Energy
Why am I so tired?
Fatigue has a lot of possible causes. A provider can help you figure out which one is yours.
Start with a consult. You don’t need a diagnosis to book one.

Where low energy actually comes from
Most people have already decided why they’re tired. Not enough sleep. Too much work. Getting older. Sometimes that’s right. Sometimes fatigue is connected to something else that a provider can treat.

Sleep
You can be in bed eight hours and still wake up tired. How well you sleep matters as much as how long, and disrupted sleep can go on for months without anyone catching it.
Nutrition
What you eat affects your energy directly. Low protein, low iron, and low B12 are common, they’re measurable, and they’re treatable.
Hormones
Testosterone, thyroid, and the hormone changes of perimenopause and menopause all affect energy. Fatigue is often the first symptom people notice and the one most often attributed to something else.
Weight and treatment
Energy can shift during weight loss or after starting a new medication. It’s worth telling your provider, because it can usually be addressed.
One care team, looking at all of it
Your history, your labs, and your treatment, all in one place.
Weight Loss
Energy often comes up during weight loss. Your provider is already watching for it and can adjust your plan.
Women’s Hormone Health
Fatigue is where a lot of women start with Ivím, and it’s treated as a real symptom.
Men’s Hormone Health
Testosterone affects energy. Ivím looks at your labs alongside how you actually feel.
Prescription options
Prescription options may include compounded medications. Compounded drugs are permitted under federal law but are not FDA-approved and are not reviewed by the FDA for safety, effectiveness, or quality. Prescription required after provider evaluation. Not available in all states.
Available without a prescription
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
How care at Ivím works
Tell us what’s going on.
Your health history, what you’ve been noticing, and what you want to work on.
Meet your provider.
A licensed Ivím provider reviews it with you and talks through what’s worth looking at.
Get a plan built for you.
Treatment when it’s appropriate, along with guidance on nutrition, movement, sleep, and stress.
Keep going.
Your care team stays with you between visits, and your plan changes as your needs do. Ivím membership gives you access to your care team and to Ivím’s programs. Medication is billed separately.
Jessica Duncan, MD · Chief Medical Officer
“When someone tells me they’re exhausted, I don’t assume I already know why. Some people live with being tired for years because they’ve decided it’s just age or stress. Sometimes it is. Sometimes it’s something we can find and treat. You don’t have to just push through it.”
Jessica Duncan, MD, DABOM Chief Medical Officer
