Restore Balance. Regain Vitality. Feel Like Yourself Again.
Personalized, evidence-based hormone therapy for perimenopause, menopause, and Low-T.
Serving Liberty Lake, Spokane & Spokane Valley — with telehealth in WA & ID and virtual coaching worldwide.
Reclaim Your Vitality — Balanced Hormones for Optimal Well-Being
Whether you’re navigating the midlife transition, experiencing burnout, or noticing shifts in your energy, metabolism, mood, or libido — you deserve to feel like yourself again.
At Macvelly Wellness, we provide evidence-based, personalized hormone therapy designed to restore balance, rebuild confidence, and help you thrive again — physically, emotionally, and mentally.
Understanding Hormonal Balance
Hormones are powerful chemical messengers that influence metabolism, mood, sleep, sexual health, energy, weight, bone strength, and overall well-being.
As we age or experience stress, pregnancy, perimenopause, menopause, or andropause, hormone levels can shift — sometimes dramatically.
These shifts can lead to symptoms like:
Persistent fatigue or low energy
Brain fog & difficulty concentrating
Weight gain or slowed metabolism
Mood swings, anxiety, or irritability
Low libido & sexual wellness concerns
Sleep disturbances
Hot flashes or night sweats
You don’t have to “just push through it.”
Hormonal imbalance is real, common, and treatable — when treated correctly.
Our Hormone Therapy Approach
We specialize in clinically monitored, personalized hormone replacement therapy (HRT) that is tailored to your labs, symptoms, lifestyle, and wellness goals.
Our approach blends:
Evidence-based medical treatment
Holistic hormone and lifestyle support
Compassionate, whole-person care
We do not believe in one-size-fits-all treatment.
Your body is unique — your care should be too.
Hormone Therapy: A Physiology-First Philosophy
At Macvelly Wellness, hormone therapy is guided by human physiology—not trends, shortcuts, or one-size-fits-all protocols.
Hormones are powerful signaling molecules that influence the brain, metabolism, cardiovascular system, bone health, mood, and long-term disease risk. Because of this, we approach hormone therapy with clinical intention, careful dosing, and ongoing monitoring.
Our philosophy is rooted in these principles:
Physiologic replacement, not supraphysiologic dosing
Hormone therapy is used to support the body within safe, evidence-based ranges—not to override natural regulatory systems.Individualized care based on symptoms, labs, and life stage
Hormone needs change across perimenopause, menopause, and midlife. Treatment decisions are never based on numbers alone.Brain-centered and whole-body focused
Hormonal shifts often affect the brain and nervous system before they affect weight or outward appearance. Sleep, mood, cognition, and stress response are core considerations in care.Safety, monitoring, and informed consent
We prioritize appropriate formulations, dosing strategies, and follow-up to minimize risk and maximize benefit.
For this reason, we do not offer hormone therapies that fall outside our evidence-based clinical standards, including treatments that may expose patients to unnecessary risk or inconsistent hormone delivery.
Our goal is not quick fixes.
Our goal is sustainable health, clarity, and long-term well-being.
This approach may not be the right fit for everyone—and that’s okay. We believe the best care happens when philosophy and expectations are aligned.
When hormone therapy is indicated, we focus on restoring balance in a way that supports the body’s natural regulatory systems rather than overriding them.
Is This Approach Right for You?
At Macvelly Wellness, we believe the best outcomes happen when care philosophy, expectations, and physiology are aligned. Our hormone therapy approach is intentional, evidence-based, and not designed to chase trends or quick fixes.
