Dr. Evan Hirsch, MD
Integrative Medicine
Olympia, WA
10 years experience male
Locations
Fix Your Fatigue
Olympia, WA
My office hours
Wednesday: 9:00am - 5:00pm
Show morePhone
Practice website
Insurances accepted
Regence Blue Shield of Washington
Premera Blue Cross
First Choice Healthcare
About
Bio
We are on a mission to help 1 million people resolve their fatigue, ME/CFS and Long Haulers symptoms naturally.
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Integrative Medicine
Functional Medicine
Doctor Q&A
35 Answers
7 Agrees
The number of answers this doctor has agreed with.
A 46-year-old female asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
Absolutely!: ideal b12 levels are above 1500 in blood. often times I will recommend that people take shots or very high levels of vitamin b12 10,000 mcg if they ar... Read More
2.4k viewsReviewed >2 years ago
A 24-year-old member asked:
A 21-year-old male asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
The basics: If your big belly is not from bloating or constipation (stooling 1-2x per day), then getting back to the basics is advised: lifestyle and diet. I reco... Read More
5.7k viewsAnswered >2 years ago
A 41-year-old member asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
To bowel tolerance: Typically, 2000mg per day should be fine.
Consider vitamin d and a good multivitamin for prevention as well.
5.7k viewsReviewed >2 years ago
A 42-year-old female asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
Constipation: Definitely sounds like you have constipation related to the oxycodone. Whenever you are on a narcotic, you'll need a laxative to help you stool. I rec... Read More
5.7k viewsAnswered >2 years ago
A 48-year-old member asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
Yes: It comes in several forms with the most common being sodium ascorbate and ascorbic acid.
5.7k viewsReviewed >2 years ago
A 44-year-old member asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
Tea tree oil: Tea tree oil and colloidal silver are great natural remedies for infected insect bites. Depending on how badly infected, you can take the colloidal s... Read More
5.7k viewsReviewed >2 years ago
A 34-year-old member asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
Herbs: There are several herbs that can be helpful. My favorite is maca - there is a specific strain that works on female hormones. Typically, the herbs that... Read More
5.7k viewsAnswered >2 years ago
A 32-year-old member asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
Multiple causese: There are several causes: low stomach acid, pernicious anemia, poor consumption of foods containing B12 and a genetic predisposition that requires mor... Read More
5.7k viewsReviewed >2 years ago
A 32-year-old member asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
Mindfulness practice: Meditation, tai chi, qi gong, yoga. All of these mindfulness practices are an excellent way to relieve stress, improve focus and prepare yourself for ... Read More
5.7k viewsReviewed >2 years ago
A 25-year-old female asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
Referred pain: Hi,
the pain you're experiencing in your chest is probably referred pain from your stomach and should resolve with the stomach virus. It may also be... Read More
2.3k viewsAnswered >2 years ago
A 21-year-old female asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
Bartonella: Hi Ashley, it may be a Bartonella rash. this chronic bacterial infection also causes neck pain, migraines, insomnia, foot pain and sometimes joint pai... Read More
635 viewsAnswered >2 years ago
A female asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
Kind of : Ketoconazole cream can treat eczema if the cause is fungal. Taking oral antifungals would be helpful as well. It's ideal to figure out the cause. Feel... Read More
2.3k viewsReviewed >2 years ago
A 27-year-old male asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
Starting on thyroid : You may have taken your thyroid before the test. That will cause a false elevation. Also, always make sure you are paying attention to symptoms. If yo... Read More
2.4k viewsAnswered >2 years ago
A 33-year-old member asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
CFS: It depends on the cause. Causes include problems with: sleep, hormones, heavy metals, infections, nutrient deficiencies, lack of exercise, food allerg... Read More
5.5k viewsAnswered >2 years ago
A 22-year-old female asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
B12: Neuropathies (nerve pain), cognitive problems and fatigue are the main symptoms that i see.
The rash is probably not due to the B12 deficiency.
5.5k viewsAnswered >2 years ago
A 45-year-old female asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
It depends: Hi StaciS188,
it depends. often times people require both T4 and T3 support (the two main hormones made by the thyroid), so there are a number of op... Read More
2.4k viewsReviewed >2 years ago
A 35-year-old female asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
Anemia and mood: I don't know the last medication you mentioned but otherwise it's okay. Treating the cause of your anemia will help your mood issues.
