Exploring Wegovy Dosages: Can You Take More Than 2.4 mg?

Introduction

The journey to sustainable weight loss is often marked by a search for effective, science-backed solutions. For many, the landscape of modern weight management has been transformed by medications like Wegovy®, a prescription medication that has shown significant promise in helping individuals achieve their health goals. Yet, as with any potent medical intervention, understanding its nuances, particularly concerning dosage, is paramount. Many individuals, eager to optimize their results, naturally ponder: what is the maximum effective dose, and can you take more than 2.4 mg of Wegovy? This question delves into the very core of safe and effective treatment, touching upon current medical guidelines, the rationale behind dosing schedules, and even the exciting frontier of ongoing research.

At TrimRx, our journey began with a shared vision to help individuals embrace healthier lifestyles by merging cutting-edge telehealth innovations with effective weight loss solutions. We understand these critical questions and are dedicated to providing clarity and support. Our platform is a user-friendly and supportive space where individuals receive personalized, medically supervised care—all designed to make sustainable weight loss attainable and tailored to the individual. We believe that sustainable weight loss should be achieved through science, empathy, and a transparent approach. Our commitment to empowering you with accurate, comprehensive information is unwavering.

This article will comprehensively explore the approved dosages of Wegovy®, unravel the crucial reasons behind its structured dosing schedule, and critically examine the emerging research that dares to ask if higher doses could offer even greater benefits. We will discuss the potential implications of these developments, the importance of medical oversight, and how a personalized approach to weight loss—like the one we champion at TrimRx—can make all the difference. By the end, you will have a clearer understanding of Wegovy® dosing, what to expect on your weight loss journey, and the crucial role of expert guidance in navigating your path to better health.

The Science Behind Wegovy®: A Glimpse into GLP-1 Agonists

Before diving into dosage specifics, it’s essential to understand what Wegovy® is and how it functions within the body. Wegovy® is a brand name for semaglutide, a medication classified as a glucagon-like peptide-1 (GLP-1) receptor agonist. This innovative class of drugs mimics the action of a natural hormone, GLP-1, which your body releases after you eat.

How GLP-1 Agonists Work for Weight Management

The GLP-1 hormone plays a multifaceted role in the body, primarily influencing appetite and satiety. When you take a GLP-1 agonist like Wegovy®, it works by:

• Slowing Gastric Emptying: This helps you feel fuller for longer after meals, reducing the urge to eat frequently.
• Signaling Satiety to the Brain: It acts on receptors in the brain, particularly those in the hypothalamus, to decrease appetite and curb cravings.
• Regulating Blood Sugar: While Wegovy® is primarily approved for weight management, its active ingredient, semaglutide, also helps regulate blood glucose levels by stimulating insulin release when blood sugar is high and reducing glucagon secretion.

These combined effects make Wegovy® a powerful tool in a comprehensive weight management plan. It fundamentally shifts how your body perceives hunger and fullness, making it easier to adhere to a reduced-calorie diet and increased physical activity.

Approved Indications for Wegovy®

Wegovy® is an FDA-approved prescription medication used in conjunction with a reduced-calorie diet and increased physical activity for:

• Adults with Obesity (BMI ≥30 kg/m²) or Overweight (BMI ≥27 kg/m²) with at least one weight-related comorbidity, such as high blood pressure, type 2 diabetes, or high cholesterol.
• Adolescents aged 12 years and older with obesity.
• Reducing the risk of major adverse cardiovascular events (like heart attack, stroke, or cardiovascular death) in adults with established cardiovascular disease and either obesity or overweight.

This broad approval underscores its significant impact on not just weight reduction, but also on improving overall health outcomes and reducing serious health risks associated with excess weight.

The Approved Wegovy® Dosing Schedule: Gradual Escalation is Key

For those embarking on a weight loss journey with Wegovy®, understanding the prescribed dosing schedule is fundamental. The journey with Wegovy® does not begin at its highest dose; instead, it involves a carefully calibrated, gradual increase in dosage over several weeks. This process, known as titration, is a cornerstone of safe and effective GLP-1 agonist therapy.

