Who can access Nerva at no cost?

Any US resident aged 65 or older who is referred to Nerva by a healthcare provider. Eligibility is confirmed during sign-up in a short screening that takes under 5 minutes.

Why is Nerva being offered to me at no cost?

Adults aged 65 and older are underrepresented in gut-brain disorder research, so there's been less age-specific evidence to draw from. Removing cost as a barrier means more older adults can access an approach designed to target what's actually driving their symptoms – and helps build the evidence base for this age group.

Is there a catch to Nerva at no cost?

No. The program is the same Nerva that clinicians recommend. There's no obligation to continue, nothing additional you'll be billed for, and no other payment required. If you decide it isn't right for you, you can stop at any time.

How long will I have access?

At least 12 months at no cost. Access continues at no cost unless we let you know about any change in advance.

Can I use Nerva alongside my current medications?

Yes. Nerva is designed to work alongside your existing care, not replace it. There are no known drug interactions. Always speak with your doctor before changing any medication.

Do I need to be tech-savvy to use Nerva?

No. The program is delivered through a simple app, and the specialist team can walk you through getting set up if you need a hand. Many people start their sign-up on a computer, then move to their phone for the daily sessions.

Blog

Your gut shouldn't decide where you go, what you eat, or how you feel: Nerva at no cost for US adults 65+

Written byChristina Sexton

Medically reviewed byDr Anthony Tang

Published May 27, 2026 · 5 min read

On this page

What's actually happening in your gut after a lifetime of symptoms
What Nerva is, and how to get started at no cost
Frequently asked questions
Who can access Nerva at no cost?
Why is Nerva being offered to me at no cost?
Is there a catch to Nerva at no cost?
How long will I have access?
Can I use Nerva alongside my current medications?
Do I need to be tech-savvy to use Nerva?
References

Key takeaways:

You're not imagining it, and you're not alone – nearly 1 in 3 US adults over 65 live with IBS or similar gut symptoms.¹
If you've been told it's "just your age," that's not the full picture. The cause is real, and there's something that can help.
Nerva is a 6-week program that works on the connection between your gut and brain – 15 to 20 minutes a day at home, with a real person to support you.
People over 65 stay with the program more consistently than younger users, and see similar results. It's now available at no cost if you're a US adult aged 65 or older.

Nerva is now available at no cost to all US adults aged 65 or older. It's a 6-week gut-brain therapy program built for people living with IBS and other gut-brain disorders – including functional dyspepsia, functional constipation, rumination syndrome, and functional reflux – and it's been clinically researched and recommended by leading gastroenterology bodies.

If you're in your late 60s, 70s, or 80s and still living with bloating, abdominal pain, unpredictable bowel habits, or meals you've quietly stopped eating, you've likely had years of "your tests are normal" or "it's just part of getting older."

Neither of those is the full story.

Older adults with gut-brain disorders are common in clinics, but until recently haven't had many options that target what's actually driving the symptoms.