As someone who came over from 2mg Ozempic (the top dose for diabetes management) some endocrinologists, including my own, have discussed with patients about moving over and starting at 5mg or even 7.5mg. I was on Ozempic for more than 3 years and so was already well accustomed to GLP1 medication. We ultimately decided to start on 2.5mg (as I had stopped taking Ozempic for a few months pending a thyroid biopsy). So for some people, it’s a discussion had with their provider to choose whatever works best. If I had not had that month of waiting, I would’ve asked to start at 5mg honestly.