The Standard Titration Protocol

The FDA-approved Wegovy® dosing schedule is designed to gradually introduce the medication to your body, minimizing the potential for side effects. Typically, this involves weekly subcutaneous injections, with the dose increasing approximately every four weeks. The standard schedule progresses as follows:

• Weeks 1-4: 0.25 mg once weekly
• Weeks 5-8: 0.5 mg once weekly
• Weeks 9-12: 1 mg once weekly
• Weeks 13-16: 1.7 mg once weekly
• Weeks 17 onwards: 2.4 mg once weekly (the full maintenance dose)

This titration typically takes 16 weeks to reach the full maintenance dose of 2.4 mg. Each dose comes in a prefilled, color-coded pen containing four doses, meaning each pen lasts approximately one month.

Why Gradual Dose Escalation Is Crucial

Have you ever wondered why these medications require a gradual increase in dosage rather than starting directly at the highest level? The reason is rooted deeply in patient safety and tolerability. Wegovy®, like other GLP-1 agonists, primarily affects the gastrointestinal system, and side effects like nausea, vomiting, diarrhea, and constipation are common, especially during the initial phases of treatment.

• Minimizing Side Effects: By starting with a low dose and gradually increasing it, your body has time to adjust to the medication. This significantly reduces the severity and frequency of gastrointestinal side effects, making the treatment more tolerable and improving adherence.
• Optimizing Efficacy: The titration schedule allows healthcare providers to monitor your response to the medication at each step, assessing both its effectiveness in weight reduction and your ability to tolerate the dose. This personalized approach ensures you receive the maximum benefit with the fewest adverse effects.
• Ensuring Safety: A sudden high dose could overwhelm your system, leading to severe discomfort or potentially more serious complications. The gradual increase is a safety mechanism to prevent such occurrences.

At TrimRx, our comprehensive service ensures that this titration process is carefully managed. Our doctor consultations, coupled with unlimited support, mean you’re never alone in navigating these adjustments. We believe in providing compassionate care that respects every individual’s unique journey, combining advanced medical science with modern technology to ensure your safety and success.

The 2.4 mg Maintenance Dose

The 2.4 mg dose of Wegovy® is currently the highest approved weekly dose for weight management. Once you reach this dose, it is typically considered the maintenance dose, meaning you would continue taking 2.4 mg once weekly for as long as it remains beneficial for weight loss or maintenance and is well-tolerated. For some individuals, based on their response and tolerability, a healthcare provider might determine that a 1.7 mg dose is sufficient and effective as a maintenance dose. This highlights the importance of individualized care and ongoing medical supervision throughout your weight loss journey.

We work exclusively with FDA-registered and inspected pharmacies for the shipping of weight loss medications like Wegovy®. This commitment to safety and quality is central to our values, ensuring that you receive reliable and effective treatment as part of our comprehensive service that includes medication, lab work, unlimited support, and shipping with no hidden fees.

Can You Take More Than 2.4 mg of Wegovy? Exploring Emerging Research

The question of can you take more than 2.4 mg of Wegovy is particularly compelling, especially for individuals seeking to maximize their weight loss outcomes. While 2.4 mg is the currently approved maximum dose, the scientific community is constantly pushing boundaries, exploring if higher doses could offer additional benefits. Recent research has indeed begun to shed light on this very question, pointing towards potential future developments in weight management therapy.

The STEP UP Trial: Investigating Higher Doses

A significant development in this area is the STEP UP trial, a phase 3b study that explored the efficacy and safety of a higher semaglutide dose—specifically, 7.2 mg once weekly—compared to the currently approved 2.4 mg dose and a placebo. This research, presented in June 2025 at the American Diabetes Association’s annual scientific meeting, provides valuable insights into the potential of increased dosages.

Study Design and Participants

The STEP UP trial involved 1,407 adults living with obesity (BMI 30 or above) but without type 2 diabetes. Participants were recruited from numerous clinics across 11 countries, reflecting a diverse study population. They were randomly assigned to one of three weekly injection groups for 72 weeks:

• 7.2 mg semaglutide
• 2.4 mg semaglutide (the standard approved dose)
• Placebo (an inactive substance)

Crucially, all participants also received intensive lifestyle counseling, including recommendations for a 500-calorie daily deficit and at least 150 minutes of physical activity per week. To ensure tolerability, the doses were gradually escalated over the first 20 weeks, mimicking the established titration protocol.

