Gut-brain support for life on a GLP-1
Nerva is a gut-directed hypnotherapy program designed to help you manage digestive symptoms through the gut-brain connection. Build a daily practice with guided audio, breathing exercises and practical coping skills.
Make digestive care part of your routine
Nausea, bloating and changing bowel habits can make eating and planning your day harder. These symptoms are common with GLP-1 medicines, particularly during dose increases. Wegovy prescribing information.
Your prescriber can help with medication-related symptoms. Nerva brings another part of digestive care into your day: skills for responding to gut sensations and the worry that can come with them.
The gut and brain are constantly communicating. GLP-1 medicines act through this system, and researchers are studying how its pathways contribute to nausea and other digestive experiences. Our gut-brain science guide explains the connection and the research behind behavioral approaches. Beutler, 2026.
Fifteen minutes a day, at home
Open the app, get comfortable and listen. During each session, you're guided through relaxation and gut-focused imagery. You stay in control and can pause whenever you want.
The six-week core program gives you a regular practice, with tools you can return to throughout your subscription:
- Gut-directed hypnotherapy: daily guided audio sessions lasting about 15 minutes.
- Breathing toolkit: guided breathing exercises for moments when gut symptoms feel difficult to manage.
- CBT-informed education: practical ways to work with thoughts and behaviors around digestive symptoms.
Choose a listening time that fits your day. The standard annual subscription includes 12 months of access, so you can continue using the program after the six-week core. See the Nerva program.
Clinical evidence in IBS
In a randomized trial of 244 adults with IBS, 81% receiving Nerva versus 63% receiving an active control achieved a clinically meaningful improvement in overall IBS symptoms at program completion. The study defined improvement as a decrease of at least 50 points on the IBS Symptom Severity Scale. Anderson et al., 2025.
The American College of Gastroenterology suggests gut-directed psychotherapies for global IBS symptoms. ACG guideline.
Nerva hasn't been tested as a treatment for GLP-1 side effects.
Start with the free assessment
The assessment asks about your symptoms to check whether Nerva fits your needs. You can then review the subscription terms and try the program with a 7-day free trial.
If your symptoms are new or unexplained, have them assessed by a healthcare professional. Nerva sits alongside your medical care. Don't change your medication or dose without talking to your prescriber.
Common questions
What if I already have IBS?
IBS is one of the conditions Nerva was designed for. If your symptoms changed after starting a GLP-1, tell your prescriber what changed and when. That helps them work out which parts of your care need attention.
Is this a different Nerva program?
You'll use Nerva's existing six-week program, with guided hypnotherapy, breathing exercises and educational resources. You keep access for the full subscription period.
Who should check suitability before starting?
Nerva isn't recommended for people with severe psychiatric disorders, unresolved psychological trauma or cognitive impairments. Discuss your care options with a healthcare professional if this applies to you. Nerva suitability information.
How do I find help with a specific symptom?
Our GLP-1 side effects guide covers practical steps and when to get help. You can also read about constipation, diarrhea, sulfur burps and how long side effects can last.
When to get medical help
Call 911 for chest pain, trouble breathing, fainting or collapse.
Get medical help right away for severe or lasting abdominal pain, especially if it spreads to your back; vomiting blood or black or bloody stools; repeated vomiting, inability to keep fluids down or very little urine; a swollen, painful belly with inability to pass stool or gas; or upper-right abdominal pain with fever or yellow skin or eyes.
Trouble swallowing needs prompt medical assessment. If you can't swallow at all, go to an emergency department.
Sources: medication warnings, NIDDK, CDC and Mayo Clinic.
Ozempic, Wegovy and Rybelsus are trademarks of Novo Nordisk. Mounjaro, Zepbound and Foundayo are trademarks of Eli Lilly. Nerva is not affiliated with either company.