Conditions · Fatigue & brain fog
Get your energy and focus back
If you’re tired no matter how much you sleep, or your thinking feels slow and scattered, there’s usually a reason, and it can be found.
In short
Ongoing fatigue and brain fog usually have a cause that testing can find, such as a thyroid problem, low iron, blood sugar swings, poor sleep or hormone changes. Vivaa looks past a standard panel at how your results fit together, then builds a plan that targets what it finds. Telehealth in GA, CA, TN and WA.
Understanding fatigue
Why do I feel tired and foggy all the time?
- Thyroid
- Blood sugar
- Nutrients
- Hormones
- Sleep
- Gut health
Ongoing fatigue and brain fog are some of the most common reasons people come to us, and some of the most often dismissed. Basic labs often come back normal, and the advice is to sleep more or reduce stress.
In practice, low energy and poor focus usually have physical causes: thyroid function that is low but not flagged, blood sugar swings, low iron, B12 or vitamin D, shifting sex hormones, cortisol patterns disrupted by long-term stress, poor sleep quality or inflammation that starts in the gut.
Because several of these often overlap, we test more broadly than a standard panel and look at how the results fit together. Your plan then targets the specific causes we find, so energy and clarity can return steadily.
Common concerns we help with
- Constant exhaustion Feeling drained even after a full night of sleep.
- Afternoon energy crashes Needing caffeine or sugar to get through the day.
- Trouble concentrating Losing focus, rereading the same thing or struggling to finish tasks.
- Forgetfulness Misplacing things or losing words more often than you used to.
- Unrefreshing sleep Sleeping enough hours but waking up tired.
- Low motivation Everyday tasks feel harder than they should.
How we help
How we help you feel clear and energized
Personalized care designed to find what’s draining your energy and correct it at the source.
01
Expanded lab testing
Thyroid, iron, B12, vitamin D, blood sugar, hormones and cortisol, reviewed together.
02
Nutrition for steady energy
Meals and targeted supplements that keep blood sugar stable and correct deficiencies.
03
Hormone and thyroid support
Treatment for the hormone and thyroid imbalances that often sit behind fatigue.
04
Sleep and stress recovery
A plan to improve sleep quality and bring stress hormones back into balance.
Your path at Vivaa
What happens when you start care
01
First consultation
A video visit covering your symptoms, health history and any labs you already have.
02
Targeted testing
We order the labs your symptoms call for, going past a routine panel where it helps.
03
Your personalized plan
Nutrition, lifestyle, supplements and, where appropriate, medication, based on what your results show.
04
Follow-ups and adjustments
Regular check-ins to review progress and adjust your plan. Vivaa works alongside your primary care provider.
Common questions
Is this available in my state?
Yes, if you’re located in Georgia, California, Tennessee or Washington at the time of your visit. We can’t see patients in other states.
What happens at my first visit?
A video consultation covering your symptoms, health history, lifestyle and any labs you already have. No referral is needed.
What tests do you run for fatigue?
We go beyond a basic metabolic panel. Our fatigue workup typically includes a full thyroid panel (TSH, free T3, free T4 and antibodies), iron studies, ferritin, vitamin B12, vitamin D, fasting insulin, a cortisol assessment and sex hormones. We review all of these together, because fatigue rarely has a single cause.
Could it be my thyroid?
It's one of the most common causes we find. A standard screening checks only TSH, but that can sit in the normal range while free T3 or free T4 is low, or while thyroid antibodies are elevated. A full thyroid panel gives us the complete picture. If your thyroid is contributing to your fatigue, even subtly, treatment can make a noticeable difference in energy and focus.
Your healing begins here
Start your journey to feeling better
Get a personalized plan that looks for the root cause, so you can feel better, regain your energy and take back control of your health. Telehealth in Georgia, California, Tennessee and Washington.
