diff --git a/README.md b/README.md
index d7a5cb6..5797b03 100644
--- a/README.md
+++ b/README.md
@@ -57,6 +57,41 @@ anyio.run(fastenv.dump_dotenv, dotenv)
 # Path('/path/to/this/dir/.env')
 ```
 
+Use fastenv in your FastAPI app:
+
+```py
+from contextlib import asynccontextmanager
+from typing import AsyncIterator, TypedDict
+
+import fastenv
+from fastapi import FastAPI, Request
+
+
+class LifespanState(TypedDict):
+    settings: fastenv.DotEnv
+
+
+@asynccontextmanager
+async def lifespan(_: FastAPI) -> AsyncIterator[LifespanState]:
+    """Configure app lifespan.
+
+    https://fastapi.tiangolo.com/advanced/events/
+    https://www.starlette.io/lifespan/
+    """
+    settings = await fastenv.load_dotenv(".env")
+    lifespan_state: LifespanState = {"settings": settings}
+    yield lifespan_state
+
+
+app = FastAPI(lifespan=lifespan)
+
+
+@app.get("/settings")
+async def get_settings(request: Request) -> dict[str, str]:
+    settings = request.state.settings
+    return dict(settings)
+```
+
 ## Documentation
 
 Documentation is built with [Material for MkDocs](https://squidfunk.github.io/mkdocs-material/), deployed on [Vercel](https://vercel.com/), and available at [fastenv.bws.bio](https://fastenv.bws.bio) and [fastenv.vercel.app](https://fastenv.vercel.app).
diff --git a/docs/index.md b/docs/index.md
index 9d5116d..5c29fc1 100644
--- a/docs/index.md
+++ b/docs/index.md
@@ -56,3 +56,38 @@ import anyio
 anyio.run(fastenv.dump_dotenv, dotenv)
 # Path('/path/to/this/dir/.env')
 ```
+
+Use fastenv in your FastAPI app:
+
+```py
+from contextlib import asynccontextmanager
+from typing import AsyncIterator, TypedDict
+
+import fastenv
+from fastapi import FastAPI, Request
+
+
+class LifespanState(TypedDict):
+    settings: fastenv.DotEnv
+
+
+@asynccontextmanager
+async def lifespan(_: FastAPI) -> AsyncIterator[LifespanState]:
+    """Configure app lifespan.
+
+    https://fastapi.tiangolo.com/advanced/events/
+    https://www.starlette.io/lifespan/
+    """
+    settings = await fastenv.load_dotenv(".env")
+    lifespan_state: LifespanState = {"settings": settings}
+    yield lifespan_state
+
+
+app = FastAPI(lifespan=lifespan)
+
+
+@app.get("/settings")
+async def get_settings(request: Request) -> dict[str, str]:
+    settings = request.state.settings
+    return dict(settings)
+```
diff --git a/pyproject.toml b/pyproject.toml
index ce8cf4b..d224946 100644
--- a/pyproject.toml
+++ b/pyproject.toml
@@ -48,6 +48,7 @@ httpx = [
 ]
 tests = [
   "coverage[toml]>=7,<8",
+  "fastapi>=0.110.1,<0.111",
   "freezegun>=1,<2",
   "httpx>=0.23,<1",
   "pytest>=8.1.1,<9",
diff --git a/tests/test_fastapi.py b/tests/test_fastapi.py
new file mode 100644
index 0000000..0c07731
--- /dev/null
+++ b/tests/test_fastapi.py
@@ -0,0 +1,60 @@
+from __future__ import annotations
+
+import os
+from contextlib import asynccontextmanager
+from typing import AsyncGenerator, AsyncIterator, Dict, TypedDict
+
+import pytest
+from anyio import Path
+from fastapi import FastAPI, Request
+from fastapi.testclient import TestClient
+
+import fastenv
+
+
+class LifespanState(TypedDict):
+    settings: fastenv.DotEnv
+
+
+@asynccontextmanager
+async def lifespan(_: FastAPI) -> AsyncIterator[LifespanState]:
+    """Configure app lifespan.
+
+    https://fastapi.tiangolo.com/advanced/events/
+    https://www.starlette.io/lifespan/
+    """
+    env_file = os.environ["ENV_FILE"]
+    settings = await fastenv.load_dotenv(env_file)
+    lifespan_state: LifespanState = {"settings": settings}
+    yield lifespan_state
+
+
+app = FastAPI(lifespan=lifespan)
+
+
+@app.get("/settings")
+async def get_settings(request: Request) -> Dict[str, str]:
+    settings = request.state.settings
+    return dict(settings)
+
+
+@pytest.fixture
+async def test_client(
+    env_file: Path, monkeypatch: pytest.MonkeyPatch
+) -> AsyncGenerator[TestClient, None]:
+    """Instantiate a FastAPI test client.
+
+    https://fastapi.tiangolo.com/tutorial/testing/
+    https://www.starlette.io/testclient/
+    """
+    monkeypatch.setenv("ENV_FILE", str(env_file))
+    with TestClient(app) as test_client:
+        yield test_client
+
+
+@pytest.mark.anyio
+async def test_fastapi_with_fastenv(test_client: TestClient) -> None:
+    """Test loading a dotenv file into a FastAPI app with fastenv."""
+    response = test_client.get("/settings")
+    response_json = response.json()
+    assert response_json["AWS_ACCESS_KEY_ID_EXAMPLE"] == "AKIAIOSFODNN7EXAMPLE"