GLP-1 Monthly Progress Report: What to Review and Share with Your Provider
Create a comprehensive monthly GLP-1 progress report. Compile weight trends, side effects, measurements, and lab results to optimize your semaglutide or tirzepatide treatment.
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Monthly Report Template
Compiling your weekly data into a monthly report gives you the big picture on your semaglutide or tirzepatide treatment. Here is what to include.
Weight Summary
Starting weight this month, ending weight, total change, and weekly trend line. Calculate your average weekly loss rate and compare to previous months.
Measurement Changes
Waist, hips, chest, arms, and thighs compared to last month. Total inches lost is often more motivating than pounds, especially during plateaus.
Side Effect Trends
Which side effects improved, worsened, or stayed the same. Average severity scores compared to previous months. Any new symptoms that appeared.
Treatment Details
Current dose, any dose changes, missed doses, and injection compliance. Note how dose changes correlated with side effects and weight loss rate.
Quality of Life
Energy levels, sleep quality, mood, exercise habits, and overall well-being. These non-scale victories are critical indicators of treatment success.
Expected Monthly Progress by Phase
Month 1 (Initiation)
- 2-5 lbs lost on starting dose
- Appetite reduction beginning
- GI side effects most common
Months 2-4 (Acceleration)
- 4-8 lbs/month typical
- Dose titrating upward
- Side effects stabilizing
Months 5-8 (Steady Loss)
- 3-6 lbs/month at maintenance dose
- Body composition improving
- Health markers improving
Months 9-12+ (Optimization)
- 1-4 lbs/month as approaching goal
- Maintenance planning begins
- Focus shifts to sustainability
Medical Disclaimer: This content is for informational purposes only and does not constitute medical advice. Individual results vary. Consult your healthcare provider for personalized treatment guidance.
Frequently Asked Questions
What should be in my monthly GLP-1 report?
Include total weight lost that month, total inches lost, average weekly weight loss rate, side effect trends, medication dose and any changes, notable improvements (energy, sleep, mood), and any concerns for your provider.
How much weight should I lose per month on GLP-1?
Most patients lose 4-8 pounds per month on semaglutide or tirzepatide. The first month may be slower during initial titration, while months 2-4 often show the fastest loss. Tirzepatide users may see slightly higher rates.
When should I share my monthly report with my doctor?
Share before scheduled appointments so your provider can review trends. If your report shows stalled progress, worsening side effects, or concerning patterns, schedule an earlier check-in to discuss adjustments.
What if my monthly report shows a plateau?
A single slow month is normal. If two consecutive monthly reports show minimal progress, review your nutrition, exercise, hydration, and sleep. Your provider may recommend a dose increase or other adjustments.
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View Treatment OptionsSources & References
- Wilding JPH et al. Once-Weekly Semaglutide in Adults with Overweight or Obesity. NEJM 2021;384:989-1002.
- Jastreboff AM et al. Tirzepatide Once Weekly for the Treatment of Obesity. NEJM 2022;387:205-216.
- Lincoff AM et al. Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes. NEJM 2023;389:2221-2232.
- FDA Prescribing Information for Wegovy (semaglutide) and Zepbound (tirzepatide).