Evidence-Based Midlife & Perimenopause Hormone Care!

Clinical evaluation and personalized treatment for women experiencing hormonal shifts, mood changes, sleep disturbances, weight fluctuations, and fatigue in midlife.

Start Here: Clinical Clarity Consult

Welcome to Macvelly Wellness

Your Clinical Partner in Midlife Hormone Health

At Macvelly Wellness & Medical Services, we provide comprehensive, evidence-based care for women navigating perimenopause, menopause, and midlife hormonal change.
Founded by board-certified Family Nurse Practitioner Vera Nyonglemuga, FNP-BC, FNP-C, CCRN, our care model prioritizes accurate evaluation, individualized treatment planning, and a clinical approach grounded in research and patient-centered support.

If you have been experiencing symptoms that have been dismissed as “stress,” “normal aging,” or “nothing to worry about,” we are here to listen and investigate further.

We offer:

• Hormone Replacement Therapy (HRT) for Perimenopause & Menopause
• Perimenopause & Midlife Wellness Coaching (virtual)
• Integrative Wellness & Lifestyle Treatment Planning
• IV Hydration & Nutritional Wellness Support (in-person, Liberty Lake, WA)
• Medical Weight Management (GLP-1 + non-GLP-1 + metabolic & lifestyle focus)

📍 Liberty Lake, WA
🌍 Virtual support available worldwide

Your health goals matter. We’re here to help you feel better, live better, and thrive through every stage of life.

👉 Care at Macvelly Wellness begins with a paid Clinical Clarity Consult designed to help you understand what’s happening in your body and identify the right next step.

Start Here: Clinical Clarity Consult

Redefining Your Health Journey

At Macvelly Wellness & Medical Services, we believe healthcare should be personal, proactive, accessible and truly focused on you. Located in Liberty Lake, WA, we offer a unique approach to health that goes beyond rushed, symptom-focused visits, building lasting relationships and empowering you with the knowledge and support to thrive. Experience a practice where your well-being is our unwavering priority. We also extend our compassionate care through secure virtual consultation making personalized health truly accessible no matter where you are.

Learn More About Us

Providing you with a safe space to relax!

All your appointments will take place in our soothing office environment with fully private rooms, complimentary tea and water, and individualized care.

Click here for directions to Macvelly Wellness

In-person and Telehealth options

Our office is conveniently located in Liberty Lake, WA. Unable to visit the office in person? We offer secure telehealth services to ensure continuity of care wherever you are.

Your Path to Optimal Health Starts Here!

Discover our comprehensive range of services designed to address your unique health needs and goals.

  • Woman preparing balanced food while smiling in a bright kitchen, representing hormone-informed metabolic and weight support in midlife.

    Midlife Metabolic & Weight Loss Support

    We address weight and metabolism changes associated with perimenopause using a comprehensive, evidence-based approach. This includes nutrition planning, sleep and stress support, movement recommendations, non–GLP-1 metabolic strategies, and GLP-1 medication support with clinical monitoring when indicated.

    Discover Weight Loss
  • Clinician reviewing medical chart with patient, representing personalized hormone replacement therapy and testosterone management. SEO File Name:

    Hormone Replacement Therapy & Testosterone Therapy

    Personalized and evidence-based hormone therapy for perimenopause and menopause. Clinical evaluation, prescription management, and ongoing monitoring for safe and effective symptom relief.

    Our approach emphasizes physiologic hormone replacement, careful dosing, and ongoing monitoring — not supraphysiologic or trend-based hormone use.

    Explore HRT
  • Woman talking with a provider in a calm setting, symbolizing emotional and lifestyle support during perimenopause and menopause.

    Perimenopause & Menopause Coaching

    Structured guidance and support to help you understand your hormonal changes, stabilize mood, improve sleep, and navigate midlife with clarity and confidence.

    Learn About Coaching
  • Person receiving IV infusion in a comfortable wellness setting, representing hydration therapy for energy and recovery.

    IV Hydration & Wellness

    Targeted IV nutrient and hydration therapies for energy support, immune function, recovery, and wellness maintenance.

    Book IV Therapy
  • Woman sitting comfortably with a cup of tea, representing holistic lifestyle, stress, and wellness consulting for midlife.

    Integrative Wellness Consulting

    Root-cause assessment and treatment planning focused on stress physiology, sleep, gut health, metabolic health, inflammation, mood, and daily lifestyle patterns.

    Discover the Root Cause Approach
  • Woman preparing balanced food while smiling in a bright kitchen, representing hormone-informed metabolic and weight support in midlife.

    Perimenopause & Midlife Nutrition Program

    Nutrition tailored to hormonal physiology, metabolic shifts, inflammation, and midlife energy changes. Includes personalized nutrition plans and step-by-step implementation support.

    Explore Nutrition Program
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Meet Your Provider

  • Vera Nyonglemuga, FNP-BC, FNP-C, MSCP Candidate, smiling in a clinical setting, wearing a light blazer.

    Vera Nyonglemuga, FNP-BC, FNP-C, CCRN, MSCP Candidate

    Founder | Menopause & Hormone Specialist | Wellness Advocate

    Vera Nyonglemuga is a board-certified Family Nurse Practitioner with advanced training in menopause and midlife hormonal health, dedicated to helping women navigate perimenopause, menopause, and midlife transitions with clarity and confidence.

    With years of clinical experience and a compassionate, integrative approach, she founded Macvelly Wellness to offer evidence-based, whole-person care for women who feel dismissed, overlooked, or unsure of their next steps in midlife health.

    Vera provides both in-person and virtual care, creating a supportive space where women feel seen, heard, and empowered at every stage of their journey.

    Read Bio
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"Switching to Macvelly DPC was the best decision for my health. The care is truly personal, and I never feel rushed. It's healthcare the way it should be!"

— Sarah K., Liberty Lake, WA

Our blog

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Our blog *

Children high-fiving a female provider at Macvelly Wellness-offering compassionate family care in a warm clinic environment.

Tired of the Healthcare Maze? Discover the Macvelly DPC Difference!

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A woman struggling with body image and weight changes-Macvelly Wellness offers supportive, judgement-free weight loss guidance.

Beyond the Diet: Achieving Sustainable Weight Loss with Medical Guidance!

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A woman journaling as part if her integrative wellness journey-emphasizing reflection and mental clarity with Macvelly Wellness.

Beyond Symptoms: Uncover Your True Health with Integrative Wellness Consulting!

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A woman smiling post-workout. Macvelly Wellness supports sustainable fitness and hormone-balanced wellness for women.

Thrive Through Transition: Navigating Perimenopause & Menopause with Confidence!

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Ready to Prioritize Your Health?

Care at Macvelly Wellness begins with a Clinical Clarity Consult — a structured, one-on-one assessment designed to help you understand what’s happening in your body and identify the most appropriate next step.

This ensures your care is intentional, personalized, and clinically aligned from the very beginning.

Start Here: Clinical Clarity Consult

Paid clinical assessment • Virtual & in-person options available