Ready to Find Your Answers?

Q: How do I get started?

A: The best place to begin is with a Clinical Clarity Consult. This focused visit allows us to review your symptoms, health history, labs (if available), and goals, and determine the most appropriate next steps for your care.

You can schedule directly through our online booking system.

Q: What services do you specialize in?

A: Macvelly Wellness specializes in midlife and hormone-focused care, including:

Perimenopause & menopause support

Midlife metabolism and weight management

Hormone replacement therapy (HRT) and testosterone therapy (TRT)

Integrative wellness and root-cause-focused medical care

IV hydration therapy

All care plans are personalized and evidence-based.

Q: Do you offer virtual appointments?

A: Yes. We offer telehealth services for eligible clients across Washington, Idaho, Texas, and select services nationally and internationally, depending on care type and licensing regulations.

Q: Do you accept health insurance?

A: Macvelly Wellness operates on a self-pay model. We do not bill insurance directly. This allows us to spend more time with clients, provide personalized care, and focus on root causes rather than insurance limitations.

Q: Do you offer primary care services?

A: While Macvelly Wellness is founded by a board-certified Nurse Practitioner with a primary care background, our current focus is on specialty, consultative, and integrative care rather than traditional primary care memberships.

If you’re unsure whether we’re the right fit, the Clinical Clarity Consult is the best starting point.

Q: How do I schedule an appointment?

A: You can schedule directly through our website’s online scheduler.

If you have questions before booking, you may contact us at:

📞 (509) 381-8229

📧 info@macvellywellness.com

Q: What makes your weight loss program "medically supervised"?

A: Our program is overseen by Vera Nyonglemuga, NP, ensuring a safe and effective approach. We conduct a thorough medical assessment, including labs, to identify underlying factors (like hormones or metabolism) impacting your weight. We then create a personalized plan that may include FDA-approved medications (if appropriate), alongside nutrition, exercise, and lifestyle coaching.

Q: Is this a crash diet?

A: Absolutely not. Our program focuses on sustainable, lasting results. We equip you with the knowledge and tools to develop healthy habits for life, moving beyond restrictive fad diets to address the root causes of weight challenges.

Q: How long does the program last?

A: Program duration varies based on individual goals and needs. We offer various packages tailored to provide the support and guidance necessary for meaningful transformation. [Link to Weight Loss Service Page]

Q: Will I have to take medication?

A: Medication is an option for some individuals, but not required for all. We'll discuss if FDA-approved medications are appropriate for you as part of a comprehensive, personalized plan, considering your health history and goals.

Q: Do I have to take medication as part of the program?
A: No. Medications are optional and not required. Many patients are successful with lifestyle, nutrition, and coaching alone. If appropriate, we may discuss prescription support as one tool to help you reach your goals.

Q: How much do medications cost if I qualify?
A: Some FDA-approved medications for weight management are available through manufacturer self-pay programs. Current cash pricing ranges from $349–$499 per month depending on the medication, dose, and eligibility. These prices are outside of insurance and processed directly through manufacturer-affiliated pharmacies.

Q: Does Macvelly Wellness handle insurance approvals or prior authorizations?
A: No. Macvelly Wellness does not process prior authorizations or insurance coverage for these medications. If you wish to use insurance, you would need to pursue coverage independently with your insurance provider. We only assist with manufacturer self-pay programs.

Q: Will medication alone help me lose weight?
A: Medication works best when combined with a comprehensive program that includes nutrition, movement, stress management, and ongoing medical support. At Macvelly Wellness, we monitor your progress closely to ensure safety and effectiveness.

Q: What are common symptoms of hormone imbalance?

A: For women, symptoms often include hot flashes, night sweats, fatigue, mood swings, brain fog, weight gain, and low libido. For men, low testosterone (Low T) can cause fatigue, decreased libido, muscle loss, and mood changes.

Q: What types of hormone therapy do you offer?

A: We offer personalized Hormone Replacement Therapy (HRT) for women and Testosterone Therapy for men. Our approach involves thorough assessment and a discussion of various options to find the most effective and safest treatment plan for your unique needs.

Q: Is hormone therapy safe?

