I felt fine, then I went up and it hit me. Did something go wrong?

Answer

That pattern is the documented shape of this class. The same adjustment repeats at each step, at a stronger amount.

In more detail

Nausea, fullness, constipation, diarrhea, reflux and fatigue commonly flare for several days to about two weeks after an increase and then improve while the amount is held. Trial safety tables show most gastrointestinal events concentrated in the escalation period rather than after it. The reason this catches people out is that week four of a block usually feels calm, so the increase in week five feels like a new problem rather than the same adjustment repeating. It is the single most common source of 'is this normal' in this class, and the honest answer is that the pattern is expected — how it applies to any individual is a clinical question.

Source

Approved labeling adverse event tables for the weekly incretin products.

Educational use only, never medical advice. No doses.