A real doctor. A full hour. Not an app.
Most men's health online is a five-question quiz and a prescription. You never speak to a physician, nobody looks at your heart, and nobody asks whether you want children.
Get Healthy Medicine is the other thing. One hour, in person or by video, with Dr. Manuel Carrazana (board-certified in Internal Medicine and Obesity Medicine) going through everything: your hormones, your metabolism, your heart, your prostate, your sleep, body composition testing, resting metabolic rate testing, and the symptoms you probably haven't told anyone about.
Comprehensive men's health intake visit - $399 · 60 minutes
In Lake Nona or virtual anywhere in Florida · English and Spanish
Discretion is standard. So is telling you the truth.
What happens in your hour
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We start with what's actually going on Fatigue. Low sex drive. Erections that aren't what they were. Trouble concentrating. Losing strength or gaining weight around the middle. Poor sleep. Low mood. Thinning hair.
Most men have been sitting on some of these for years. We go through all of them, in plain language, without you having to work up the nerve. There's no wrong thing to bring up here.
We look for the causes nobody checks
Low testosterone is sometimes the answer. Often it's a symptom of something else, and treating it without finding the cause means you feel better for a while and then don't.
So in your hour we also look at:
Sleep apnea: one of the most common and most missed causes of low testosterone, fatigue, and low libido in men. It also matters enormously before starting testosterone, because untreated apnea can get worse on therapy.
Metabolic health: weight, waist, blood pressure, and body composition. Body fat converts testosterone into estrogen; insulin resistance suppresses it. This is why men's hormones and men's metabolism can't be treated separately, and why you want a physician who does both.
Medications and habits that lower testosterone: opioids, certain antidepressants, steroids, alcohol, cannabis. Sometimes the fix is a change, not a new prescription.
Thyroid, iron, vitamin D, and prolactin: treatable conditions that mimic low testosterone and get missed when the only lab drawn is a testosterone level.
Cardiovascular risk: erectile dysfunction is frequently the earliest warning sign of vascular disease, showing up years before a heart problem does. It is worth taking seriously as a symptom, not just treating as a nuisance.
The conversation about fertility
If you might want children, now or later, you need to know this before you start anything, and most online platforms never bring it up.
Testosterone therapy suppresses sperm production. It can cause infertility, sometimes lasting well after you stop. There are alternatives that raise your own testosterone while preserving fertility, and if that matters to you, we'll build your plan around it.
You'll hear this from us in the first hour, not in year three.
Your labs, ordered properly
We order a complete men's health panel, not a single testosterone level (if not done yet):
Total and free testosterone, drawn in the morning when levels are highest, and confirmed on a second separate test before any diagnosis is made
LH, FSH, SHBG, prolactin, and estradiol — these tell us why your testosterone is low, which determines the right treatment
PSA, when it's appropriate for your age and risk
Complete blood count, testosterone thickens the blood, and this needs watching before and during therapy
Metabolic panel, lipids, A1c, thyroid, vitamin D, and iron studies
Labs go to Quest. Dr. Carrazana reviews every result personally and explains what each one means, not "your labs are normal," but what your numbers are, where they sit, and what we're going to do about them.
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Prostate health, decided together.
If you're 50 to 69, we'll talk through PSA screening properly: what it can catch, what it can miss, what a false positive leads to, and what happens next if it's abnormal. Then you decide, with the information in front of you. If you're at higher risk — family history, or certain ancestries — that conversation starts as early as 40.
This is a shared decision, not a box we check.
An honest conversation about treatment
If testosterone therapy is right for you, we'll cover the real trade-offs: what it does well, what it doesn't do, what it costs, what needs monitoring, what happens if you stop, and what it means for fertility.
If it isn't right for you, we'll say so and tell you what is.
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We offer medical evaluation and treatment of erectile dysfunction as a marker of overall men’s and metabolic health.
ED is often:
An early sign of cardio-metabolic disease
Associated with obesity, insulin resistance, low testosterone
Under-evaluated and over-simplified by direct-to-consumer platforms
The American Urological Association explicitly states:
ED is a medical condition
Men with ED should be evaluated for cardiovascular and metabolic risk
Treatment should be individualized, not algorithm-only
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Medical evaluation and treatment of hair loss as a hormonally and metabolically influenced condition — guided by a physician.
Male pattern hair loss can be emotionally impactful and is commonly under-treated or poorly explained online
Most online platforms:
Skip medical history
Don’t discuss sexual side effects honestly
Ignore hormone context
Don’t individualize dosing or formulations
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Physician-guided men’s health screening, interpretation and optimization — focused on early detection, metabolic health, hormones, and prevention.
Patients frequently face:
Challenges getting timely primary doctor’s appointments (months-long waits)
Getting timely labs, not “let’s wait another year”
Feeling dismissed when they ask for testosterone, PSA, fatigue, weight, or metabolic labs
Wanting actionable answers, not just “labs are normal”
What this visit is not
Not a quiz. No algorithm decides your treatment.
Not a sales funnel. We don't make money on your prescriptions, so there's no reason to steer you toward one.
Not rushed. An hour means an hour.
Not a hormone clinic. We treat testosterone in the context of your whole health, because that's what the evidence supports and it's how internal medicine works.
Membership
After your visit
Your first visit stands alone. There's nothing to join.
If you want ongoing management afterward, membership covers the parts of care that happen between visits:
Secure messaging with Dr. Carrazana, answered within one business day
Prescription and refill management
Prior authorization and medical necessity letters when your insurance requires them
Lab ordering and personal review of your results (self pay through quest start at $50 for hormone labs)
Discounted medication pricing through our partner pharmacy — most 30-day prescriptions for an additional $10, including finasteride, minoxidil, tadalafil, and tamsulosin. Testosterone therapy typically runs $25–75 per month depending on the formulation.
$49 per month. Cancel any time. 1 office or telehealth visits included per quarter; additional visits at our standard rate.
Urgent or emergency concerns should go to 911 or an urgent care center as messaging is for non-urgent questions.
Membership fees are generally eligible for HSA and FSA funds. Confirm with your plan administrator.