House Calls



Erectile Dysfunction (ED)   
Premature Ejaculation (PE)







Viagra®, Levitra®, Cialis®, or Stendra® may be wonderful for many men; but if
you cannot take these pills, or you don't like the pill's side effects, or they simply do not work,
then contact me.
I can assist you in regaining your sex life.

I am Manuel Karell, M.D.  Family Physician living and working in the Bay Area for 40+ years.
I treat ED and PE using tri-mix intracavernous meds (which have a 90% success rate).
I do house calls [no housecalls at this time] for this purpose.

Most physicians have little experience in using Tri-mix --
I have treated more than a thousand.

I will come to your home, and personally instruct you in this treatment.
Tri-mix results in an erection within minutes.
Tri-mix is also used in the treatment of premature ejaculation.
(You will remain firm even after ejaculation.)

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updated  June 1, 2015-2020