93%
of women in perimenopause report persistent, daily fatigue, identifying low energy as a core barrier to their daily functioning and quality of life.¹
Low_energy
Iced coffee can't fix this type of tired
Fatigue isn't something more caffeine or a full eight hours of sleep can solve. Your hormones, metabolism, or thyroid could be behind it. Meet with a Midi Clinician to find out what's got you on empty.
Why is this happening?
Suddenly everyday life gets heavier
Finishing a work day or making dinner starts to feel like running a marathon.
1/4
93%
of women in perimenopause report persistent, daily fatigue, identifying low energy as a core barrier to their daily functioning and quality of life.¹
Energy is constantly made inside your mitochondria
Hormone shifts, cortisol swings, nutrient gaps, or thyroid changes can all slow that process down.
Suddenly everyday life gets heavier
Finishing a work day or making dinner starts to feel like running a marathon.
A vicious cycle forms
This isn't something to just push through
Low energy has a physiological cause, and identifying it is the first step toward feeling like yourself again.
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It's time to put daily fatigue to rest
Your Care Plan is built around your symptoms, and you won't be told to 'just get more sleep.' Midi clinicians dig into what's actually going on — hormones, thyroid, nutrient levels, sleep quality, and more — to build a plan that actually works.
How we build your Care Plan
Midi clinicians support you from every angle. They start by listening — then draw on the options below to build the right plan for you.
1Labs & testing
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1Labs & testing
Share your health history and energy patterns. Your Midi clinician may order labs to check thyroid function, iron and ferritin, vitamin D and B12, and key hormone levels.
More to explore:
What your labs can reveal about fatigue
2Lifestyle coaching & support
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2Lifestyle coaching & support
Midi clinicians can provide realistic strategies for:
- Circadian rhythm alignment & evening wind-down routines
- Blood sugar balancing to ease afternoon crashes
- Stress management & recovery techniques
3Hormone prescriptions
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3Hormone prescriptions
If it makes sense for you, your clinician can provide:
- Personalized hormone therapy (estrogen, progesterone, or thyroid support)
- Cycle-aware or metabolic endocrine adjustments
More to explore:
What is HRT?
4Non-hormone prescriptions
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4Non-hormone prescriptions
If appropriate, we can support you with non-hormonal treatments like:
- Bupropion (for daytime stamina and mental clarity)
- Ramelteon or Doxepin (for deeper, more consistent sleep)
- Levothyroxine (for underlying thyroid-driven sluggishness)
- NAD+ (for energy support and mental clarity)
- Low Dose Naltrexone (for reducing inflammation and pain)
5Supplement integration
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5Supplement integration
Midi clinicians can recommend targeted formulas like:
- Daily Brain Boost
- Creatine+
- Daily Fiber+
- High-potency B-Complex
- Vitamin D3
More to explore:
Shop Midi productsReal Midi Patients. Real relief*.
Better sleep led to less brain fog, more energy, and a happier version of myself.
My sleep has gotten better, my hot flashes have decreased, and my overall energy has improved.
I never felt like myself anymore, and couldn’t keep up with the demands of being a working mom.
I suffered for years and years, and had no idea that so many of my symptoms where related to perimenopause.
1/2
Products made for energy support
Clinically informed. Research-backed.
Shop all Midi products
More on Midi Mag
Cortisol-triggering foods: what to know and what to swap
Jan 6, 2026
If you experience energy dips, "wired-but-tired" evenings, and mid-afternoon crashes, shifting how you balance your plate can help steady your energy and mood.
Everything you need to know about NAD and NAD+ supplements
May 16, 2025
NAD plays a critical role in cellular energy production. Learn how targeting energy at the mitochondrial level helps restore stamina and clear brain fog.
Best iron supplements for women: dosage, forms, and timing
May 29, 2026
Feeling constantly tired or foggy? It’s easy to blame a busy schedule, but low iron and ferritin levels are frequently overlooked root causes of persistent fatigue.
Sources & citations
1. Mayo Clinic & Flo Health Global Survey on Midlife Health & Menopause (N = 17,208). Mayo Clinic Proceedings, 2024.
*These real patients became Midi Ambassadors and may receive free products and/or swag. Individual results may vary.
You have better things to do than power through
Midi accepts most major health plans. Book a virtual visit and reclaim your energy.