Key Findings on Weight Loss

The results from the STEP UP trial were notably promising for the higher dose group:

• 7.2 mg Dose: Participants on the 7.2 mg dose lost an average of 20% of their body weight by the end of the 72-week trial. A remarkable one-third of these individuals achieved a weight loss exceeding 25% of their starting body weight. On average, participants lost 18.7% of their starting weight (approximately 21 kg for someone beginning at 113 kg), regardless of how strictly they adhered to treatment.
• 2.4 mg Dose: For comparison, those on the 2.4 mg dose lost an average of 17.5% of their body weight when adhering to treatment, which translates to around 15% average weight loss.
• Placebo Group: The placebo group experienced an average weight loss of 3.9% (or 2.4% when considering only those who stayed on placebo).

These figures highlight a significant difference, with the 7.2 mg dose leading to a greater magnitude of weight loss compared to the standard 2.4 mg dose. The ability to achieve 20% or even 25% total body weight loss with a medication is particularly noteworthy, as such levels were previously often associated only with bariatric surgery.

Beyond Weight: Impact on Waist Circumference

Beyond overall weight loss, the study also revealed a greater reduction in waist circumference for those on the higher dose. Individuals taking 7.2 mg semaglutide saw an average waist size reduction of 11.7 cm, compared to 8.6 cm on the standard dose and a mere 1.3 cm with the placebo. This reduction in abdominal fat is clinically significant, as a higher waist circumference is strongly linked to increased cardiovascular and metabolic risks. Less fat pressing against vital organs can improve their function, ease strain on the body, enhance digestion, improve blood sugar control, and lower the overall risk of serious conditions like heart disease and type 2 diabetes.

Side Effects and Safety Profile

As expected, with an increased dose, there was a higher incidence of side effects. The most common side effects observed were gastrointestinal issues, consistent with lower doses of GLP-1 medications: nausea, vomiting, diarrhea, and constipation. Importantly, in most cases, these side effects were mild to moderate and tended to resolve or diminish during the early dose-escalation phase, even while participants continued on the medicine. Serious side effects occurred in 6.8% of people on the 7.2 mg dose, compared to 5.5% in the placebo group. No deaths were reported in the study.

Interpreting the Results and Future Implications

The STEP UP trial provides compelling evidence that a higher dose of semaglutide could potentially offer greater weight loss benefits for some individuals. However, it is crucial to emphasize that the 7.2 mg dose is not currently an FDA-approved dose for weight management. This research represents an ongoing scientific inquiry, and while the results are exciting, any changes to approved treatment regimens must first go through rigorous regulatory processes and approvals.

For now, the answer to can you take more than 2.4 mg of Wegovy in a clinical setting under current guidelines remains no. The maximum approved dose is 2.4 mg once weekly. Any consideration of higher doses in the future would require new formulations and formal approval from regulatory bodies.

What this research truly highlights is the dynamic and evolving nature of medical science. It suggests a future where even more potent pharmaceutical tools might be available, offering renewed hope for individuals struggling with obesity. However, until such time, adherence to approved dosing schedules and close medical supervision remain paramount for safety and effectiveness.

Potential Side Effects and Safety Considerations

While medications like Wegovy® offer remarkable benefits for weight loss, it’s essential to be fully informed about their potential side effects and important safety information. Understanding these aspects allows you to make educated decisions and work effectively with your healthcare provider. At TrimRx, we prioritize your safety and transparent communication, ensuring you have all the necessary information to embark on your weight loss journey confidently.

Common Side Effects

As discussed, gastrointestinal issues are the most common side effects associated with Wegovy®, particularly during the dose escalation phase. These include:

• Nausea
• Diarrhea
• Vomiting
• Constipation
• Stomach (abdominal) pain
• Headache
• Tiredness (fatigue)
• Upset stomach
• Dizziness
• Feeling bloated
• Belching
• Gas

These symptoms are often mild to moderate and tend to improve as your body adjusts to the medication. Staying hydrated and following dietary recommendations can help manage these effects. Our commitment to transparent service means we equip you with knowledge and support, highlighting that our approach remains consistent regardless of dosage changes.

