Tom O.
Functional Member · 12 months
A full year inside the protocol — labs, energy, and outlook.
Physician-Led Functional Medicine & Concierge Care
Root-cause medicine for people who refuse to settle for normal.
Dr. Shiv K. Goel integrates clinical precision, ancient wisdom, and AI-guided insight to decode fatigue, hormones, metabolism, and aging — and rebuild the energy, clarity, and vitality your labs can't see.
Is This The Right Care For You?
We're not for everyone — and that's by design.
Prime Vitality Care is a physician-led, cash-pay practice for a specific kind of patient. Read both columns honestly. The clearer you are on fit, the better your outcome.
You're a fit if…
Your labs say "normal" — but you feel anything but.
You're a high-performer in your 30s–60s who refuses to age on autopilot.
You want a physician who looks at the whole system, not one symptom at a time.
You're ready to invest in advanced testing, custom protocols, and long-term care.
You value privacy, depth, and direct physician access over crowded waiting rooms.
You're done with 7-minute visits and "everything looks fine — see you in a year."
We're not the right fit if…
You're looking for free advice or a quick second opinion at no cost.
You want insurance to cover everything — we are a cash-pay concierge practice.
You're hoping for a fast prescription without testing or follow-up.
You're not ready to make lifestyle, sleep, nutrition, or stress changes.
You want a med-spa experience without the medical depth behind it.
You'd rather chase symptoms than understand the system causing them.
If you read the left column and thought "that's me" — let's talk.
Experience Prime Vitality
Step Inside Our World
Take a journey through our clinic and see what physician-led, holistic care looks like from the moment you walk in.
"Dr. Goel truly listens and creates a personalized plan. I've never felt so understood by a physician. My energy, skin, and overall wellbeing have transformed."
HIPAA Compliant
Board Certified
Telehealth Available
Our Philosophy
Medicine for the prime of your age.
Most clinics manage decline. We engineer the next decade — measured in labs, lived in your body, and led by a physician who refuses to call exhaustion, weight gain, or low libido "a normal part of aging."
"If your labs say 'normal' but you feel anything but, the problem isn't you. It's the standard of care." — Shiv Goel, MD · Triple Board-Certified · Founder
Root-cause diagnostics
We start with a 60+ biomarker workup — hormones, metabolic, inflammatory, micronutrient, cardiovascular. Then we read what your annual physical missed. No protocol begins until we understand the system.
Functional · Longevity · Hormone PanelsPhysician-led protocols
Every plan is designed and signed by Dr. Goel — triple board-certified in Internal, Functional, and Aesthetic Medicine, Mount Sinai-trained, and an IFBB Masters Champion who lives the work. No mid-levels. No templates.
Triple Board-Certified · Mount Sinai · ACP FellowA 12-month conversation
Real transformation isn't a single visit — it's a year of titration, retesting, and refinement. The Signature Practice is a partnership, not a transaction, which is why we accept by application only.
Membership · Partnership · By ApplicationYou don't need another supplement, another opinion, or another quick fix. You need a physician willing to sit with the complexity of your biology — and a protocol built for the next decade, not the next visit.
Two Ways to Work With Us
Choose your level of partnership.
The Signature Practice is a 12-month physician-led commitment, accepted by application. The Wellness Studio is open enrollment for targeted aesthetics and IV therapy. Both run on the same standard of care — the depth of engagement is what changes.
By Application
The Signature Practice
Five physician-led pillars for patients ready to commit to a 12-month protocol. Designed and signed by Dr. Goel. Limited panel by design.
Pillar I
Hormone Optimization
Beyond replacement. We map your full endocrine picture — testosterone, estrogen, thyroid, cortisol, DHEA — and titrate against symptoms and labs every quarter.
BHRTThyroidAdrenal
Inside this protocol
Pillar II
Men's Vitality
For the man who used to be sharp, lean, and driven — and feels it slipping. TRT done right, plus metabolic, sleep, and recovery optimization led by an IFBB Masters Champion physician.
