What We Treat › Energy & Fatigue
Physician-Directed Care · Scottsdale AZ

Always Exhausted?
We Fix That.

Chronic fatigue, afternoon energy crashes, waking up tired no matter how much you sleep — these aren't just signs of "getting older." They're signals your body is deficient in something specific. We find it. We fix it.

Book Today — Walk-Ins Welcome Find My Treatment
27K+Monthly searches for fatigue help
1 hrAverage time to feel results
9 yrsTreating fatigue in Scottsdale
Do any of these sound familiar?
  • Tired even after 8+ hours of sleep
  • 3pm energy crash every afternoon
  • Can't get through the day without caffeine
  • Feeling heavy, sluggish, unmotivated
  • Brain feels slow alongside low energy
  • Low exercise tolerance / quick to fatigue
  • Cold hands and feet, pale skin
Iron Deficiency B12 Depletion Low NAD+ Low Testosterone Adrenal Fatigue
Symptom Recognition

Is This What You're Experiencing?

Fatigue presents differently for different people. Recognizing your specific pattern is the first step to identifying the right root cause — and the right treatment.

😴
Unrefreshing sleepYou sleep 7–9 hours but wake up just as tired as when you went to bed.
📉
Afternoon energy crashConsistent drop in energy between 2–4pm regardless of diet or caffeine.
☕
Caffeine dependencyYou rely on coffee or energy drinks just to function at a baseline level.
🏋️
Workout fatigueExercise that used to feel manageable now feels exhausting or takes days to recover from.
🧠
Mental fog alongside fatigueLow energy combined with difficulty concentrating, slow processing, or poor memory.
❄️
Cold extremities & pallorAlways cold hands/feet, pale or yellowish skin — hallmarks of iron deficiency anemia.
😶
Mood changes with fatigueIrritability, low motivation, mild depression that travels alongside your tiredness.
💤
Restless legs at nightUncomfortable leg sensations disrupting sleep — strongly associated with iron deficiency.
Root Cause Analysis

Why Are You Actually Tired?

Fatigue is never a diagnosis — it's a symptom. The question is what's driving it. Here are the most common root causes we identify and treat at Viva.

01
Iron Deficiency & Anemia
Iron is the backbone of hemoglobin — the protein red blood cells use to carry oxygen to every cell in your body. Without adequate iron, your muscles, brain, and organs are literally running on less oxygen than they need. The fatigue is profound and specific: heavy-limbed, exercise-intolerant, and often accompanied by cold hands, brittle nails, and hair loss. Oral iron supplements only absorb at ~10%. IV iron delivers 100% directly.
02
B12 & B Vitamin Depletion
B vitamins — especially B12, B6, and folate — are essential for cellular energy production, red blood cell formation, and neurological function. Deficiency is extremely common in people who drink alcohol regularly, eat plant-based diets, take certain medications (metformin, PPIs, birth control), or have gut absorption issues. B12 injections and IV B-Complex bypass the digestive system for immediate absorption and effect.
03
NAD+ Cellular Energy Decline
NAD+ (nicotinamide adenine dinucleotide) is the coenzyme your mitochondria need to produce ATP — the actual fuel your cells run on. NAD+ levels drop 50% by age 40 and continue declining. The result is a cell-level energy crisis that no amount of coffee can fix. IV NAD+ therapy is the only way to rapidly restore cellular NAD+ levels — effects are often felt during the infusion itself.
04
Low Testosterone (Men)
Testosterone plays a critical role in energy metabolism, red blood cell production, muscle mass maintenance, and mood regulation. Men with low testosterone consistently report profound, unexplained fatigue as their #1 complaint — even before noticing changes in libido or muscle. After age 30, testosterone drops ~1% per year. Physician-directed TRT restores levels to an optimal range, often producing dramatic energy improvements within weeks.
05
Adrenal Fatigue / HPA Dysfunction
The hypothalamic-pituitary-adrenal (HPA) axis regulates your stress response and cortisol production. Chronic stress, poor sleep, and overtraining can dysregulate this system — producing the characteristic "tired but wired" or "crashed and can't recover" pattern. Comprehensive lab panels through our Optimization program map exactly where your cortisol curve is breaking down.
06
Dehydration & Electrolyte Imbalance
Even mild dehydration — as little as 1–2% fluid loss — measurably reduces cognitive performance, physical endurance, and subjective energy. In Scottsdale's desert heat, this is a year-round issue. IV hydration delivers fluids and electrolytes with 100% bioavailability, rapidly restoring the cellular environment your energy systems need to function.
The Science

