Get to the Root Cause of Your Fatigue
Still exhausted but told your labs are ‘normal’?
We use targeted testing to uncover what traditional workups miss.
🔬 Structured Fatigue Evaluation
We do not treat “tired all the time” as a vague complaint. We combine your story, exam, and targeted labs to look for specific contributors like thyroid issues, iron deficiency, infections, stress hormones, gut health, and cellular energy problems.
✅ Is This Approach Right for You?
Our process is a good fit if you are exhausted despite sleeping, have been told your labs are fine, or struggle with brain fog, low motivation, poor workout recovery, or long‑standing stress or hormone symptoms and want real answers.
📍 Serving Wilmington and Beyond
We are based in Wilmington, NC and see patients from across the surrounding area. When appropriate, we can arrange remote testing and consultations for individuals elsewhere in North Carolina who need a deeper look at their fatigue.
WHY YOU STILL FEEL TIRED
Fatigue is one of the most common complaints in healthcare, yet it is also one of the most under-evaluated. Many patients with ongoing fatigue have been told their bloodwork is fine or their symptoms are stress-related, when in reality a specific imbalance may be at the root. Common contributors include thyroid dysfunction, low iron or anemia, Lyme disease, Epstein-Barr virus, cortisol dysregulation, hormone imbalances, hypometabolic patterns, and gut issues such as H. pylori.
OUR FATIGUE EVALUATION PROCESS
We take a structured, root-cause approach to fatigue. Rather than treating tiredness as a single-symptom issue, we look at the full clinical picture — your symptoms, health history, lifestyle, and targeted testing — to identify what may be driving low energy in your specific case.
Depending on your presentation, evaluation may include:
- Blood testing (iron studies, thyroid panel, Lyme disease antibody testing, EBV markers)
- OAT (Organic Acids Test) — to evaluate for hypometabolic patterns and cellular energy issues
- Adrenocortex Stress Profile or HU-Map — for non-menopausal women with hormone-related fatigue patterns
- Stool testing — to screen for H. pylori and gut health contributors
- Spirometry — to assess lung function and oxygen delivery
- EKG — to evaluate heart-related contributors to fatigue and low stamina
MEET YOUR DOCTORS
Dr. Mathew Bradshaw
DC, AFMCP
Dr. Matthew Bradshaw is a Kansas City–born, Colorado-schooled chiropractor and functional medicine practitioner who blends natural healing principles with advanced training through the Institute for Functional Medicine. After overcoming his own debilitating panic attacks and gut issues using a clean diet, targeted supplements, and lifestyle changes, he now loves helping patients who feel stuck in the traditional medical system finally get answers and lasting relief.
Hilary Rutledge
DC, DABCI
Dr. Hilary Rutledge is a Sierra Nevada Foothills native, longtime Wilmington resident, and chiropractor-turned-functional medicine doctor who has spent more than two decades helping patients get healthy naturally. After returning to school for four additional years of advanced functional medicine training, she now focuses on partnering with patients who feel unheard in the traditional system, using in-depth testing, personalized care plans, and plenty of real-life empathy as a mom, horse lover, and yoga enthusiast.
WHO THIS IS FOR
This approach may be a good fit if you:
- Feel exhausted most of the time despite adequate sleep
- Have been told your labs are normal but still feel unwell
- Are dealing with brain fog, low motivation, or poor exercise recovery
- Have a history of chronic stress, illness, or hormone-related symptoms
- Want a more thorough explanation of why your energy is low
Ready to Find Out What's Really Going On?
Book a free 15-minute discovery call. We'll talk about your symptoms, your history, and whether our program is the right fit.