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GLP-1 Injection & Side-Effect Log

Doctor-Ready: Log Every Shot, Rate Your Side Effects, Count Protein and Water, and Bring Your Doctor a Clear Picture

by An Thanh Tùng

  • PDF on Etsy, coming November 2026Printable and fillable · Full (7 pages) and Simple (2 pages) · US Letter, A4 and 6 x 9 in · instant download

Look inside · See filled-in pages · Free Bonus Pack

About this log

One line on shot day, one line a day. Then one page your doctor can read in a minute.

On a weekly GLP-1 injection, the questions pile up between visits: is this side effect normal, am I eating enough, which site did I use last week, is the weight coming off at a healthy pace? This log keeps the answers in one place: every shot, every side effect rated 0 to 3, your protein and water, and three clear levels for any symptom: watch, ask your doctor within a few days, or get seen now.

Type into the fillable PDF and it does the sums for you: weight lost and % lost each week, your lowest weight, waist change, distance to your goal and the 5, 10, 15 and 20% milestones. A site used two weeks running turns yellow, ratings are shaded green to red, and protein adds up meal by meal. The For my doctor page fills itself in, and one button prints or saves just that page.

How it works

  1. Log the shotOn shot day, write the dose as prescribed, the site, your weight and the worst of each side effect that week.
  2. Log the dayOne line a day: protein meal by meal, water, and how you feel. The fillable PDF adds it up.
  3. ShareTap Print / save for my doctor and bring the one-page summary, or send it, before your visit.

What you get

  • Start here: 8 habits for every shot, 8 injection sites to rotate, three levels for any side effect, a 0 to 3 rating scale and when not to wait for morning
  • Denise's first 10 weeks: a filled-in example with notes on weight lost, rating side effects, rotating sites and dose steps
  • My 12-week shot log: date, dose as prescribed, site, weight, waist and the worst of six side effects each week
  • My 7-day log: protein meal by meal, water, side effects, strength days and notes
  • For my doctor: weight lost and % lost, side-effect averages and worst weeks, sites used, protein and water, medicines, symptoms, questions and your worst days
  • My plan, at a glance: a fridge card with your goals, shot day, site map and the three levels, a before-each-shot checklist and your medicine times
  • Smart fillable PDF (Adobe Acrobat Reader): sums, colors and the doctor page fill in by themselves, and a Print / save for my doctor button prints only that page
  • A Simple edition with just the 12-week shot log and the doctor page, for anyone just starting
  • Free GLP-1 Bonus Pack: Protein-First Meal Planner, Dose-Step Week Plan and wallet cards

For tracking and sharing with your health care team. It does not diagnose or treat any condition, and it gives no doses: those come from your prescriber.

Look inside

Pages from the log

The real pages, as they print. Tap a page to read it.

8 pages
  • Start here: every shot, the right way
  • My 12-week shot log
  • My 7-day log
  • For my doctor
  • Fridge card and checklists
  • Your next step
  • Simple edition: 12-week shot log
  • Simple edition: for my doctor

Worked examples

See it filled in

Every log opens with example pages, so you know exactly what to write before you start.

1 pages
  • Denise's first 10 weeks

Free with the cards

Extras

Coming November 2026

Get an email when it's out

One email when it's on sale, with the link. You can already get the free Bonus Pack below.

This log is for tracking and sharing with your health care team. It is not medical advice and does not diagnose or treat any condition.

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