Serious Side Effects

While less common, Wegovy® can cause serious side effects. It’s critical to be aware of these and to seek medical attention immediately if you experience any concerning symptoms:

• Possible Thyroid Tumors, Including Cancer: In studies with rodents, Wegovy® and similar medicines caused thyroid tumors, including thyroid cancer. It is not known if Wegovy® will cause such tumors or a specific type of thyroid cancer called medullary thyroid carcinoma (MTC) in humans. You should tell your healthcare provider if you get a lump or swelling in your neck, hoarseness, trouble swallowing, or shortness of breath.
• Pancreatitis (Inflammation of the Pancreas): Symptoms include severe pain in your stomach area (abdomen) that will not go away, with or without nausea or vomiting. This pain may radiate to your back.
• Gallbladder Problems (Including Gallstones): Symptoms may include pain in your upper stomach, fever, yellowing of the skin or eyes (jaundice), or clay-colored stools. Some gallstones may require surgery.
• Increased Risk of Low Blood Sugar (Hypoglycemia): This risk is higher, especially for individuals also taking other diabetes medications like insulin or sulfonylureas. Symptoms can include dizziness, blurred vision, anxiety, sweating, confusion, shakiness, or a fast heartbeat.
• Dehydration Leading to Kidney Problems: Diarrhea, nausea, and vomiting can lead to fluid loss. It’s crucial to drink plenty of fluids to reduce the risk of dehydration and potential kidney issues.
• Severe Stomach Problems: Cases of severe stomach problems, sometimes debilitating, have been reported.
• Serious Allergic Reactions: Symptoms can include swelling of your face, lips, tongue, or throat; problems breathing or swallowing; severe rash or itching; fainting; or a very rapid heartbeat.
• Change in Vision in People with Type 2 Diabetes: Individuals with type 2 diabetes should report any changes in vision.
• Increased Heart Rate: Wegovy® can increase your resting heart rate. Report if you feel your heart racing or pounding for several minutes.
• Depression or Thoughts of Suicide: Pay close attention to any sudden changes in mood, behavior, thoughts, or feelings. Seek immediate medical attention if these occur or worsen.
• Food or Liquid Getting into the Lungs During Surgery (Aspiration): Wegovy® slows stomach emptying, which can increase the risk of aspiration during procedures requiring anesthesia. Inform all healthcare providers about your Wegovy® use before any surgery.

Important Contraindications

Wegovy® should not be used if:

• You or any of your family have ever had medullary thyroid carcinoma (MTC) or if you have Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).
• You have had a serious allergic reaction to semaglutide or any of its ingredients.
• You are pregnant or plan to become pregnant (discontinue use at least 2 months before planned pregnancy).
• You are breastfeeding.

Always provide your healthcare provider with a complete medical history, including all prescription and over-the-counter medications, vitamins, and herbal supplements you are taking. This information is vital for your safety and to ensure that Wegovy® is an appropriate treatment for you.

At TrimRx, our trusted and supportive approach means we always emphasize safety. We partner with FDA-registered and inspected pharmacies for the shipping of weight loss medications, ensuring that all products are sourced responsibly and meet stringent quality standards. While we facilitate doctor consultations and medication access, we want to be clear that TrimRx partners with these pharmacies for the shipping of weight loss medications and does not provide actual medical supervision. Your prescribing medical provider is your primary resource for medical guidance and oversight throughout your treatment.

The Indispensable Role of Medical Supervision and Personalized Care

Embarking on a weight loss journey with prescription medication like Wegovy® is a significant step that necessitates careful, ongoing medical supervision. It is not simply about acquiring medication; it’s about integrating it into a holistic, personalized care plan that prioritizes your health, safety, and long-term success.

Why Medical Guidance Is Non-Negotiable

The complexities of GLP-1 agonists, from proper dosing and titration to managing potential side effects and understanding contraindications, demand expert oversight. A qualified healthcare provider can:

• Assess Eligibility: Determine if Wegovy® or other GLP-1 medications are appropriate for your specific health profile, considering your medical history, current health conditions, and any other medications you are taking. Our comprehensive free assessment quiz is designed to gather initial information to help guide this process.
• Prescribe and Titrate Safely: Prescribe the correct starting dose and guide you through the gradual dose escalation, adjusting as needed based on your response and tolerability. They will monitor your progress and side effects at each step.
• Monitor Health Markers: Conduct necessary lab work and monitor your overall health, including blood pressure, blood sugar, and kidney function, throughout your treatment.
• Address Side Effects: Provide strategies and support for managing common side effects and promptly address any serious adverse reactions.
• Provide Holistic Support: Integrate medication into a broader lifestyle plan that includes dietary changes, increased physical activity, and behavioral strategies, which are critical for sustainable weight loss.

