HealthRX.com · Printable question sheet
Wegovy follow-up sheet for adults 65 and older
Bring this to a Wegovy follow-up: record weight, falls, strength, fluids and home readings since the last visit, tick new symptoms, and use the questions to review kidney, fracture, blood-sugar and medicine risks with the prescriber.
Since the last visit
Current weekly Wegovy dose (mg) and weeks on it
Weight today and at the last visit
Falls or near-fallsdate and what happened
Harder to rise from a chair, climb stairs or walk?
Home blood pressure or glucose readings
Procedures with anesthesia or sedation coming up
New or ongoing since the last visit
- Vomiting or diarrhea that keeps coming back
- Trouble keeping fluids down
- Dizziness, fainting or new confusion
- Passing less urine than usual
- Eating much less than usual
- Constipation or stomach pain
- New weakness or slower walking
What the label says that matters after 65
- No overall difference in effectiveness was seen between patients 65 and older and younger adults.[1]
- Semaglutide levels did not differ in a clinically significant way by age group (under 65, 65 to 74, and 75 and older).[1]
- In the cardiovascular trial, patients 75 and older had more hip and pelvis fractures on Wegovy than on placebo (2.4% vs 0.6%).[1]
- Kidney function should be checked when side effects could cause dehydration, especially when starting or increasing the dose.[1]
- With insulin or a sulfonylurea, the label says to consider lowering that dose when starting Wegovy, because low blood sugar is more likely.[1]
- Wegovy slows stomach emptying, so tell the team before planned surgery or a procedure with anesthesia or deep sedation.[1]
Questions for the prescriber
- Is my weight coming down faster than you intended?
- Do my blood pressure, water pill or diabetes medicines need a review now?
- Given my other conditions and medicines, when should my kidney function be checked?
- Is my fall or fracture risk high enough to look at bone health?
- Which of my other medicines need closer monitoring because Wegovy slows stomach emptying?
- Does staying on Wegovy still fit my goals for mobility and daily life?
Call the prescribing team promptly
- Vomiting or diarrhea that stops you keeping fluids down: losing fluids can cause kidney problems.[1]
- Severe stomach pain that will not go away, with or without nausea or vomiting: stop Wegovy and call right away.[1]
- Dizziness, sweating or shakiness while also using insulin or a sulfonylurea (possible low blood sugar).[1]
- A new fall or fracture, since the label reports more hip and pelvis fractures on Wegovy after age 75.[1]
Between-visit record
| Date | Weight | Falls or near-falls | Fluids and meals OK? | Dizziness or other symptoms |
|---|---|---|---|---|
Sources for the facts on this sheet
- Novo Nordisk, via DailyMed. Wegovy (semaglutide) injection, for subcutaneous use, and Wegovy (semaglutide) tablets, for oral use: prescribing information and Medication Guide. Effective 2026-06-18. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ee06186f-2aa3-4990-a760-757579d8f77b
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.