A: When properly managed and monitored by a qualified medical professional like Vera Nyonglemuga, NP, hormone therapy can be a safe and effective treatment. We conduct a comprehensive evaluation and ongoing lab monitoring to ensure your safety and optimal results.

Q: How long does it take to see results?

A: Results vary by individual and the type of imbalance. Many patients report feeling significant improvements in symptoms within a few weeks to a few months of starting therapy, with continued optimization over time.

Q: What is Perimenopause & Menopause Coaching?

A: Perimenopause & Menopause Coaching provides holistic support and guidance to women navigating the perimenopause and menopause transitions. It focuses on lifestyle strategies, symptom management techniques, emotional well-being, and empowering you to embrace this new life stage.

Q: Is Perimenopause & Menopause Coaching the same as Hormone Replacement Therapy (HRT)?

A: No, they are complementary! HRT is a medical treatment that can alleviate symptoms through hormone optimization. Menopause Coaching focuses on lifestyle, nutrition, stress management, and mindset. Vera Nyonglemuga, NP, is Menopause Certified and can guide you on both fronts, helping you integrate medical and coaching strategies.

Q: Who benefits most from Menopause Coaching?

A: Women experiencing symptoms like hot flashes, sleep disturbances, mood swings, or brain fog, who are seeking non-pharmacological strategies, or who want to complement their medical treatment with comprehensive lifestyle support.

Q: What is IV Hydration Therapy?

A: IV Hydration Therapy delivers essential vitamins, minerals, and fluids directly into your bloodstream via an intravenous drip. This bypasses the digestive system, ensuring 100% absorption for immediate and effective results.

Q: What are the benefits of IV Hydration?

A: Benefits include rapid hydration, increased energy, enhanced immune function, faster recovery from illness or exertion, improved focus, and support for overall vitality. We use premium preservative-free IV formulations.

Q: Is IV Hydration safe?

A: Yes, when administered by a licensed medical professional, IV hydration is very safe. All infusions at Macvelly Wellness are performed by Vera Nyonglemuga, NP, or trained medical staff, after a thorough health assessment.

Q: How long does an IV session take?

A: Most IV hydration sessions take approximately 45-60 minutes, allowing you to relax in a comfortable setting while receiving your tailored drip.

Q: What is Integrative Wellness Consulting?

A: This service focuses on a deep, root-cause approach to health. We investigate the underlying imbalances in your body's systems (e.g., gut health, hormones, metabolism) to understand why you're experiencing symptoms, rather than just treating them superficially.

Q: How is this different from regular primary care?

A: While our DPC provides excellent primary care, Integrative Wellness Consulting is a specialized, in-depth service. It involves extensive history taking, and may include advanced lab testing, and the creation of highly personalized nutrition and lifestyle plans to address complex, chronic health challenges.

Q: What kind of lab tests do you recommend in Integrative Wellness Consulting?

A: Based on your unique needs, we may recommend specialized tests beyond routine blood work, such as comprehensive stool analysis, advanced hormone metabolite testing, organic acids testing, or environmental toxin screenings. Please note that the cost of lab tests is separate from consulting fees.

Q: Is Integrative Wellness Consulting covered by insurance?

A: No, Integrative Wellness Consulting is typically an out-of-pocket service, as specialized functional labs and extended consultation times are generally not covered by insurance. We offer tiered programs to suit different levels of support and investment.

Q: What is a virtual consultation?

A: A secure, HIPAA-compliant video meeting with Vera Nyonglemuga, NP, from your preferred location.

Q: What services are available virtually?

A: Direct Primary Care consultations, Medically Supervised Weight Loss, Hormone Therapy, Perimenopause & Menopause Coaching, and Integrative Wellness Consulting. (IVs are in-clinic only).

Q: How do virtual appointments work? A: You'll receive a secure link via email for your scheduled video call.

Q: Do I need special equipment for virtual visits?

A: Just a computer, tablet, or smartphone with a camera, microphone, and a stable internet connection.

Q: Are virtual consultations secure and private?

A: Yes, we use HIPAA-compliant telehealth platforms to ensure your privacy.

Q: Can I get prescriptions via telehealth?

A: Prescriptions can be provided if clinically appropriate and legally permissible in your location (WA or ID, not international).