Without this professional guidance, individuals risk improper dosing, unmanaged side effects, and potentially serious health complications. Your journey is unique, and so too should be your treatment plan.

Tailoring Your Journey: The TrimRx Approach

At TrimRx, we are founded on the principle that effective weight loss is deeply personal and should be supported by science, empathy, and transparent care. We understand that each individual’s body, lifestyle, and health goals are distinct. Our personalized approach is built to reflect this understanding.

Our brand is empathetic, innovative, trustworthy, supportive, results-oriented, and personalized. We offer compassionate care that respects every individual’s unique journey by combining advanced medical science with modern technology. We facilitate access to comprehensive, medically supervised programs that integrate:

• Doctor Consultations: Connecting you with qualified healthcare professionals who understand the intricacies of weight management medications. These consultations are crucial for evaluating your health, determining eligibility, and developing a tailored treatment plan.
• Medication Access: Providing access to clinically proven medications like Ozempic®, Zepbound®, Wegovy®, Mounjaro®, Compounded Semaglutide, Oral Semaglutide, Compounded Tirzepatide, and Oral Tirzepatide. We ensure these medications are provided through FDA-registered, inspected, and approved pharmacies, reinforcing our commitment to safety and quality.
• Lab Work: Facilitating necessary diagnostic testing to monitor your health parameters and ensure the safety and efficacy of your treatment.
• Unlimited Support: Offering continuous support throughout your journey, because we know that sustained change requires ongoing encouragement and guidance.
• Convenient Shipping: Ensuring your medication is delivered directly to you from our partner pharmacies, with no hidden fees, making your weight loss journey as seamless as possible.

We emphasize a transparent service, highlighting that our approach remains consistent regardless of dosage changes. Our goal is to empower you with the tools and support needed for safe, effective, and sustainable weight loss, always under the guidance of a medical professional.

What does sustainable weight loss truly mean for you, and how can a personalized, medically supervised program help you achieve it? We invite you to explore the possibilities with us. To see if you qualify for our personalized prescription weight loss solutions, we encourage you to take our free assessment quiz today.

Beyond Prescription: Supporting Your Wellness Journey with Quick-Access Supplements

While prescription medications like Wegovy® form a cornerstone of many weight management plans, we recognize that a truly holistic approach often benefits from complementary support. At TrimRx, we extend our commitment to your well-being with quick-access supplements designed to enhance your overall health journey, available without a quiz or prescription.

GLP-1 Daily Support: Enhancing Metabolic Health

Our GLP-1 Daily Support supplement is crafted to provide comprehensive metabolic support. It’s designed to work synergistically with your body’s natural processes, helping to optimize the factors that contribute to healthy weight management and overall wellness. This supplement is an excellent option for those seeking to bolster their metabolic function and support the effects of a healthy diet and active lifestyle.

By providing a blend of carefully selected ingredients, GLP-1 Daily Support aims to:

• Promote healthy glucose metabolism: Essential for stable energy levels and preventing cravings.
• Support digestive wellness: Contributing to overall gut health, which plays a critical role in weight and well-being.
• Aid in satiety: Helping you feel fuller and more satisfied, complementing your efforts to manage caloric intake.

It’s a proactive step in nurturing your body’s internal systems, providing foundational support for a balanced metabolism.

Weight Loss Boost: A Catalyst for Your Efforts

For those looking to invigorate their weight loss efforts, our Weight Loss Boost supplement offers a powerful complement. This supplement is formulated to provide additional support for your body’s fat metabolism and energy levels, assisting you in reaching your goals more effectively.

Weight Loss Boost is designed to:

• Ignite metabolism: Helping your body more efficiently convert food into energy.
• Enhance energy levels: Providing the vitality you need to maintain an active lifestyle.
• Support healthy fat burning: Assisting your body in utilizing fat stores for fuel.

These quick-access supplements are readily available for immediate purchase, offering a convenient way to integrate additional support into your daily routine. They are perfect for individuals who are actively working on their weight loss goals and want to ensure their body is receiving comprehensive support from all angles.

