


Restore Health And Wellness, established in 2005 in Wilmington, NC, operates as a functional medicine clinic specializing in bio-identical hormone replacement therapy (BHRT), metabolic optimization, and endocrine system restoration. Lead provider Tabetha holds ANCC Board Certification and is a BioTE Certified Practitioner, bringing over two decades of clinical experience to patients seeking hormone balance, weight management, and comprehensive wellness solutions in the Cape Fear region. The clinic provides in-person consultations exclusively, allowing for thorough physical assessments and personalized treatment planning based on individual lab work and symptom profiles.
The clinic's treatment protocols center on bio-identical hormone therapy using the BioTE pellet delivery system, which provides sustained hormone release for patients experiencing symptoms of menopause, andropause, thyroid dysfunction, or adrenal insufficiency. Tabetha addresses weight loss resistance through metabolic testing and hormone optimization rather than calorie restriction alone, examining thyroid function (TSH, Free T3, Free T4, reverse T3), insulin sensitivity, cortisol patterns, and sex hormone ratios to identify root causes of stubborn weight gain. The practice treats gastrointestinal conditions including SIBO, leaky gut syndrome, and inflammatory bowel conditions through functional stool analysis, elimination protocols, and targeted supplementation. Patients with Hashimoto's thyroiditis, hypothyroidism, or adrenal fatigue receive individualized treatment plans that may include thyroid hormone replacement, adaptogenic support, and lifestyle modifications based on comprehensive hormone panels and symptom tracking.
Tabetha's approach combines conventional medical training with functional medicine principles, utilizing advanced diagnostic testing to assess hormone levels, nutrient deficiencies, inflammatory markers, and metabolic function before designing treatment protocols. As a BioTE Certified Practitioner, she has completed specialized training in pellet insertion techniques, dosing calculations based on body composition and symptom severity, and monitoring protocols to ensure optimal therapeutic outcomes. The clinic's endocrine focus extends beyond reproductive hormones to include complete thyroid panels, adrenal stress indices through salivary cortisol testing, and metabolic markers including fasting insulin, hemoglobin A1c, and lipid panels to assess cardiovascular and diabetes risk in the context of hormone imbalances.
Patients at Restore Health And Wellness in Wilmington undergo initial consultations lasting 60-90 minutes, during which Tabetha reviews medical history, current symptoms, previous lab work, and treatment goals before ordering comprehensive hormone testing. Follow-up visits occur at intervals determined by treatment type—typically 4-6 weeks after hormone pellet insertion, then every 3-6 months for maintenance patients. The clinic requires in-person visits for pellet insertions, physical exams, and initial consultations, though some follow-up lab reviews may be conducted via phone after the patient-provider relationship is established. Weight loss patients receive body composition analysis, metabolic rate testing, and nutritional guidance tailored to their hormone status, with progress monitored through regular weigh-ins and lab marker tracking.
Restore Health And Wellness has announced permanent closure effective February 26, 2026, and is not accepting new patients for long-term treatment protocols. Current patients should contact the clinic directly regarding medical record transfers, remaining pellet insertion appointments before closure, and referrals to other BHRT providers in the Wilmington area. The clinic's two-decade presence in southeastern North Carolina has served patients throughout New Hanover County, Pender County, and Brunswick County seeking alternatives to conventional hormone replacement and weight management approaches.
Tabetha
Tabetha Smith, FNP-C
Owner, Nurse Practitioner
Tabetha graduated from the University of North Carolina at Wilmington with a Bachelor of Science in Nursing and was inducted into the Sigma Theta Tau International Honor Society of Nursing. She graduated from the UNC School of Nursing at Chapel Hill in 1997 with her Master of Science in Nursing and started her career as a Nurse Practitioner. Tabetha is an ANCC Board Certified Family Nurse Practitioner and a top Legacy BioTE Bio-Identical Hormone Pellet Provider. She has specialized in bio-identical hormone therapy her entire career and has specialized in functional medicine since 2005.
Karla Vavra Melcher, RN BSN
Nurse
Karla received her Bachelor of Science in Nursing with High Distinction from the University of Nebraska Medical Center in 1996. She has worked with Tabetha for over 7 years and has been a Certified BioTE Provider in this office since June 2018. Karla performs IV Infusion Therapy, EPAT/Acoustic Wave Therapy, as well as BioTE Bio-Identical Hormone Therapy, Medical Weight Loss, and Aesthetics.
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