Why IV Therapy Works Better Than Oral Supplements

The fundamental problem with oral supplements for fatigue is bioavailability. Even a high-quality oral B12 supplement is absorbed at 1–5% in the gut. Iron pills absorb at roughly 10% — and most people experience GI side effects that further limit consistent use. By the time a supplement has been processed through your digestive system, a fraction of the active ingredient makes it into circulation.

IV therapy completely bypasses the digestive system. Nutrients are delivered directly into your bloodstream at 100% bioavailability, reaching your cells immediately. This is why patients who have taken B12 supplements for months with minimal effect often feel a dramatic difference after a single IV session.

For NAD+, oral supplementation faces an even larger problem — NAD+ cannot survive intact through digestion. The only way to meaningfully raise cellular NAD+ levels is through IV infusion, which delivers the molecule directly into circulation where cells can absorb it.

At Viva, every treatment is physician-supervised by Dr. Jerome Cordova, MD — a critical care physician who has administered thousands of IV treatments since founding the clinic in 2017.

By the Numbers

100%
Bioavailability of IV-delivered nutrients vs. 1–10% for most oral supplements
50%
Drop in NAD+ levels by age 40 — the cellular energy crisis underlying most "unexplained" fatigue
~45%
Of Americans are iron deficient — the #1 nutritional deficiency worldwide and the leading cause of fatigue
1%
Annual testosterone decline in men after age 30 — accumulating into significant fatigue and energy deficits by the 40s
Your Treatment Options

What We Use to Restore Your Energy

All treatments are standard non-member pricing. Physician-directed by Dr. Cordova, administered by licensed RNs.

Best for Ongoing Fatigue
Iron IV Therapy
From $150

The most effective treatment for iron-deficiency fatigue. IV iron bypasses your gut entirely, delivering 100% of the dose directly into your bloodstream — producing results that months of iron pills cannot match. Most common dose: 3mL ($150), ideal for standard anemia correction.

  • 100% absorption — no GI side effects
  • Results typically felt within 24–72 hours
  • Single session often corrects deficiency
  • Physician-assessed for correct dosing
View Iron IV →
Cellular Energy Restoration
NAD+ IV Therapy
From $200

NAD+ is the fuel your mitochondria need to produce ATP — the energy currency of every cell. When NAD+ declines (50% by age 40), fatigue becomes systemic and impossible to resolve with diet alone. NAD+ infusions replenish this directly, often producing noticeable mental and physical energy improvements during the session.

  • Restores mitochondrial energy production
  • Effects felt during & after infusion
  • 250mg ($200) to 1000mg ($700) doses
  • Packages available for ongoing protocols
View NAD+ →
Immediate Energy Boost
Energy IV Drip
$175

High-dose B vitamins, amino acids, and vitamin C delivered intravenously for an immediate, same-session energy boost. Ideal for acute fatigue, pre-event performance, or when you need to feel better today.

  • B12, B-Complex, amino acids, Vitamin C
  • Feel results within 30–60 minutes
  • 30–45 minute session
  • Walk-in friendly
View IV Menu →
Advanced Energy
Energy Plus IV Drip
$225

The upgraded energy protocol — high-dose B12, advanced amino acids, and an energy-enhancing blend for serious, sustained fatigue that the standard Energy drip doesn't fully resolve.

  • Higher-dose B12 & amino acid blend
  • Sustained energy vs. quick spike
  • Ideal for chronic fatigue patterns
View IV Menu →
Monthly Program
TRT Program
From $199/mo

For men whose fatigue is rooted in low testosterone — the most underdiagnosed cause of chronic male fatigue. Bloodwork, physician diagnosis, and a physician-managed protocol that restores optimal hormone levels.