This approach may be a good fit if you:
Are navigating perimenopause, menopause, or midlife hormonal changes and want care grounded in physiology, not marketing
Value careful dosing, ongoing monitoring, and informed consent
Understand that hormones affect the brain, metabolism, cardiovascular system, bone health, and long-term risk
Are seeking sustainable symptom improvement, not rapid or supraphysiologic hormone levels
Are open to addressing lifestyle, nervous system regulation, sleep, nutrition, and metabolic health alongside hormone therapy
Want a provider who prioritizes safety, clarity, and long-term well-being
This approach may not be the right fit if you are seeking:
One-size-fits-all hormone protocols
Hormone therapy without appropriate monitoring or follow-up
Supraphysiologic dosing or symptom-driven escalation without clinical indication
Hormone delivery methods that fall outside our evidence-based clinical standards
A quick fix without addressing underlying physiology
We respect that every patient has unique goals and preferences.
If our philosophy aligns with your values, we would be honored to support you.
If not, we believe transparency is an essential part of ethical care.
For Women: Perimenopause & Menopause Support
Perimenopause and menopause are not illnesses — they are natural transitions.
But the symptoms can be overwhelming and deeply misunderstood.
You may be experiencing:
Hot flashes & night sweats
Mood swings or irritability
Anxiety or feeling unlike yourself
Sleep problems
Vaginal dryness or discomfort
Weight gain or metabolic changes
Fatigue or low motivation
You’re not imagining it. And you’re not alone.
We provide bioidentical hormone therapy that safely restores declining estrogen and progesterone levels to help:
Improve sleep
Reduce hot flashes
Support metabolism and energy
Improve sexual wellness
Enhance mood and emotional well-being
For Men: Addressing Low Testosterone (Low T)
Rekindling Male Vitality
Testosterone naturally declines beginning in the 30s and 40s, leading to changes that many men quietly struggle with — often without support.
Symptoms may include:
Chronic fatigue
Reduced libido or erectile dysfunction
Loss of muscle mass & increased body fat
Irritability, low mood, or decreased confidence
Slower recovery after exercise
With medically supervised testosterone replacement therapy (TRT), we help restore optimal levels to support:
Strength, muscle tone & endurance
Healthy libido & sexual performance
Stable mood & emotional well-being
Confidence & vitality
How We Treat
We provide safe, monitored, evidence-based hormone therapy using:
✔ Bioidentical Hormones
✔ Injectable & Transdermal Options (no pellets)
✔ Lab-guided dose optimization
✔ Ongoing monitoring & follow-up support
We do not use hormone pellets, as research shows pellets can lead to dosing that is less flexible and harder to adjust.
Our approach prioritizes precision, safety, reversibility, and your comfort.
Where We Provide Care
In-Person Visits:
Liberty Lake, WA
Spokane, WA
Post Falls & Coeur d’Alene, ID
Telehealth HRT:
Washington
Idaho
Virtual Perimenopause Coaching:
Available Worldwide
Ready to Feel Like Yourself Again?
We begin with a comprehensive hormone assessment, including a full symptom evaluation, health history, and lab-guided analysis.
Book Your Free Discovery Consultation
Tier 1: Initial Hormone Assessment & Plan
(This covers the initial investigative phase to determine if hormone therapy is right for the patient and to establish the baseline plan.)
Focus: Comprehensive evaluation, diagnosis of imbalance, and initial personalized strategy.
Key Inclusions:
1 x Initial Comprehensive Consultation (60 minutes) with Vera Nyonglemuga, NP.
Detailed review of medical history, symptoms, and lifestyle.
Development of a personalized initial HRT/TRT plan and prescription (if clinically indicated)
1 x Follow-up Session (45 minutes) to review lab results and finalize treatment plan.
Tier 2: Ongoing Hormone Optimization & Management
(This tier covers the crucial, continuous management of hormone therapy, including monitoring, adjustments, and ongoing support.)
Focus: Regular monitoring, symptom management, dosage adjustments, and long-term hormone health.
Key Inclusions:
Regular follow-up consultations (e.g., 4 x 30-minute sessions per year, or quarterly for the first year, then biannually).
Ongoing lab order review and interpretation (as needed for monitoring - labs are separate cost).