TRTMetabolicPerformance
Inside this protocol
Pillar III
Women's Vitality
Perimenopause, menopause, post-partum, and pre-conception care that takes the long view. Bioidentical hormone therapy paired with metabolic, thyroid, and gut work.
PerimenopauseBHRTFertility
Inside this protocol
Pillar IV
Medical Weight Loss
GLP-1 therapy used the way it was designed — inside a metabolic, hormonal, and behavioral protocol. We protect lean mass, retest every 90 days, and plan for the off-ramp from day one.
GLP-1Body CompMetabolic
Inside this protocol
Pillar V
Peptide & Longevity
Targeted peptides for recovery, cognitive performance, immune resilience, and tissue repair — sequenced inside a longevity panel that tracks biological age, not just chronological.
PeptidesBiological AgeRecovery
Inside this protocol
Not sure which pillar?
Most patients enter through one and grow into two or three. The Discovery Call maps it for you.
Apply for Discovery Call
Open Enrollment
Unleash Your Inner Radiance with Personalized Holistic TreatmentsStudio
Targeted aesthetics, IV, and recovery treatments delivered to the same clinical standard — without the 12-month commitment. Book à la carte or as a Studio Member.
Face · Body · Skin
Aesthetics
Neurotoxin, filler, microneedling, laser, body contouring. Done by clinicians who understand the hormonal and metabolic context behind your skin — not just the surface.
From $69/mo · Studio Member Browse menu
Hydration · Recovery
IV & Infusions
NAD+, Myers' Cocktail, glutathione, immune and recovery drips — formulated by a physician, administered by RNs, never as a one-size-fits-all menu.
From $149/mo · Studio Member See drip menu
Hair · Scalp · Skin
Skin & Hair Restoration
PRP, exosomes, medical-grade topicals, and hair-loss workups that look upstream — at thyroid, ferritin, hormones — before chasing the symptom.
À la carte · From $349 Explore optionsCheck Your Symptoms
Enter your symptoms below to see possible causes and treatments available at Prime Vitality.
Note: This tool is for informational purposes only and does not constitute medical advice. Please consult a professional for diagnosis.
The Signature Practice Arc
Real transformation is a 12-month conversation.
No quick fixes. No 90-day promises. The Signature Practice unfolds in four chapters across a full year — because biology takes that long to retrain, and we'd rather show you the truth than sell you the timeline you want to hear.
365 Days · 60+ Biomarkers · 4 Quarterly Reviews
I
Week 0 · 20 min
Apply & discover
You apply. We respond within 48 hours with a Discovery Call slot — a 20-minute conversation with Dr. Goel to map your story, your goals, and whether the Signature Practice is the right fit. No charge. No pressure.
- Discovery Call with Dr. Goel
- Tier & protocol direction
- Honest fit assessment
II
Months 1–2
Investigate
The 60+ biomarker workup runs — hormones, metabolic, inflammatory, micronutrient, cardiovascular. Real labs, not the inflated "100+ marker" panels that pad the count with derived ratios. Then Dr. Goel reads them with you in a consult as long as your case requires — typically 45 to 90 minutes.
- 60+ measured biomarkers — no padded panels
- 45–90 min lab review — as long as your case requires
- Symptom & lifestyle deep-dive
- Body composition baseline
III
Months 2–3
Build the protocol
Dr. Goel designs and signs your protocol — sequenced, dosed, and timed across hormones, metabolics, peptides, and lifestyle. Nothing is templated. The first 90 days are dose-finding; we expect to titrate as your body responds.
- Physician-signed protocol
- BHRT, peptides, GLP-1 (as indicated)
- Nutrition & training framework
- Direct-message access opens
IV
Months 3–12
Refine, retest, repeat
Quarterly retesting. Quarterly in-person reviews. Continuous adjustment via direct messaging. By month 12 you're not on a "plan" — you're inside a living protocol that has learned your body, and we have nine months of biomarker data to prove what's working.
- Quarterly retest + review
- Real-time titration
- 12-month outcome report
- Year-2 renewal conversation
Shiv Goel, MD
Founder · Triple Board-Certified
Meet the Physician
The doctor who refuses to call your symptoms "normal."
