Doctor-Formulated · Physician-Reviewed · Updated August 2026

hermicrodose

GLP-1 dosing, finally sized for you.

The standard doses were set in trials, not for your body. Whether you're on the full plan or exploring lower doses, this is exact math and honest evidence for semaglutide, tirzepatide, and retatrutide — written for women, true for everyone.

Find my dose ↓

Find your dose

Pick your medication, tap a dose, and see exactly where to draw on a standard U-100 insulin syringe. The math uses your vial and your water — no guessing from someone else's screenshot.

1 · Your medication
2 · Your approach
3 · Your dose
Tap a weekly dose (mg)
Your numbers
Concentration
Volume to draw
Draw to this mark
units
U-100 insulin syringe0–100 units
Doses / vial
Vial lasts
Dose

Plan your weeks

Titration isn't a suggestion — side effects are worst at every dose increase, and the schedules exist to protect you. Here's your week-by-week view for either approach.

The three GLP-1s, honestly compared

Trial results are averages from studies at full doses — not promises, and not microdose data.

MedicationStatusHow it worksWeekly doseAvg. weight loss in trials
Semaglutide
Ozempic · Wegovy
FDA-approved GLP-1 receptor agonist — appetite, gastric emptying 0.25 → 2.4 mg ~15% at 68 wk (STEP-1)
Tirzepatide
Mounjaro · Zepbound
FDA-approved Dual GIP + GLP-1 agonist 2.5 → 15 mg ~21–22.5% at 72 wk (SURMOUNT-1)
Retatrutide
investigational
NOT approved — Phase 3 done; FDA filing planned early 2027 Triple GLP-1 + GIP + glucagon agonist 1 → 12 mg (trials only) ~28% at 80 wk (TRIUMPH-1)

For your body

The things the standard dosing guides never mention because they weren't written with women in mind. Everything below comes from FDA labels and published trials.

Your birth control — this one matters

Tirzepatide can make birth control pills less effective by slowing stomach emptying. The FDA label says: switch to a non-oral method (IUD, implant, ring, patch) or add a barrier method for 4 weeks after starting and 4 weeks after every dose increase.

Non-oral hormonal methods are not affected. Semaglutide's label carries no equivalent warning — this is specific to tirzepatide.

Source: Zepbound / Mounjaro FDA prescribing information

Pregnancy & trying to conceive

Stop semaglutide at least 2 months before a planned pregnancy — its half-life is so long the drug lingers that far. GLP-1s for weight management are not recommended during pregnancy, and animal data suggest possible fetal harm.

Microdosing does not change this. A smaller amount of a long-half-life drug is still the drug.

Source: semaglutide FDA prescribing information

You'll likely respond more strongly

In subgroup analyses of the major trials, women on average lost a greater percentage of body weight than men at the same doses — and reported GI side effects (nausea, vomiting) more often.

That's the actual case for starting low and titrating patiently: the label schedule is the ceiling of aggressiveness, not the floor.

Source: STEP / SURMOUNT trial subgroup analyses

Muscle, bone & the weight you lose

Rapid weight loss takes lean mass and can affect bone density along with fat — a bigger long-term issue for women. The two defenses with real evidence behind them: adequate protein at every meal and resistance training through your entire time on the medication.

Slower loss at lower doses is gentler on lean mass — one of the few genuinely plausible arguments for conservative dosing.

Hair shedding & "Ozempic face"

Temporary hair shedding (telogen effluvium) is reported with rapid weight loss from any cause and appears in tirzepatide trial adverse-event reporting. Facial volume loss — the "Ozempic face" everyone screenshots — is a general feature of losing fat quickly, not a unique drug effect.

Both track with speed of loss more than the drug itself.

The side effects that need a doctor, now

Severe abdominal pain (pancreatitis), gallbladder attacks, vision changes, or symptoms of low blood sugar if you take other glucose-lowering drugs. And GLP-1s are contraindicated with a personal or family history of medullary thyroid carcinoma or MEN2.

Source: class labeling, all approved GLP-1s

The honest part

Where your vial comes from matters more than your dose

Approved pens from a pharmacy are verified drug. Compounded semaglutide/tirzepatide quality varies by pharmacy. Gray-market "research" vials are unverified — independent testing routinely finds underfilled or misidentified product. Retatrutide has no legal retail source at all — anything sold as reta is unverified by definition.

If you take one thing from this site

Never copy someone else's units. Their vial and water are not yours. Ten units of her mix and ten units of your mix can be completely different doses. Thirty seconds with the calculator is the whole game.

Questions women actually ask

What is GLP-1 microdosing?
Taking a fraction of the standard dose — often 1/5 to 1/10 — hoping for appetite and metabolic benefits with fewer side effects. No trial has validated any microdosing protocol. Every schedule you'll see, including the ones here, is community convention.
Will a GLP-1 affect my birth control?
Tirzepatide: yes, possibly. The label says use a non-oral method or add a barrier method for 4 weeks after starting and after each dose increase. Semaglutide's label has no such warning. Non-oral hormonal methods (IUD, implant, patch, ring) aren't affected.
Can I microdose while trying to get pregnant?
No. Semaglutide should be stopped at least 2 months before a planned pregnancy per its label, and GLP-1s aren't recommended in pregnancy. A microdose of a long-half-life drug is still exposure.
How many units is 0.25 mg of semaglutide?
Depends on your concentration. 5 mg reconstituted in 2 mL = 2.5 mg/mL, so 0.25 mg = 0.1 mL = 10 units on a U-100 syringe. Different vial or water = different units. Use the calculator with your own numbers.
Do women lose more weight on GLP-1s than men?
On average, yes — trial subgroup analyses found greater percentage weight loss in women, along with more reported GI side effects. Same drug, stronger response: the argument for patient titration, not for skipping it.
Is retatrutide available?
Not legally. It's investigational — Phase 3 complete, FDA submission planned for early 2027. There is no approved dose and no verified retail product; everything sold as "reta" today is gray-market and unverified.
How long does my mixed vial keep?
About 28 days refrigerated is the multi-dose convention with bacteriostatic water. Microdosing stretches a vial far past that — the calculator flags it and the fix is mixing a partial vial.
Why can't I just start at the dose that works?
Because the side effects are dose-dependent and front-loaded: nausea and vomiting are worst at initiation and every increase. The approved schedules hold each step ~4 weeks for a reason. This is the one place the label and the microdosing community agree: go slow.

About HerMicrodose

Most GLP-1 dosing advice online is written by people selling you the vial. This site was formulated by doctors who aren't.

We watched the same scene repeat: women trading syringe screenshots in group chats, copying "units" without knowing concentrations, titrating on vibes, and asking strangers questions their prescriber should have answered. The medications are remarkable. The information layer around them is a mess.

HerMicrodose is our answer: the exact math, the FDA-label schedules, the women-specific warnings that get buried on page 40 of the prescribing information — and honest labels on everything that's anecdote, including microdosing itself. We sell nothing. We take nothing from vendors, clinics, or pharma. When there's no data, the site says "no data."

Talk to your own physician about anything you inject. That's not a legal line; it's the actual advice.

Math: concentration = vial mg ÷ water mL · volume = dose ÷ concentration · U-100 units = mL × 100.  Sources: FDA prescribing information (semaglutide, tirzepatide), published Phase 3 trial reports (STEP, SURMOUNT, TRIUMPH), current as of August 2026.

HerMicrodose is an educational reference. It is not medical advice, not a prescription service, and not a substitute for your physician. Semaglutide and tirzepatide are prescription medications; retatrutide is investigational with no approved use. Microdosing protocols described here have no clinical-trial support and are documented as community anecdote only.