Perimenopause & Midlife Health Services at Macvelly Wellness

At Macvelly Wellness, we support women navigating the shifts of perimenopause, menopause, and midlife hormonal changes with clinical expertise and cultural understanding.

You don’t have to “push through,” “pray about it,” or pretend you’re fine while your body, mood, energy, and weight feel unfamiliar. We see you — and we take your symptoms seriously.

Our care approach blends:

  • Evidence-based hormone therapy

  • Metabolic and weight loss support

  • Lifestyle + nervous system regulation

  • Culturally competent, compassionate guidance

So you can feel steady, strong, clear, and like yourself again.

Our Core Services

1. Perimenopause & Menopause Coaching (Available Worldwide)

One-on-one support to help you understand your symptoms, regulate hormones naturally, improve mood, sleep, metabolism, and reclaim your sense of control and identity in this new life phase.

Best for you if:

  • You want guidance and education

  • You want to understand your body, not guess

  • You want a plan that respects your cultural and emotional context

Includes:

  • Personalized symptom mapping

  • Nutrition + movement guidance for midlife metabolism

  • Nervous system & stress support strategies

  • Emotional and identity transition support

  • Progress check-ins and ongoing messaging support

2. Hormone Replacement Therapy (WA & ID Only)

For women who may benefit from bioidentical hormone therapy, we provide precise, individualized dosing with careful monitoring — not one-size-fits-all protocols.

Focus: Restore energy, stabilize mood, support bone and heart health, and improve quality of life.

Includes:

  • Comprehensive hormone evaluation

  • Evidence-based prescription options (if clinically indicated)

  • Regular follow-ups + symptom-guided adjustments

  • A supportive approach that prioritizes your goals

We do not use hormone pellet therapy. We follow guidelines from The Menopause Society and leading clinical evidence.

3. Midlife Weight & Metabolic Support

Weight changes during perimenopause are not about discipline — they are about hormones, sleep cycles, cortisol, inflammation, and metabolism shifts.

We help you:

  • Understand your metabolism at this stage of life

  • Support gut and liver pathways for hormone processing

  • Build sustainable, non-restrictive routines

  • Stop battling your body and start working with it

4. IV Vitamin Therapy (Local Only – Spokane/Liberty Lake)

Targeted nutrient infusions to replenish energy, support immunity, and assist recovery.
Available as supportive care, not required.

(Optional) Direct Primary Care

Primary care for women who want thoughtful, relationship-based medical care.
Not the focus — but available for continuity.

Who We Serve

Women in their:

  • Late 30s

  • 40s

  • 50s

Experiencing:

  • Fatigue or “running on empty”

  • Mood swings, irritability, or anxiety

  • Sleep changes or waking at 2–3 a.m.

  • Brain fog or trouble focusing

  • Weight gain that feels “mysterious”

  • Irregular periods or cycle changes

  • Low libido or vaginal dryness

  • Night sweats or hot flashes

You’re not “crazy,” “lazy,” or “ungrateful.”
Your hormones are shifting. And you deserve care.

Your Next Step

Book Your Free Discovery Call
Let’s talk about what you’re experiencing and what support would fit you best.

Book Your Free Discovery Call