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.
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 and menopause.
Founded by 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.
👉 Book a Free Discovery Call to get started today.
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 traditional 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.
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.
In-person and Telehealth options
Our office is conveniently located in Liberty Lake, WA. Can’t make it into the office? No worries – we’ve got you covered with our telehealth services.
Your Path to Optimal Health Starts Here!
Discover our comprehensive range of services designed to address your unique health needs and goals.
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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.
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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.
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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.
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IV Hydration & Wellness
Targeted IV nutrient and hydration therapies for energy support, immune function, recovery, and wellness maintenance.
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Integrative Wellness Consulting
Root-cause assessment and treatment planning focused on stress physiology, sleep, gut health, metabolic health, inflammation, mood, and daily lifestyle patterns.
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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.
Meet our team
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Vera Nyonglemuga, FNP-BC, FNP-C, CCRN, MSCP Candidate
👩⚕️ Meet Vera Nyonglemuga
Founder | Menopause & Hormone Specialist | Wellness Advocate
Vera is a board-certified Family Nurse Practitioner and Menopause Specialist, dedicated to helping women thrive through midlife and beyond. With years of clinical experience and a compassionate, integrative approach, she founded Macvelly Wellness to provide whole-person care that empowers women—especially during perimenopause, hormone changes, and lifestyle transitions. Vera offers both in-person and virtual support to help you feel seen, heard, and supported at every stage of your journey.
"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
