider to tailor dosing as needed. Many clients find it motivating to monitor these early indicators as they begin their transformation.
Setting Realistic Goals
Semaglutide offers impressive results, but safe, sustainable weight loss takes time. Most patients start to see noticeable results over 3–6 months. Setting realistic expectations from day one ensures you stay motivated and committed. Your success is not defined by one week—it’s built through consistent progress and support.
Semaglutide Day-by-Day: Week One Breakdown
Day 1: First Dose and Early Reactions
Your journey officially begins with your first semaglutide injection. Most patients start at a low dose to minimize side effects, gradually increasing as tolerated. Semaglutide is injected subcutaneously, typically once a week. Some patients may feel subtle appetite suppression after the first dose, while others notice changes after several days.
At Morph Wellness MD, we provide detailed injection instructions and custom dosing based on your health profile. Our team is available to answer questions at every stage.
Days 2–3: Your Body Begins to Adjust
As your body starts adjusting to semaglutide, you may experience mild side effects such as reduced appetite, bloating, or slight nausea. These are temporary and often improve with hydration and dietary changes. During this time, start tracking your meals, hydration, and energy levels. Journaling can help you identify trends and improve adherence.
Days 4–7: Appetite Changes and Early Progress
By the end of the first week, many patients notice a significant reduction in appetite. You may feel full with smaller portions and find it easier to resist cravings. Some patients lose 2 to 5 pounds in the first week, although results vary.
It’s important to focus on how your body feels rather than just the number on the scale. Less hunger, fewer cravings, and improved portion control are early signs of semaglutide working.
Managing Side Effects the Right Way
Common First-Week Side Effects
Semaglutide is well-tolerated by most patients, but some may experience:
- Nausea
- Bloating
- Mild headaches
- Temporary constipation or diarrhea
These symptoms are generally short-lived. Eating smaller, protein-rich meals and staying hydrated can reduce discomfort. If any side effects persist, Morph Wellness MD offers unlimited check-ins so your provider can make necessary adjustments.
Tips for Comfort and Compliance
- Stick to bland, easy-to-digest foods during the first few days
- Eat slowly and avoid overeating, even if you feel less full than expected
- Sip water throughout the day to maintain hydration
- Avoid alcohol and greasy foods, which can worsen nausea
Side effects usually improve with time. Our custom dosing strategies and ongoing support help reduce the risk of discomfort so you can stay on track with confidence.
Diet and Activity Tips for the First Week
Build Healthy Habits from the Start
While semaglutide reduces hunger, pairing it with healthy habits maximizes your success. Focus on nutrient-dense meals, lean proteins, vegetables, and fiber-rich foods. Eating balanced meals throughout the day helps your body adjust to the appetite changes brought on by the medication.
Foods That Work Well During Week One
- Plain rice, oatmeal, bananas, and steamed veggies
- Grilled chicken, turkey, or fish
- Soups and broths that are easy on the stomach
- Whole grains and light salads for added fiber
Avoid sugary drinks, fried foods, and high-fat meals during your first week as these can increase side effects.
Staying Active
Movement helps support your metabolism and reduce side effects like bloating. Light activity, such as short walks, stretching, or yoga, is a great place to start. As your energy increases and your body adapts to semaglutide, gradually increase your activity level in consultation with your provider.
Tracking Your Progress
Why Tracking Matters
Logging your meals, symptoms, weight, and mood in the first week helps create a routine. Many patients use mobile apps or notebooks to track:
- Daily weight (optional)
- Cravings and hunger level
- Food and water intake
- Bowel habits and side effects
Sharing this data with your provider helps personalize your treatment and catch issues early. At Morph Wellness MD, our providers review your progress and make real-time adjustments to dosing or support as needed.
Celebrating Small Wins
Whether it’s skipping dessert, going for a walk, or simply feeling less hungry—every win counts. Don’t wait for a big milestone to feel proud. The first week is a learning process, and your effort now sets the tone for long-term success.
Why Choose Morph Wellness MD
At Morph Wellness MD, we combine medical expertise with compassionate care to help you lose weight safely and sustainably. We offer:
- $0 consultations with licensed physicians
- Real prescriptions for semaglutide, including compounded versions
- Convenient delivery to your door
- Personalized dosing and unlimited check-ins
- A telehealth experience designed for comfort, privacy, and results
From your first week to your final goal, we walk with you every step of the way.
Frequently Asked Questions
What should I expect during my first week on semaglutide?
You may notice a reduced appetite and possibly slight nausea. Some patients experience weight loss of 2–5 pounds. Most side effects are mild and temporary.
How do I manage side effects like nausea?
Eat smaller, bland meals throughout the day and stay hydrated. Avoid fatty or greasy foods. If nausea persists, reach out to your Morph Wellness MD provider for support.
Do I need to exercise during my first week?
Exercise isn’t required in the first week but is encouraged. Light walks or stretching can reduce side effects and support your energy. Build gradually and listen to your body.
Is it normal not to lose weight in the first week?
Yes. Some patients see results in week one, while others take a few weeks to respond. Stay consistent and communicate with your provider to stay on track.
How do I get started with Morph Wellness MD?
Visit our website to schedule a free consultation. After your telehealth appointment, we’ll handle your prescription and ship semaglutide directly to your door.
Conclusion
The first week on semaglutide is a crucial time to learn how your body responds and to build healthy habits that last. With personalized dosing, expert support, and a commitment to your well-being, Morph Wellness MD makes your weight loss journey safer, easier, and more effective.
By staying informed, managing side effects, and tracking your progress, you’ll be well on your way to achieving long-term results. Let us help you take the first step toward lasting transformation.