Two mature women sitting close together on a bed, both with silver hair, one in brown pajamas and the other in light-colored pajamas, looking at the camera with relaxed expressions.
A middle-aged man with curly hair and a towel around his shoulders enjoys the sunshine outside.

Our Mission

ICONA exists to redefine the way we age — transforming it into a celebration of vitality, confidence, and timeless allure. We unite the art and science of hormone optimization to help women and men feel ageless, energized, and wholly themselves again.

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Our Providers

Alan McCool, MD, FACS

Founder, ICONA Health

  • Dr. Alan McCool is a board-certified urologist and recognized leader in sexual and hormone health. A graduate of the University of Alabama School of Medicine, he completed his urology residency at Indiana University, training under one of the pioneers in surgical correction for erectile dysfunction.

    With more than two decades of experience, Dr. McCool presently serves as Chief of Surgery and Chairman of the Robotics Committee at Baptist Health Medical Center in Jasper, Alabama. He also served two terms as President of the Medical Staff. His expertise spans aesthetic urology, erectile dysfunction, robotic surgery, and male and female incontinence.

    As a principal investigator and early adopter of advanced technologies such as the Titan® Touch penile prosthesis and Virtue® male sling, Dr. McCool has been recognized internationally for his contributions to urologic innovation, performing hundreds of complex procedures across the U.S., Europe, and Australia.

    His journey into hormone health began when he observed how men often received proactive treatment for low testosterone, while women navigating perimenopause or menopause were frequently overlooked. Motivated to change that, Dr. McCool pursued advanced certification in women’s hormone health through Dr. Heather Hirsch’s program to expand his commitment to restoring vitality and confidence for all.

    Today, as the founder of ICONA Health, Dr. McCool is the leader of a new era of wellness that integrates science, artistry, and empathy to help patients feel ageless, energized, and wholly themselves again.

    Outside of medicine, he finds joy in strength training with his wife, spending time with his family, and cheering on UAB football and basketball.

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Mary Margaret Manzella, APRN

Advanced Practice Nurse Practitioner

  • A board-certified Nurse Practitioner, Mary Margaret Manzella specializes in hormone health, sexual wellness, weight loss and preventive medicine. With advanced fellowship training in Andrology from Baylor College of Medicine, she blends evidence-based expertise with an intuitive approach, helping both women and men restore balance, vitality, and confidence in their everyday lives.


    As the first fellow to train under world-renowned urologist and andrologist Dr. Mohit Khera, Mary Margaret gained unparalleled experience in advanced hormone optimization for both men and women. She also trained with Dr. Rafael Carrion, a nationally recognized urologist and professor at the University of South Florida specializing in sexual medicine.

    During her fellowship, she developed advanced skills in testosterone replacement therapy, peptide protocols, and wellness medicine, and became a REMS-certified provider for Xiaflex® injections in the treatment of Peyronie’s disease.


    A respected voice in her field, Mary Margaret has lectured across the country on hormone optimization and continues to educate both patients and peers on the evolving science of sexual and hormonal health. Her approach uniquely integrates women’s hormone care with guided use of weight loss medications, combining metabolic and hormonal optimization to enhance results and overall well-being.


    Mary Margaret began her career studying Prevention, Health, and Wellness at Auburn University before completing an accelerated BSN-MSN program at the University of South Alabama. She built her clinical foundation in high-acuity settings, including the Emergency Department during the COVID-19 pandemic and the Trauma/Burn ICU, where she developed a deep respect for resilience and the power of proactive health.


    At ICONA Health, Mary Margaret partners with patients in creating personalized plans to optimize their hormones and increase their energy and confidence from the inside out. She believes true health extends far beyond lab results— it’s about feeling fully alive in your body.