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Q: Where is Macvelly Wellness & Medical Services located?

A: Our primary clinic is conveniently located in Liberty Lake, WA. We proudly serve the surrounding Spokane Valley community and beyond.

Q: Do you offer virtual appointments?

A: Yes, we offer secure virtual appointments for many of our consultations and follow-up sessions, providing convenient access to care from wherever you are. Please note: IV Hydration Therapy and certain in-person procedures require a clinic visit.

Q: What is Macvelly Wellness's philosophy of care?

A: We believe in a personalized, proactive, and compassionate approach to health. Our focus is on identifying and addressing the root causes of health concerns, empowering you with knowledge, and building a lasting partnership for your optimal well-being.

Q: How do I schedule an appointment?

A: You can easily schedule an initial consultation or a discovery call directly through our website's online scheduler [Link to your scheduling page]. You can also contact us by phone at [Your Phone Number] or email at [Your Email Address].

Q: Do you accept health insurance?

A: Macvelly Wellness operates on a Direct Primary Care (DPC) model, meaning we do not directly bill health insurance for our DPC membership services. For our specialized services, payment is collected at the time of service. We do not bill insurance for these services. We can provide you with a superbill upon request for you to submit to your insurance for potential reimbursement, depending on your plan's out-of-network benefits.

Q: What is Direct Primary Care (DPC)?

A: DPC is a membership-based healthcare model where patients pay a recurring monthly fee directly to their primary care provider. This allows for unlimited, unhurried visits, direct access to your provider, and comprehensive care focused on your overall well-being, without the complexities of insurance billing for primary services.

Q: How does DPC differ from traditional primary care?

A: DPC offers longer appointment times, direct communication with your provider (via text, email, phone), transparent pricing, and a strong emphasis on preventive care and patient relationship-building, bypassing the traditional insurance-driven model for routine visits.

Q: Does Macvelly DPC replace health insurance?

A: No, DPC does not replace health insurance. We highly recommend all our DPC members maintain a high-deductible insurance plan for catastrophic events, specialist visits, emergency room care, and hospitalizations. Our DPC membership covers your primary care needs.

Q: What is included in the DPC membership?

A: Our DPC membership typically includes unlimited office and telehealth visits, annual physicals, preventive care, chronic disease management, direct provider access, and care coordination. We also offer access to significantly discounted labs, imaging, and prescriptions.

Q: How do I enroll in DPC?

A: The first step is to schedule a free DPC Information Session with us to discuss the model, your needs, and answer any questions. If it's a good fit, we'll guide you through the simple enrollment process.

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: 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.