Healing begins together.
Regenerative healthcare that focuses on the dyad's health & well-being as an intrinsic unit.
McKale Fleming, LMT, IBCLC
From prenatal to postnatal, the Parent-Child dyad exists as a unit; they are biologically intertwined. For an infant to thrive, the parent must thrive too; physically, emotionally, and mentally.
Experience a consultation that combines care for your well-being as a parent, and support for your baby.
About Me
Hi, I'm McKale!

My goal is to help strengthen the parent-child relationship through understanding of how the dyad deserves to be cared for together. Comprehensive and integrative care means we're looking at all the possibilities without hyper-focusing on one area or outcome.
- Licensed Massage Therapist since 2009 with additional training in craniosacral therapy, craniosacral fascial therapy, myofascial therapy, neuromuscular therapy, trigger point therapy, reflexology, scar tissue massage and structural integration.
- Board Certified Lactation Consultant since 2019 with advanced clinical education in feeding, oral habilitation, dyad microbiome, food sensitivities, breast health and innovative reflexive latching techniques.
- Certified Graduate of the Duke IM Integrative Health Coach Program since 2019 with additional training in herbalism, homeopathy, functional, integrative, and regenerative health.
- Yes! It is important to maintain good working relationships with other colleagues and/or providers who may be needed to best serve dyads and their outcomes. In general my team usually consists of myself, a trusted release provider, and, when needed, a chiropractor. I am always willing to communicate and send notes to other providers you have chosen to be a part of your care team.
- First, please don’t feel inclined to clean! As a mother with two children and a messy husband, I am well acquainted with clutter and mess. This is a service for you, not a hosting responsibility. It is very helpful to have animals that are protective of your family placed in a separate space, or slowly introduced for safety purposes.
- For dyad care visits I need a space large enough for us to chat, somewhere flat to place my scale (the floor is also fine!), and enough floor space to do the hands-on portion, check reflexes and tummy-time positioning for the infant.
- Lastly, please know that the appointment time we set must be flexible. I may be able to get to you earlier if your schedule allows, or it may be within 30 minutes after the appointed time. Please allot some flexibility due to traffic or previous appointments ending later than expected. I give each person my undivided attention, I don’t check the clock during my visits and I stay until my work is concluded.
- I’m currently in network with these companies:
- Aetna, Meritain Health and their subsidiaries
- UnitedHealthcare and UMR
- Cigna in-network access through Wildflower Health
- I’m credentialed with Tricare/Humana as non-network, and will file a claim on your behalf. I will collect only non-covered fees upfront such as travel fee or bodywork costs that are not covered by insurance.
- I will file out of network claims for BCBS/Anthem as a courtesy.
- I will issue superbills for any other health insurance or cost-sharing plan not listed above.
- I love working with preconception and prenatal families, as there is so much benefit to preparing your physical and mental health for birth. I do these consults virtually and help with topics such as:
- Infertility
- Breast health
- Nutrition
- Gut health & dysbiosis
- Prepping for feeding
- Prepping for delivery
- Endocrine health
- Hormone health
- Food sensitivities
- Yes! No matter how you feed your baby, my role and responsibility is to care for the dyad. That means you AND your child, which means supporting you mentally and emotionally, and regarding your choices with respect. I am happy to work with families on bottle-feeding, finding a good formula fit for food sensitive dyads, and working on structural challenges with infants having difficulty feeding due to tension or tethered oral tissues.
- Each person and dyad are unique! While it is impossible for me to know ahead of time how much time and investment each family or person may need, on average 3 visits would be adequate for simple situations, and up to 6 for complex situations. I can better advise a plan of action after our initial consultation.
- I see great benefits when I start working with a child as a newborn and follow the infant through the first year of life, seeing them at important milestones such as rolling over, crawling, walking, and starting solids to help support changes in postural appropriation.
Topics I Can Help With
01.
Feeding Support
- Bottle aversion or refusal
- Formula selection for food sensitivities
- Supportive supplementation
- Oral habilitation for dysfunctional feeding
02.
Lactation
- Breast health, clogs, reoccurring mastitis
- Hormonal health and low milk supply
- Reflexive latching techniques
- Triage for pain and nipple damage
03.
Gut Health
- Constipation and/or loose stools
- Poor weight gain
- Unexplained fussiness
- Colic/Reflux/Gas
- Chronic acne or rash
04.
Oral Function
- Assessment of possible tethered oral tissues
- Leaking or clicking at breast or bottle
- Painful or shallow latch
- Lip blisters and blanching
05.
Structural Health
- Plagiocephaly
- Torticollis
- “Banana” baby shape
- Facial & trunk asymmetry
- Clinched fists and toes
06.
Reflux
- Discomfort during and after feedings
- Wet and frequent hiccups
- Refusing to eat
- Poor weight gain
07.
Food Sensitivities
- Rashes and eczema
- Constipation and/or loose stools
- Refusing to eat
- Frequent night-waking or short, infrequent naps
08.
Disrupted Sleep
- Frequent night-waking or short, infrequent naps
- Congestion at night
- Difficulty falling asleep
- Open mouth posture when sleeping
New Clients
Existing Clients
Testimonials
Client Care Reviews
Zahli van Ede2025-03-26Trustindex verifies that the original source of the review is Google. Truly not sure how I breastfed before meeting McKale. I was hestitant & wondered if I really needed help & if I should see a lactation consultant — I’m SO glad I did. She’s been so so so helpful and has so much knowledge and really positively shifted my breastfeeding journey. She’s made me and my baby feel better. If you’re on the fence, just hire her! She’s worth every penny! Maggie Powell2025-03-16Trustindex verifies that the original source of the review is Google. I cannot recommend McKale enough. She was knowledgeable, supportive, and so helpful. My son is so much happier and more relaxed after working with McKale. Will absolutely be reaching back out to her for any needs we have in the future. Andra Zan2025-03-14Trustindex verifies that the original source of the review is Google. If I could give more stars I would. I have never seen this level of care for a patient before. I would recommend 10000% 💕 Deborah Ulsh2025-03-12Trustindex verifies that the original source of the review is Google. McKale at Dyad Wellness has been a life-saver. We have been seeing her for Body Work on our infant's body tension and have noticed immediate improvement in his feeding, comfort, sleep, and flexibility. McKale comes to our house, which is amazing, and also came to our oral tie release procedure to help our baby relax and have a familiar face. We cannot recommend McKale enough! Savannah Henderson2025-03-06Trustindex verifies that the original source of the review is Google. McKale was a calming and soothing presence as soon as she entered our home, which as a tongue tie mama means everything. She spoke to me compassionately without judgement and truly made care a collaborative effort instead of a prescriptive set of additional tasks that I needed to follow in an extremely hectic time. She was so gentle and kind with our newborn, who she was providing care for, and patient, understanding, and playful with our active toddler, who absolutely adored her. There was an instant noticeable difference in my newborn’s body. Could not recommend McKale enough! Morgan Merriman2025-02-27Trustindex verifies that the original source of the review is Google. We had such a great experience with McKale! She was incredibly attentive to our son’s needs and quickly picked up on areas where he needed extra support. Thanks to her observations, she helped improve his comfort through bodywork, feeding techniques, and gut health recommendations. Additionally, our son also had multiple ties (lip, tongue, and buccal), and McKale guided us through the entire process. She explained everything thoroughly, giving us the facts we needed to make the best decision for his care. We ultimately decided to move forward with having his ties released, and she worked with us beforehand to prepare. What made the experience even better was that she was there during the procedure, providing a familiar and comforting presence for our little one. We are so grateful for her knowledge, support, and compassion throughout this process!