About Us
We combine clinical expertise with a warm, patient-first approach to give you the personalized, evidence-based care you deserve.
Our Mission
At Bottumzup Health & Wellness, we are dedicated to transforming lives through comprehensive, evidence-based medical care. Our nurse practitioner-led practice combines clinical excellence with a personalized approach, ensuring every patient receives the highest standard of care in a warm, welcoming environment.
We believe that optimal health extends beyond treating symptoms. It is about empowering you with the knowledge, tools, and support needed to achieve lasting wellness and vitality.
Meet Our Nurse Practitioner
Karen Molina Melendez, FNP-BC, LE
Owner and CEO of Bottumzup Health and Wellness
Karen is a Board-Certified Family Nurse Practitioner and Licensed Esthetician with a diverse clinical background in emergency care, surgical services, and primary care. She blends advanced medical training with a whole-person approach to help patients improve their health, confidence, and overall well-being.
She has worked as a Trauma ER Nurse, PACU Nurse, Clinical Adjunct Instructor, and RN Union Board member, and she also conducts disability and compensation exams for U.S. veterans. Karen earned her Master’s Degree in Nursing from Keiser University and specializes in primary care, gastroenterology, women’s health, hormone optimization, and medical weight loss.
Through Bottumzup Health and Wellness, she offers telemedicine consultations, direct primary care, weight loss programs, hormone therapy, IV nutrition, and esthetic services delivered with genuine care and clinical expertise.
Why She Started Bottumzup
Karen founded Bottumzup to unite her medical experience with her passion for esthetics. She believes true wellness includes both how you feel and how you see yourself, and she is committed to providing personalized, safe, and supportive care for every patient.
Real Reviews. Real Results.
EXCELLENT Based on 21 reviews Posted on Ashlee Lane ScottiTrustindex verifies that the original source of the review is Google. My zombie facial was absolutely incredible! I walked out of there with brand new skin it felt like! The following day, I even had someone tell me they didn’t believe my age! I will absolutely be back!Posted on Maria RiveraTrustindex verifies that the original source of the review is Google. Karen was amazing and the service provided was an A+. I couldn't be more satisfied with her. I will come back for sure. Thank you KarenPosted on Karen SarigaTrustindex verifies that the original source of the review is Google. Won a free facial but wanted to upgrade… what an awesome experience! Did the beyond Botox one and loved every minute. Results were exceptional and will return again for sure. Also did the Dermaplaning…Very clean, relaxing environment.. top of the line products… Karen is very knowledgeable, gentle, no push to up sell products. Awesome feeling to my skin… if you have never tried a facial… go to Karen… you will not be disappointed!Posted on Nancy RodriguezTrustindex verifies that the original source of the review is Google. When I first saw NP Karen's social media posting, immediately she caught my attention. My first impression was that she spoke both languages. Kind of difficult to find in Central Florida nowadays. She patiently answered all my questions in details. Her knowledge is outstanding. Karen is caring, her follow ups are phenomenal and she helps you focus to reach your goals. Love her personality and tips to stay on track. If you haven't reached out to her yet, I guarantee you won't regret it!Posted on Kayla PrestiaTrustindex verifies that the original source of the review is Google. I've been going to Karen at Bottumzup for over a year now and she never ceases to amaze me. I received a facial for the very first time today and out of all the facials I've gotten in my lifetime, she is by far the absolute best! She made the entire experience from start to finish SO relaxing, I didn't want my appointment to end!! She goes above and beyond in everything she does & always gives you a little extra to make your experience memorable! By giving a little extra, I mean.. the hand massage, the neck massage, the scalp massage, just everything! She's the best of the best and left my face GLOWING! I'd highly recommend her services to anyone needing a spa day!!! She's AMAZING and her spa is SO cute & welcoming!!! ⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️Posted on Julio CardosoTrustindex verifies that the original source of the review is Google. Karen is great and very knowledgeable. Very professional but also cares about her patients .She will guide you through the entire process to optimize the best results possible .she is fantastic !Posted on D MartTrustindex verifies that the original source of the review is Google. Karen is more than great! Super attentive and motivating! She will be behind you and provide you several tools to reach your goal! 1000% recommendPosted on Traci HaynerTrustindex verifies that the original source of the review is Google. The best doctor visits I’ve ever experienced!Posted on DianaTrustindex verifies that the original source of the review is Google. I highly recommend!!!! Karen is very knowledgeable and professional. The results that I experienced have truly exceeded my expectations. Thank you Bottumzup Health & Wellness.Posted on LuzGlorivi GarciaTrustindex verifies that the original source of the review is Google. Im so grateful with Karen she’s a fenomenal and amazing ..only in few weeks I almost reach my goal and she’s very attentive to any concern…I will recommend her 💯❌% Thanks Karen for your encouragement and help toward my weight.