Whole-Person Wellness, Rooted in Care and Connection
At Macvelly Wellness & Medical Services, we believe healthcare should feel personal, supportive, and empowering. We go beyond symptoms—and beyond the quick 10-minute visit—to understand the full picture of your health, your story, and your lived experience.
Our mission is simple:
to help you feel seen, understood, and supported at every stage of your life—especially during seasons of hormonal and metabolic change.
Whether you're navigating perimenopause, looking for sustainable weight management support, seeking hormone replacement therapy, managing chronic health concerns, or simply wanting a more compassionate healthcare experience—we’re here to walk with you.
Our Philosophy: Redefining Healthcare for You
We’re not here to rush you, dismiss your symptoms, or tell you “everything is normal.”
We take the time to listen, explain, and guide—so you can make confident decisions about your body and your health.
Our Approach Is Built on Three Core Pillars
1. Personalized Care
Your health journey is unique. We take the time to understand your story, your goals, and what wellness looks like for you.
We build care plans that honor your lifestyle, culture, and values.
2. Proactive Wellness
We focus on root causes—not quick fixes.
Instead of simply reacting to symptoms, we help you understand your body, prevent future issues, and build long-term vitality.
3. Compassionate Expertise
You deserve a provider who listens.
Our care blends evidence-based medicine with a warm, human-centered approach—where you’re seen, heard, and respected at every visit.
Meet Our Founder
Vera Nyonglemuga, ARNP, FNP-BC, FNP-C, CCRN
Vera Nyonglemuga is the Founder and Lead Practitioner of Macvelly Wellness & Medical Services in Liberty Lake, Washington. She is a board-certified Family Nurse Practitioner with over 18 years of experience in healthcare, dedicated to delivering thoughtful, evidence-based, and patient-centered care.
Vera’s clinical work is rooted in a deep understanding of how hormonal, metabolic, and lifestyle factors intersect during midlife, particularly for women navigating perimenopause and menopause. Her approach goes beyond symptom management—focusing on clarity, education, and personalized care that supports long-term health and vitality.
At Macvelly Wellness, Vera specializes in menopause and midlife care, hormone replacement therapy, metabolic and weight management, and integrative wellness support. Her practice is designed for women who feel unheard, dismissed, or confused about the changes happening in their bodies and are seeking informed, compassionate guidance.
Vera’s commitment to excellence is reinforced by advanced training, including certification from Harvard Medical School in Health and Wellness: Designing a Sustainable Nutrition Plan, ensuring her care strategies are grounded in the latest evidence-based lifestyle and preventive medicine principles.
Above all, Vera believes in building strong, trusting patient-provider relationships. Through in-person care in Liberty Lake and virtual services where appropriate, she offers accessible, transparent, and individualized support—helping patients feel seen, informed, and empowered at every stage of their health journey.
Who We Serve
We care for individuals and families seeking healthcare that feels supportive, personalized, and truly attentive. We proudly serve:
Women in their 30s, 40s, and beyond navigating perimenopause, menopause, and hormonal changes — locally and worldwide through virtual coaching.
Adults seeking medically supervised weight management with a sustainable, realistic, lifestyle-based approach.
Men and women in Washington & Idaho seeking evidence-based Hormone Replacement or Testosterone Therapy.
Anyone looking to restore energy and vitality through IV hydration and integrative wellness support.
Select individuals and families who value relationship-centered primary care through Direct Primary Care (DPC) memberships in Liberty Lake, Spokane, and surrounding areas.
Our Services
We offer specialized care designed to meet you where you are — physically, emotionally, and hormonally.
Medically Supervised Weight Management
Evidence-based strategies, accountability, and personalized guidance to support sustainable metabolic health and weight changes.
Hormone Replacement & Testosterone Therapy (WA & ID)
Safe, individualized hormone restoration for women and men to improve mood, energy, sleep, metabolism, and overall well-being.
Perimenopause & Menopause Coaching (Worldwide Virtual)
Comprehensive, evidence-based coaching for women navigating perimenopause and menopause, addressing hormones, metabolism, weight changes, sleep, mood, and long-term health with personalized guidance and ongoing support.
IV Hydration & Wellness Support (In-Clinic)
Targeted vitamin therapy to support energy, recovery, metabolism, and immune health.
Direct Primary Care (WA & ID)
Select, relationship-centered primary care for individuals seeking personalized, unrushed, ongoing care with direct access to their provider — without insurance barriers.
Our Specialized Focus Areas & Programs
Midlife Metabolism Reset (Program-Based Care)
A structured, clinician-guided program designed for women navigating midlife metabolic changes, weight resistance, hormonal shifts, and fatigue. This program builds on an initial Clinical Clarity Consultation and offers a personalized roadmap for sustainable metabolic health.
Available virtually with state-specific medical components where applicable.
Perimenopause & Midlife Nutrition Program
A focused nutrition and lifestyle program for women in perimenopause and midlife, addressing metabolic health, hormone balance, inflammation, and energy through evidence-based nutrition strategies and personalized support.
Designed for women seeking clarity, structure, and sustainable change.
Not sure which service is the right fit?
Most patients begin with a Clinical Clarity Assessment, where we review your symptoms, goals, and health history and recommend the most appropriate next step.
Our Story: A Practice Built from Experience and Heart
Macvelly Wellness & Medical Services was created from a deep belief that women deserve to be heard, understood, and supported — especially during life’s transitions. After years of working within fast-paced medical systems, Vera saw how often women’s symptoms were minimized, dismissed, or misunderstood, particularly during perimenopause.
She envisioned a different kind of care — care that:
Sees you as a whole person
Honors your lived experience
Takes time to listen
And guides you with compassion and clinical clarity
Macvelly Wellness blends modern evidence-based medicine with a warm, culturally aware, patient-centered approach — so you can feel safe, supported, and empowered in your health.
Why Choose Macvelly Wellness?
Personalized & Unrushed Care: Say goodbye to rushed appointments. We dedicate ample time to listen to your concerns, understand your lifestyle, and collaborate on a personalized health plan.
Direct Access to Your Provider: Enjoy peace of mind with direct communication channels to your medical team, fostering a stronger, more continuous relationship.
Holistic & Evidence-Based: Our approach integrates modern medical science with comprehensive wellness strategies, addressing the whole person for lasting results.
Transparent & Accessible: We prioritize clarity in our services and pricing, making exceptional healthcare more straightforward and accessible.
Community-Focused: Proudly serving Liberty Lake and the greater Spokane Valley area, we are deeply committed to the health and well-being of our local community.
You Don’t Have to Navigate This Alone
Whether you’re exploring hormone therapy, seeking perimenopause support, or looking for a more personalized healthcare experience, Macvelly Wellness is built on partnership, clarity, and evidence-based care.
We believe your symptoms deserve to be taken seriously — and your care should be intentional, not rushed.
Ready to Take the Next Step in Your Health Journey?
We invite you to experience the Macvelly Wellness difference. Whether you're interested in Direct Primary Care, exploring hormone balance, or embarking on a weight management plan, we're here to guide you.
Fill out the Contact form and we’ll be in touch shortly.