Whether you’re exploring the transformative potential of prescription medications or seeking robust daily support, our diverse range of offerings is designed with your health and progress in mind. We believe in providing multiple pathways to a healthier you, ensuring that personalized care is accessible and effective.

Conclusion: Navigating Your Path to Sustainable Wellness

The question of can you take more than 2.4 mg of Wegovy delves into the intricate balance between maximizing therapeutic benefits and adhering to stringent safety protocols. As we’ve thoroughly explored, while the 2.4 mg dose currently stands as the FDA-approved maximum for Wegovy®, cutting-edge research like the STEP UP trial hints at a future where higher doses of semaglutide could potentially offer even greater weight loss. However, it is absolutely critical to remember that these higher doses are not yet approved, and any current treatment must strictly follow established guidelines under the direct supervision of a qualified healthcare provider.

Your weight loss journey is a marathon, not a sprint, and it’s one that should be undertaken with informed decisions and unwavering support. We have walked through the science of GLP-1 agonists, the rationale behind careful dose titration, and the essential safety considerations that underpin any medical weight loss program. The overarching message is clear: personalization and expert medical oversight are paramount.

At TrimRx, this philosophy is at the heart of everything we do. Our journey began with a vision to merge cutting-edge telehealth with effective, personalized weight loss solutions. We provide a user-friendly and supportive platform where you can access personalized, medically supervised care, ensuring your path to sustainable weight loss is both safe and effective. Our commitment to you is built on science, empathy, and transparency.

Whether you are considering prescription medications like Compounded Semaglutide, Oral Semaglutide, Ozempic®, Compounded Tirzepatide, Oral Tirzepatide, Mounjaro®, Zepbound®, or Wegovy®, our comprehensive service is designed to support you every step of the way. This includes essential doctor consultations, necessary lab work, access to medication shipped directly from FDA-registered and inspected partner pharmacies, unlimited support, and transparent processes with no hidden fees. To begin your personalized journey and determine your eligibility for these transformative programs, we invite you to take our free assessment quiz today.

For those seeking immediate support to complement their weight loss efforts, we also offer our expertly formulated GLP-1 Daily Support and Weight Loss Boost supplements. These quick-access options are designed to enhance your metabolic health and invigorate your journey toward a healthier, more vibrant you.

Considering the pace of medical advancements, how do you stay informed about the latest options for your health journey and ensure you’re making the best choices for your well-being? We believe that with the right information, personalized care, and a supportive community, your weight loss goals are truly within reach. Take the next step towards a healthier future with TrimRx.

Frequently Asked Questions

What is the maximum approved dose of Wegovy®?

The maximum FDA-approved dose of Wegovy® for weight management is 2.4 mg once weekly. This dose is typically reached after a gradual titration period of about 16 weeks, starting from 0.25 mg. This gradual increase is essential to help your body adjust to the medication and minimize potential side effects.

Why can’t I start Wegovy® at a higher dose, or immediately go above 2.4 mg?

Starting Wegovy® at a low dose and gradually increasing it (titration) is crucial for patient safety and tolerability. GLP-1 medications like Wegovy® commonly cause gastrointestinal side effects such as nausea, vomiting, and diarrhea. Titration allows your body to adjust to the medication, significantly reducing the severity of these side effects. Currently, taking more than the approved 2.4 mg dose is not recommended or medically supervised due to safety and efficacy data limitations outside of clinical trials.

Are there any studies exploring doses higher than 2.4 mg of Wegovy®?

Yes, scientific research is ongoing. The STEP UP trial, for example, investigated a higher dose of 7.2 mg semaglutide (the active ingredient in Wegovy®) for weight management. Results indicated greater weight loss with the higher dose, but also a higher incidence of side effects. It is important to remember that the 7.2 mg dose is not currently FDA-approved for weight management, and any future changes to approved dosages would require extensive regulatory review and approval.

How does TrimRx ensure the safety of its weight loss programs?

At TrimRx, safety is paramount. We connect you with qualified healthcare professionals for doctor consultations, where your eligibility and personalized treatment plan are determined. Medications, including Wegovy®, are provided through FDA-registered and inspected pharmacies, ensuring quality and compliance. We emphasize transparency, provide unlimited support, and include necessary lab work to monitor your health. While we partner with these pharmacies for medication shipping, we clarify that TrimRx does not provide actual medical supervision; your prescribing medical provider oversees your treatment.