Dr. Shiv Goel is a triple board-certified physician in Internal, Functional, and Aesthetic Medicine — Mount Sinai-trained, formerly Medical Director at Methodist Hospital San Antonio, and an IFBB Masters Champion who lives the work he prescribes. He built Prime Vitality after a decade of watching patients told they were "fine" while their labs, energy, and bodies said otherwise.
Boards
Internal · Functional · Aesthetic
Training
Mount Sinai Residency · ACP Fellow
Recognition
America's Best Doctor 2025
Athletic
IFBB Masters Champion · Republic of Texas
Writing
KevinMD · Doximity Op-Med
Media
KENS 5 · WebMD Top Doc
"I order what we'll act on — not what looks impressive on a printout. The goal isn't a hundred biomarkers; it's the right sixty, read carefully, retested honestly." — Dr. Shiv Goel, MDRead Dr. Goel's full bio
Our Standard of Care
Four non-negotiables.
Every claim we make about depth, rigor, and partnership is backed by something measurable. These are the four we won't compromise on.
100%
Physician-Led
No Mid-Levels
Designed and signed by Dr. Goel.
Every protocol — hormonal, metabolic, peptide, aesthetic — is designed and signed by Dr. Goel personally. No NPs, no PAs, no templated plans. If you're paying for physician-grade care, you're getting physician-grade care.
60+
Real Biomarkers
No Padded Panels
What we measure, we act on.
Hormones, metabolic, inflammatory, micronutrient, cardiovascular — measured, not derived. Our 60+ biomarker panel is smaller than the inflated "100+" panels you've seen elsewhere because we order what we'll actually act on.
12
Month Minimum
A Real Arc
Long enough to retrain biology.
The Signature Practice runs on a 12-month minimum because hormonal, metabolic, and longevity work needs that long to titrate, retest, and prove. No 30-day promises. No 90-day miracles. Just the honest timeline.
45–90
Min Consults
No Clock
As long as your case requires.
Lab reviews and protocol consults run 45 to 90 minutes — driven by clinical complexity, not scheduling efficiency. Your case sets the pace, not a 15-minute primary care template.
Limited by design.
We accept a small number of new Signature Practice patients each quarter. This isn't scarcity marketing — it's the only way Dr. Goel can deliver protocols at this depth without diluting the work. If we're at panel capacity when you apply, we'll tell you, and we'll offer the waitlist.
By Application
The Signature Practice
Physician-led memberships at three clearly defined levels of access. Prime Access is foundational care and secure communication. Functional adds deeper root-cause optimization. Elite Longevity is our highest-touch, capped-panel experience.
Tier I
Prime Access
Foundational physician-guided care for ongoing prevention and wellness.
$199
/ month
$499 initiation · 6-month minimum commitment
- Secure physician messaging through the patient communication system
- Annual 30+ biomarker longevity panel
- Priority same-day or next-day appointments when clinically appropriate and available
- Member pricing on Studio services
Important: Prime Access is not 24/7 emergency care, unlimited texting, or Elite Longevity access. Direct text access, quarterly optimization, advanced longevity diagnostics, and capped-panel care are reserved for higher tiers.
Apply for Prime AccessTier II
Functional
Full systems work for the patient ready to do it right.
$349
/ month
$749 initiation · 12-month minimum commitment
- Everything in Prime Access, plus:
- 60+ biomarker functional panel + quarterly retesting
- Hormone optimization protocol when clinically appropriate
- Metabolic, gut, and inflammatory workups
- Quarterly in-person optimization reviews with Dr. Goel
- Eligible for GLP-1 and peptide protocols when clinically indicated
Best for: Patients who want deeper root-cause testing, structured follow-up, and quarterly clinical optimization — without the capped Elite Longevity panel.
Apply for Functional OptimizationTier III
Elite Longevity
White-glove longevity medicine for the next thirty years.