  • Full hormone panel bloodwork
  • Physician-managed monthly protocol
  • Wellness ($199), Optimize ($349), Elite ($599)
  • Most patients feel results within 4–6 weeks
Learn About TRT →
Injection Add-Ons
B12 & B-Complex Injections
$25 – $30

Fast, affordable energy injections that can be given standalone or added to any IV session. B12 ($25) and B-Complex ($30) are the most popular standalone energy boosters for patients on a weekly maintenance protocol.

  • 5-minute quick visit — no IV needed
  • 100% bioavailability via injection
  • Ideal for weekly maintenance protocols
View Injections →
Your Experience

What to Expect at Your Visit

Step 1
Arrive & Check In
Walk in or book online. Check-in takes under 5 minutes. No referral needed, no long waits. Our team reviews your symptoms and goals before recommending your specific treatment.
Step 2
Physician or RN Assessment
For first-time patients or program inquiries, a brief assessment ensures the right treatment for your specific fatigue pattern. We identify whether your fatigue is acute (dehydration, B12) or chronic (iron, NAD+, hormones).
Step 3
IV or Injection Treatment
Relax in our clinic while your treatment is administered by a licensed RN. IV sessions run 30–60 minutes for most drips. Iron IV takes 30–45 minutes for the standard 3mL dose. NAD+ sessions run 1–4 hours depending on dose.
Step 4
Feel the Difference
Most patients report increased energy within hours of their IV session. Iron IV results build over 24–72 hours. NAD+ effects are often noticeable during the infusion. For TRT, full results typically emerge over 4–6 weeks.
Dr. Jerome Cordova MD
Medical Director & Founder
Dr. Jerome Cordova, MD
Critical Care Physician · Biomedical Engineer · Founded Viva IV Therapy 2017 · Old Town Scottsdale

"Fatigue is the single most common complaint I hear — and the most commonly dismissed. 'You're just getting older' is not a diagnosis. Iron deficiency, B12 depletion, low NAD+, low testosterone — these are all measurable, treatable conditions. We find the cause and we fix it."

Common Questions

Fatigue Treatment FAQ

The pattern of your fatigue gives us strong clues. Cold hands/feet and pallor point to iron. Neurological symptoms alongside tiredness suggest B12. Profound cellular exhaustion that persists despite sleep points to NAD+. Low libido and mood changes in men suggest testosterone. Our team will assess your specific pattern and recommend the right starting point — often a single session is enough to tell us whether we're on the right track.
For IV drips (B-Complex, Energy, Energy Plus), most patients feel improvement within 30–60 minutes of the session. Iron IV results build over 24–72 hours, with full effect over 1–2 weeks. NAD+ is often felt during the infusion. TRT results develop over 4–6 weeks of treatment.
Absolutely. The Myers Cocktail ($185) and Ultimate IV ($225) are comprehensive wellness drips that address the most common nutritional causes of fatigue simultaneously. Many patients start there and then do more specific testing if they want to identify the precise deficiency.
For acute IV drip treatments (Energy, B12 injection, hydration), no testing is required — you can walk in today. For Iron IV at higher doses, we require a recent CBC or ferritin level on file. For TRT and our Optimization programs, comprehensive bloodwork is part of the intake process and is coordinated by our team.
All Viva treatments are physician-directed by Dr. Jerome Cordova, MD, and administered by licensed RNs. We follow clinical protocols for every treatment. IV therapy has an excellent safety profile when administered by trained medical professionals in a clinical setting — which is exactly what we are.
Related Conditions

Also Explore

Brain Fog & Mental Clarity Anti-Aging & Longevity Athletic Recovery Hangover Recovery All Conditions →

Ready to Feel Energized Again?

Walk-ins welcome daily. Or book your appointment online — same-day slots available.

Book Now Find My Treatment
(480) 508-8482

Open Daily · 10:00 AM – 7:00 PM · 7320 E. 6th Ave, Old Town Scottsdale