Midlife Health, Reframed
Evidence‑Based Care for Women Navigating Perimenopause, Menopause & Midlife Metabolism
You’re not imagining it.
The weight changes, sleep disruption, anxiety, brain fog, fatigue, mood shifts, and feeling that your body no longer responds the way it once did are real physiological changes, not personal failure.
At Macvelly Wellness & Medical Services, midlife care is approached through a clinical, hormone‑informed, evidence‑based lens. We specialize in helping women in their late 30s through 50s understand what is happening inside their bodies—and how to respond with clarity, strategy, and confidence.
This is not primary care as usual. It is focused, intentional care designed for the realities of midlife.
Who This Care Is For
Macvelly Wellness serves women who:
Are 35–55 and noticing unexplained changes in weight, energy, sleep, mood, or cognition
Have been told their labs are “normal” despite persistent symptoms
Feel dismissed, rushed, or reduced to lifestyle clichés like “eat less and move more”
Want medical insight without being over‑medicalized
Prefer personalized, cash‑based care without insurance restrictions
If you are looking for traditional primary care, acute sick visits, or routine gynecologic exams, this practice may not be the right fit. If you are looking for midlife‑specific clinical guidance, you are in the right place.
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.
Our Clinical Philosophy
Midlife is a biological transition, not a breakdown.
Hormonal fluctuations in perimenopause and menopause affect metabolism, insulin sensitivity, stress physiology, sleep architecture, body composition, cardiovascular risk, and brain function. Treating symptoms in isolation—or ignoring them altogether—misses the bigger picture.
At Macvelly Wellness, care is:
Evidence‑based — grounded in current medical literature and clinical guidelines
Hormone‑informed — recognizing the systemic impact of estrogen, progesterone, testosterone, cortisol, and insulin
Individualized — no one‑size‑fits‑all protocols
Educational — empowering you to understand your body, not just follow instructions
Our goal is not quick fixes. It is sustainable midlife health built on knowledge, physiology, and informed decision‑making.
Our work focuses on integrative midlife care, including perimenopause, menopause, hormone balance, and metabolic wellness. Clients continue routine gynecologic and preventive exams with their primary care provider or OB-GYN.
Areas of Focus
Perimenopause & Menopause Care
Perimenopause can begin years before periods stop and is often misunderstood or overlooked. Symptoms may include weight gain, cycle changes, hot flashes, night sweats, anxiety, irritability, sleep disturbance, low libido, and cognitive changes.
Care may include:
Symptom‑guided evaluation
Education on hormonal transitions
Lifestyle and metabolic strategy
Hormone therapy when appropriate and desired
Midlife Metabolism & Weight Support
Weight changes in midlife are driven by shifts in hormones, muscle mass, insulin sensitivity, stress response, and inflammation—not willpower.
We focus on:
Metabolic health, not just the scale
Preserving muscle and metabolic flexibility
Addressing insulin resistance and stress physiology
Moving beyond outdated calorie‑centric advice
Hormone Replacement & Testosterone Therapy
For some women, hormone therapy can be a valuable tool when used appropriately. We provide individualized counseling and management based on symptoms, risks, benefits, and personal goals.
IV Hydration & Nutrient Therapy
Supportive IV therapies are offered to complement overall wellness, recovery, and energy optimization when clinically appropriate.
What Makes Macvelly Wellness Different
Midlife‑only focus — not general primary care
Longer visits — time to listen, explain, and educate
Cash‑based model — transparency without insurance interference
Clinical credibility — care led by a board‑certified nurse practitioner with specialized menopause training
Respect for patient autonomy — informed, collaborative decisions
You will not be rushed. You will not be dismissed. You will not be told this is “just aging.”
Scope of Care
Macvelly Wellness provides medical and wellness services focused on midlife health, hormones, metabolism, and prevention. We do not provide routine gynecologic or pelvic exams. Patients are encouraged to maintain appropriate preventive screenings with their primary care provider or gynecologist.
This focused scope allows us to deliver deeper expertise in midlife physiology and personalized care.
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. 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.
Meet Your Provider
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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.
With years of clinical experience, she founded Macvelly Wellness to provide evidence-based, whole-person care for women navigating midlife changes - especially those who feel dismissed, rushed, or unsure of their next steps.
Her approach blends clinical precision with deep respect for women’s lived experiences, creating a space where patients feel informed, supported, and empowered throughout their midlife transition.
Start Here
If you are ready to understand your body, advocate for your health, and receive care aligned with midlife realities, the next step is simple.
👉 Explore our services
👉 Schedule an appropriate visit
👉 Begin your midlife health reset with clarity and evidence—not guesswork
Macvelly Wellness & Medical Services Midlife care, done with intention.
"For the first time, I felt truly heard. My symptoms weren’t brushed off as stress or aging - they were explained. I finally understand what’s happening in my body and have a clear plan moving forward."
— Client, Liberty Lake, WA
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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.
Paid clinical assessment • Virtual & in-person options available