$799
/ month
$2,500 initiation · 12-month minimum · 20-patient panel cap
- Everything in Functional, plus:
- Direct text access with Dr. Goel — not portal tickets
- TruDiagnostic TruAge PACE biological age testing — annual
- Quarterly ApoB, Lp(a), hs-CRP — cardiology-grade lipid work
- VO2max, CAC, DEXA at partner-cost — we don't mark up
- Targeted peptide protocols when clinically indicated
Highest-touch tier: Elite Longevity is the only Signature tier with capped-panel access, direct text communication, and advanced longevity diagnostics.
Apply for Elite Longevity Read the full Longevity Protocol →Not all memberships include the same level of access. Prime Access provides foundational physician-guided care, secure communication, annual labs, and priority scheduling. Functional adds deeper root-cause testing and quarterly optimization. Elite Longevity is the highest-touch program with direct text access, advanced longevity diagnostics, and a capped 20-patient panel.
How application works: A 20-minute Discovery Call with Dr. Goel determines fit, tier, and protocol direction — at no cost. Memberships are not subscriptions; they are 6 or 12-month commitments to a defined clinical arc. The Elite Longevity panel is capped at 20 patients — Concierge and Functional onboard quarterly.
Open Enrollment
Unleash Your Inner Radiance with Personalized Holistic TreatmentsStudio
Studio Memberships unlock member pricing and priority booking on aesthetics and IV. Cancel after 90 days. À la carte always available.
Studio Member · Aesthetics
Aesthetics
For the patient who wants the chair without the chart.
$69
/ month
No initiation · 90-day minimum · Cancel anytime after
- Member pricing on neurotoxin, filler, microneedling, laser
- Priority booking & waitlist access
- Quarterly skin analysis with clinician
- Complimentary aesthetic consults
Studio Member · IV & Recovery
IV & Infusions
Monthly drip delivered like a standing protocol.
$149
/ month
No initiation · 90-day minimum · Cancel anytime after
- One IV drip / month included (your choice from menu)
- Member pricing on additional drips & add-ons
- NAD+, Myers', glutathione, immune, recovery
- All Aesthetics Studio benefits included
Find Your Personalized Care Plan
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Common Questions
Frequently Asked
Get clarity on what makes our approach different.
We're a physician-led functional wellness hub, not a med spa. While we offer aesthetic treatments, every protocol is rooted in understanding your internal health — hormones, metabolism, gut function, and cellular biology. Our approach treats the root cause, so the results you see on the outside reflect genuine health from within.
It means we integrate Ayurvedic principles — like understanding your body's unique constitution and treating interconnected systems — with clinical evidence, advanced diagnostics, and FDA-cleared technology. You get the wisdom of ancient healing validated by modern science.
Yes. Through Prime Virtual Care, we offer telehealth consultations for hormone optimization, weight management, functional medicine, and wellness planning. Many of our diagnostic and treatment protocols can be initiated and managed remotely.
Your first visit is a Deep Discovery session. We review your complete medical history, current symptoms, lifestyle factors, and goals. We may order advanced labs to map your hormonal, metabolic, and nutritional baseline. This isn't a quick consultation — it's the foundation of your entire transformation journey.
Our AI tools assist in symptom pattern recognition, lab result analysis, and treatment optimization. They help identify correlations between your health data points that support more precise, personalized protocols. AI augments your physician's expertise — it never replaces the human relationship at the center of your care.
We operate as a cash-pay practice to maintain the quality and personalization our approach requires. However, some services and labs may be eligible for insurance reimbursement. We provide detailed superbills for submission to your insurance provider, and our membership plans make premium care more accessible.
We offer three tiers — Aesthetics ($69/mo), IV Hydration ($149/mo), and Concierge Medicine ($199/mo). Each tier provides member pricing on all services, priority scheduling, and tier-specific benefits. Memberships aren't required for individual visits, but they offer the best value for ongoing optimization.
Prime Vitality Wellness
A refined wellness destination in San Antonio
Experience personalized care in a luxury medical spa setting designed for wellness, rejuvenation, and aesthetic excellence. Use the map for directions, or contact our team directly to schedule your visit.
Address
10007 Huebner Road, Suite 302
San Antonio, TX 78240
San Antonio, TX 78240
Phone
Personalized wellness, functional medicine, and aesthetic care in one elevated experience.