GLP-1 Injection Tracker Template: Dose, Site Rotation, Side Effects

A Template Built Around Your Actual GLP-1 Week

A weekly injection sounds simple until you try to remember what you did four Sundays ago. Was that the 0.5 mg dose or the 1 mg step up? Did you use the right thigh or the abdomen? Was the nausea on day two or day four? By week eight of titration, the answers blur. This GLP-1 injection tracker template is designed to help you do exactly that.

Memory fails on GLP-1 therapy because the drug effects stretch across a full seven-day window. Gastrointestinal side effects often peak 24 to 72 hours after the shot, and appetite changes can keep shifting all week. If you are on semaglutide or tirzepatide, the titration schedule adds another layer of moving parts. A paper or digital log is how you stop guessing.

This template is designed for the first 12 weeks, which is when most of the titration happens and when side effects are most likely to change what you do next. Print it, fill in one row per injection, and bring it to every follow up.

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Why a Paper Log Beats Memory on GLP-1 Therapy

Titration is the part of GLP-1 therapy that gets the least attention and causes the most drop off. The standard semaglutide schedule moves from 0.25 mg to 0.5, then 1, then 1.7, then 2.4 mg, with four weeks at each step unless side effects say otherwise. Tirzepatide moves through 2.5, 5, 7.5, 10, 12.5, and 15 mg on a similar timeline. Each step up is a real pharmacological event, not a formality.

If you cannot tell your prescriber whether the nausea at week six was worse than week four, the decision to hold or advance the dose becomes a coin flip. A tracker removes that ambiguity. It also catches problems that do not show up in a single snapshot, like a gradual return of appetite that suggests you are due for a step up, or a cluster of injection site reactions that suggests you need to change your rotation pattern.

What Each Column Captures

Date and Time

Pick a consistent injection day and time. Most people default to a weekend morning because it is easier to remember, but any pattern works as long as it is the same every week. Write the actual clock time, not “morning.” If you shift the day for travel, log the new day and note the gap in the Notes column.

Dose and Titration Step

Record the milligrams, not just the pen color. Pen colors change across manufacturers and between regions. The milligrams do not. Note if this is a new step (first week on 1 mg) or a repeat (holding at 0.5 mg because of side effects).

Injection Site

Rotate between abdomen (at least two inches from the navel), thigh (front, outer), and upper arm (back). The goal is to avoid hitting the same spot two weeks in a row. Repeated injections in the same centimeter of tissue can cause lumps, bruising, and in some cases lipohypertrophy, which changes how fast the drug absorbs.

Side Effects in the First 72 Hours

Nausea, early satiety, constipation, reflux, sulfur burps, and fatigue are the most commonly reported. Rate each one from 0 (none) to 3 (severe enough to change what you did that day). Add a free text note if you took an anti nausea medication or had to skip a meal. Do not skip this column even on easy weeks. A string of zeros is itself useful data.

Hunger and Fullness

This is the column that tells you if the drug is still doing what it should. Rate your hunger on day three after the shot on a 0 to 10 scale. Rate how quickly you feel full at your biggest meal. Rising hunger at the same dose is one of the earliest signals that you may be ready for a step up.

The Weekly Injection Log

Week	Date	Dose (mg)	Site	Time	Side Effects (0-3)	Day 3 Hunger (0-10)	Notes
1	__/__	0.25	Abdomen L	___	Nausea 1, Reflux 0	4	Mild nausea day 2
2	__/__	___	___	___	___	___	___
3	__/__	___	___	___	___	___	___
4	__/__	___	___	___	___	___	___
5	__/__	___	___	___	___	___	___
6	__/__	___	___	___	___	___	___
7	__/__	___	___	___	___	___	___
8	__/__	___	___	___	___	___	___

The first row shows a sample entry so you can see what a complete log looks like. Fill in the rest as you go. Do not try to reconstruct past weeks from memory. If you missed logging a week, leave it blank and start again at the next injection.

How to Use This Log at Your Follow Up

Bring the sheet to every appointment, even telehealth visits. A prescriber deciding whether to advance your dose is asking three questions: are the side effects manageable, is the drug still reducing appetite, and are you tolerating the current step. Your log answers all three in one glance.

If you are experiencing side effects that are making daily life hard, the log is also your protection. “I had nausea rated 3 on day 2 and day 3 for the last two weeks, and I skipped lunch four times” is a conversation that leads to a dose hold or a step down. “It was pretty bad” is a conversation that leads to a shrug.

For a digital version, the GLP-1 Tracker App logs the same data with reminders for injection day and a rotation map that tells you which site is due next.

What 30, 60, and 90 Days of Tracking Reveals

In the first 30 days, the log mostly shows you your baseline side effect pattern. By 60 days you will see whether the pattern is stable, resolving, or intensifying at each step up. By 90 days you have enough data to answer the real questions: is the drug still working for appetite at this dose, is site rotation reducing reactions, and are there days of the week that consistently go worse than others. None of that is visible from memory alone.

Start with this week’s injection. One row is enough to begin.

Medical disclaimer: This post is for informational purposes only and does not constitute medical advice. Talk to your prescriber about any dose changes or persistent side effects.