Continuous fine-tuning of hormone dosages and delivery methods.
Management of side effects and integration with lifestyle strategies.
Prescription management for your hormone therapy (cost of hormones/medication is separate).
Secure messaging support via patient portal.
Tier 3: Holistic Hormone & Wellness Integration
(For patients who desire deeper root-cause investigation alongside their hormone therapy, blending HRT with broader wellness optimization and Functional Medicine principles.)
Focus: Comprehensive hormone management integrated with addressing underlying systemic imbalances (gut health, detoxification, stress).
Key Inclusions:
All inclusions from Tier 2 (Ongoing Management), PLUS:
Expanded holistic lifestyle coaching (nutrition, stress, sleep, environmental factors).
Interpretation of additional advanced functional labs beyond standard hormone panels (e.g., comprehensive stool tests, organic acids - labs are separate cost).
Integration with relevant aspects of Integrative Wellness Consulting philosophy.
Enhanced messaging access and dedicated resource sharing.
Our Personalized HRT Process
Tailored Care. Thoughtful Guidance. Real Relief.
Your Journey to Balance
At Macvelly Wellness, we believe hormone therapy should never be one-size-fits-all. Your body, symptoms, and goals are unique—and your treatment should be too. That’s why we take a personalized, step-by-step approach to Hormone Replacement Therapy (HRT) that puts your safety, comfort, and long-term wellness first.
From in-depth evaluations to custom treatment plans and ongoing support, our process is designed to help you feel better, think clearer, and live fully—at every stage of your hormonal journey.
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We start with a comprehensive visit to discuss your symptoms, health history, lifestyle, and personal goals. Whether you're dealing with hot flashes, mood swings, low libido, or fatigue, we take time to listen and understand your full picture.
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Next, we conduct advanced lab testing to measure key hormones such as:
Estrogen (Estradiol)
Progesterone
Testosterone
Thyroid levels (TSH, Free T3, Free T4)
Cortisol and other markers as needed
These labs help identify imbalances and guide the most effective, personalized treatment plan.
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Based on your symptoms and lab results, we create a tailored HRT plan that may include:
Bioidentical hormone therapy (via creams, troches, patches)
Micronized progesterone
Testosterone therapy (when appropriate for women)
Nutritional or lifestyle recommendations to support hormone health
All prescriptions and dosages are carefully selected to match your body’s needs and minimize side effects.
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We don’t “set it and forget it.” Hormone therapy requires regular check-ins and labs to ensure your body is responding well and to adjust doses as needed. We stay in close contact to support you through the process—because your wellbeing is our priority.
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We believe that hormone health is deeply connected to nutrition, sleep, stress, and lifestyle. That’s why we offer guidance on all aspects of your wellbeing—not just prescriptions. Our goal is to help you feel balanced, strong, and empowered in your body again.
Safety and Expertise: Medically Supervised, Evidence-Based Care
Your safety and well-being are our top priorities. All HRT and testosterone therapies at Macvelly Wellness are medically supervised by experienced practitioners in Liberty Lake, utilizing evidence-based protocols to ensure safe and effective outcomes. We thoroughly discuss risks and benefits, empowering you to make informed decisions about your health..
Ready to Feel Like Yourself Again?
Don’t let hormone imbalances steal your energy, intimacy, or peace of mind.
Let us help you feel strong, focused, and alive again—with care that treats the whole you.
Whether you prefer the comfort of home or face-to-face care, Macvelly Wellness & Medical Services offers both telehealth and in-person appointments to support your hormone health journey.
📍 Visit us in person or connect with us virtually—your path to hormonal balance is just one appointment away.
✅ Personalized hormone therapy
✅ Lab testing & symptom review
✅ Convenient care that fits your lifestyle
Contact Macvelly Wellness for a personalized consultation in Liberty Lake, WA.
Book your consultation today or enroll in our hormone therapy program.
Let’s get your balance back—together.