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A printable GLP‑1 record for the weeks when paper is easier.

Use this simple sheet to record what happened and prepare questions. Print it from your browser or download the CSV template. No account is required.

Mounjari Editorial Team Published: August 21, 2026 Last reviewed: August 21, 2026
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How to use it

  • Write only the prescribed medication and dose you actually took.
  • Record symptoms when they happen rather than reconstructing them later.
  • Use one severity scale consistently.
  • Bring the sheet to an appointment if it helps your discussion.
  • Do not use the sheet to design or change a dosing plan.

Weekly tracking table

Blank GLP‑1 dose and symptom log
Date and timeMedication / prescribed doseSiteSymptom / severityWeight (optional)Notes / questions
      
      
      
      
      
      
      
      
If a symptom is severe, rapidly worsening, or concerning, use the care instructions from your clinician or local health service rather than waiting to complete the log.

For education and organization only. This content does not diagnose, treat, or make medical decisions.

Related reading
Side-effect tracking A symptom name is not the whole story. Appointment preparation A good report puts the changes first. Mounjaro tracker Keep a weekly record you can understand a month later.
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Mounjari is a personal organization tool for information you review with your care provider. It does not diagnose, treat, or affiliate with any pharmaceutical company or medical product.

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