5.2k viewsReviewed >2 years ago
A female asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
Immune system: Hi, Your immune system's reactions are directly reflected onto your skin as a rash. The most likely triggers are from a topical allergy (cream you us... Read More
2.3k viewsAnswered >2 years ago
A 27-year-old male asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
Remove the cause: like many conditions, if you remove the cause of the autoimmunity, the symptoms will go away. I have found these causes to be infections, heavy metals... Read More
2.2k viewsAnswered >2 years ago
A 21-year-old female asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
Fatigue: The causes of fatigue are multi-factorial. Often times fatigue is caused by problems with: sleep, hormones, heavy metals, infections, nutrient deficie... Read More
2.2k viewsAnswered >2 years ago
A 46-year-old female asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
Yes: absolutely! depression can cause fatigue, and fatigue can cause depression. sometimes it is hard to know which one is the cause. Check out Dr Greenbl... Read More
2.3k viewsAnswered >2 years ago
A 47-year-old member asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
No: The rda is generally not enough to promote health, only mitigate disease. High doses of b vitamins are great for stress (adrenal health), energy, mem... Read More
5.7k viewsReviewed >2 years ago
A 24-year-old female asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
Not usually: Not usually, but if they are pushing out other pathogenic (bad) bugs, or if there is a strain (sometimes strep) that is triggering your immune system,... Read More
2.4k viewsAnswered >2 years ago
A 17-year-old female asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
Immune system: Hi,
Your immune system's reactions is directly reflected onto your skin as a rash and itching. The most likely triggers are from a topical allergy,... Read More
2.3k viewsAnswered >2 years ago
A 28-year-old female asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
NO: Autoimmune thyroid is caused by the immune system attacking the thyroid. Autoimmune pancreatitis is caused by the immune system attacking the pancreas... Read More
2.3k viewsReviewed >2 years ago
A 31-year-old member asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
Confused immunity: Autoimmunity is when the immune system gets confused and starts attacking the body. The cause is a anything that can trigger the immune system to att... Read More
2.3k viewsReviewed >2 years ago
A 50-year-old member asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
CFS: It depends. If you change your lifestyle and treat the cause, then you should improve in 1-3 years.
5.5k viewsAnswered >2 years ago
A 23-year-old female asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
Biofeedback: Acupuncture and intra-oral massage. Hurts at first, but very helpful. Do weekly until resolved.
Biofeedback if your TMJ is from grinding your teet... Read More
5.7k viewsReviewed >2 years ago
A 39-year-old member asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
Food elim diet: A food elimination diet removes the top 10 food allergens from your diet. Since the skin is a direct reflection of the gut and immune system, being o... Read More
5.7k viewsAnswered >2 years ago
A 38-year-old member asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
Fatigue: The causes of fatigue are multi-factorial. Often times fatigue is caused by problems with: sleep, hormones, heavy metals, infections, nutrient deficie... Read More
5.5k viewsReviewed >2 years ago
A 44-year-old member asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
With conventional: Complementary therapies are just that, complementary. They support other whole system disciplines. These are best used in conjunction.
5.7k viewsAnswered >2 years ago
A 37-year-old member asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
No inversions: I think most of the moves are okay, just refrain from any inversions.
5.7k viewsReviewed >2 years ago
A 44-year-old member asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
HEPA filter : Hepa filters throughout the house. Antioxidants and n-acetyl cysteine for lung health.
5.7k viewsAnswered >2 years ago
A 46-year-old member asked:

Dr. Evan Hirsch, MDanswered
Integrative Medicine 15 years experience
Autoimmune thyroid: this is a condition where the immune system starts attacking the thyroid. this will cause damage to the thyroid gland and consequently, lower thyroid ... Read More
2.2k viewsAnswered >2 years ago
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
123
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Hirsch is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Hirsch is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
That was the diagnosis and treatment. Can the side effects be alleviated through treatment, like use of vitamins or analgesic? I'm grateful
HealthTap member
This was very helpful. Thanks! Was told only I just would help me. I have no IF by shillings test. Would love it sublingual
HealthTap member
Your answer was very helpful! Thanks :) v detailed thankyou Dr Hirsch.my labs were before taking armour btw!
Education & Training
Medical/Graduate school
University of Toledo College of Medicine, OH
Graduated 2012MD
Residency
PROVIDENCE ST PETER HOSPITAL
Affiliations
Institute for Functional Medicine
American Academy of Environmental Medicine
American Board of Integrative Holistic Medicine
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
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