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Printable GLP-1 shot log

Your shots, your weight week by week, and how you felt. Print it or save it as a PDF. No email, no sign-up.

My GLP-1 shots

MedicationShot dayPrescriber

DateDoseSite (stomach, thigh, upper arm, L or R)WeightNotes

Rotate your site each week. Pens and doses: follow your label and your prescriber. Made with Prova, tryprova.app

My weight, week by week

Starting weightDateMy 5% line (starting weight × 0.95)

WeekDateWeightLost since startNotes
1
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Same scale, same time of day, every time. Made with Prova, tryprova.app

How I felt, 0 to 10

0 = not at all, 10 = the worst it gets

DateNauseaConstipationDiarrheaHeartburnFatigueFood noiseNotes

Bring this to your next appointment if something worries you. Made with Prova, tryprova.app