Your step-up schedule
You start at 3mg and increase every 4 weeks through four dose levels. The full schedule takes about 12 weeks to reach the maximum dose.
- Weeks 1–43mg
Starter dose. Low side effects — this is mostly to let your body adjust.
- Weeks 5–86mg
First real working dose. Mild nausea possible but usually manageable.
- Weeks 9–1212mg
Weight loss becomes noticeable. Some people stay here long-term.
- Week 13 onwards36mg
Maximum approved dose. Take with or without food, any time of day — no empty stomach rule.
Maximum dose
Reaching the maximum dose takes about 12 weeks if you tolerate each step. Some people find their long-term dose at 12mg.
Starting dose vs maximum dose
The maximum dose is the highest approved dose — it is not the same as your maintenance dose.
Maintenance dose is different from maximum dose. Your maintenance dose is wherever you stay long-term — this could be any dose where you have good weight loss with tolerable side effects. Many people maintain on doses lower than the maximum.
Weight loss at each dose
Average weight loss from clinical trials. Bars scale with the percentage — higher doses produce more weight loss, but returns get smaller toward the top.
Lower than tirzepatide or semaglutide at max dose, but Foundayo has no food or timing restrictions.
Source: ATTAIN-1 trial (n=3,127, 72 weeks)
When your doctor might change your dose
Your dosing is flexible and tailored to your needs.
Increase to the next dose every 4 weeks as planned.
Stay at current dose for 6–8 weeks before increasing, or pause increases.
If you reach your weight loss target at 12mg, you can stay there — no requirement to reach 36mg.
Next step most people take
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Last reviewed: April 2026