HomeDiariesWegovy Β· Month 3

Wegovy Diary: a 6-month chronicle

Wegovy Diary Month 3: 1.0 mg settles in, the friends-and-family question, body composition changes

Month 3 at 1.0 mg. The questions from people I haven't seen in a while start. I take my first DEXA scan and the body composition surprises me in a useful direction.

By Marina S. Β· Composite patient persona, reviewed by MDReviewed by Jane Novak, MD, MPHPublished 2026-06-01

Week 9-10. 1.0 mg is now my steady-state dose. Side effects fully gone except a faint nausea bump in the 24 hours after the injection. I learn to plan a light dinner Sunday evening and the trick works.

Week 11. The 'are you OK?' question starts. Four different people in one week. I prepare two scripts: 'I've made some health changes I'm happy with' for acquaintances, and the truth for close friends. The honesty version goes well. The vague version also goes well. Pick the one that fits the relationship.

Week 12. DEXA scan time. I scheduled it at month 3 specifically because lean-mass loss is the metric I most wanted to track. Result: βˆ’12 lb total since baseline, of which 9.2 lb is fat and 2.4 lb is lean (and 0.4 lb is water/other). That's ~80% fat loss β€” better than I expected, attributable to 100 g/day protein and 2 lifting sessions a week.

Quantified diary data. Week 9: 211 lb. Week 12 end: 206 lb. Month 3 total: βˆ’5 lb. Cumulative since start: βˆ’18 lb. DEXA at month 3: fat mass βˆ’9.2 lb, lean mass βˆ’2.4 lb, body fat % from 38.5 to 32.1.

Continue Β· Month 4

Wegovy Diary Month 4: 1.7 mg dose, plateau scare, the social trip

See the full Wegovy drug profile
People also ask

Common questions readers ask

Does Ozempic cause hair loss?
Not directly. Hair shedding (telogen effluvium) is reported by some patients ~3 months into rapid weight loss β€” typical of any rapid-weight-loss state, not unique to GLP-1.
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Can you drink alcohol on Wegovy?
No hard contraindication, but alcohol tolerance often drops sharply on GLP-1. Many patients also report reduced desire for alcohol β€” likely a secondary effect of GLP-1 on the brain reward system.
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Do I need to exercise on Wegovy?
Yes β€” resistance training specifically. Without it, 25-40% of weight lost on GLP-1 comes from lean muscle. Cardio is a bonus; resistance is the non-negotiable.
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Can vegetarians or vegans take GLP-1?
Yes. Modern GLP-1 medications are produced via yeast fermentation, not animal sources. The pen device and packaging contain no animal-derived materials in current FDA-approved products.
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