See What Others Miss.
Standard blood work checks 10–15 markers. We test 50+ — because your health story is written in your biology.
Standard vs. Prime Diagnostics
Most doctors order the same 5 tests every time. We build a complete biological picture — across 8 body systems — so nothing gets missed.
Basic Blood Work
Deep Diagnostics
Our Lab Panels
Tap a panel to explore what we test, who it's for, and why each marker matters. Every panel is ordered by Dr. Goel based on your unique symptoms and goals.
Executive Wellness Panel
Our most comprehensive panel — the one Dr. Goel recommends for anyone who wants a complete baseline. Covers metabolic health, thyroid function, inflammation, nutrient status, and blood cell health in a single draw.
Annual health optimization seekers, executives, anyone over 35 wanting a deep baseline, new patients starting a wellness program, or anyone who hasn't had comprehensive labs in over a year.
What We Test
- Comprehensive Metabolic Panel (CMP-14)
- CBC with Differential
- TSH (Thyroid Stimulating Hormone)
- Free T3 & Free T4
- Reverse T3 (RT3)
- Thyroid Antibodies (TPO, TgAb)
- Vitamin D (25-OH)
- Vitamin B12
- hs-CRP (High-Sensitivity C-Reactive Protein)
- Iron Studies (Ferritin, TIBC, Serum Iron)
- Fasting Insulin
- HbA1c (Hemoglobin A1c)
- Lipid Panel (Total, LDL, HDL, Triglycerides)
- Liver Enzymes (AST, ALT, GGT)
Hormone Optimization Panel
A full male or female hormone cascade — far beyond the basic testosterone or estrogen check your PCP runs. We map your entire hormonal axis to find imbalances driving fatigue, weight gain, low libido, and mood changes.
Men or women experiencing fatigue, weight gain, low libido, mood swings, brain fog, muscle loss, or anyone considering hormone replacement therapy (TRT/HRT).
What We Test
- Total Testosterone
- Free Testosterone
- Estradiol (E2)
- Progesterone
- DHEA-S
- Cortisol (AM)
- SHBG (Sex Hormone Binding Globulin)
- LH (Luteinizing Hormone)
- FSH (Follicle-Stimulating Hormone)
- Prolactin
- IGF-1 (Growth Hormone Marker)
- Thyroid Panel (TSH, Free T3, Free T4)
Gut Health & Microbiome
Your gut controls far more than digestion — it influences immunity, mood, weight, and inflammation. This panel uses advanced stool and breath testing to reveal hidden infections, imbalances, and permeability issues most doctors never check.
Chronic bloating, IBS, food sensitivities, unexplained inflammation, autoimmune conditions, skin issues (acne, eczema), anxiety/depression linked to gut-brain axis dysfunction.
What We Test
- GI-MAP Stool Analysis (DNA-based)
- H. pylori Detection
- Parasites, Bacteria & Yeast Overgrowth
- Zonulin (Leaky Gut Marker)
- Calprotectin (Intestinal Inflammation)
- Secretory IgA (Gut Immune Function)
- SIBO Breath Test (Hydrogen + Methane)
- Food Sensitivity Panel (96 Foods, IgG)
- Pancreatic Elastase (Digestive Enzyme Function)
Metabolic & Weight Loss Panel
If the scale isn't budging despite your best efforts, the answer is in your blood — not your willpower. This panel identifies the metabolic roadblocks that standard diets and exercise can't overcome.
Stubborn weight gain, plateau despite diet/exercise, insulin resistance concerns, pre-diabetes risk, PCOS, or anyone starting a medical weight loss program (semaglutide, tirzepatide).
What We Test
- Fasting Insulin
- HbA1c (Hemoglobin A1c)
- Fasting Glucose
- Leptin (Satiety Hormone)
- Adiponectin (Fat Cell Signaling)
- Uric Acid
- Liver Enzymes (AST, ALT, GGT)
- Comprehensive Lipid Panel
- Thyroid Panel (TSH, Free T3, Free T4)
- Cortisol (AM)
- hs-CRP (Inflammation)
- HOMA-IR (Insulin Resistance Index)
Advanced Cardiac Risk Panel
Standard cholesterol tests miss 50% of people who have heart attacks with "normal" cholesterol. Our advanced panel measures the markers that actually predict cardiovascular events — not just total cholesterol.
Family history of heart disease, elevated cholesterol unresponsive to statins, anyone over 40, metabolic syndrome, athletes wanting cardiac clearance, post-stent or cardiac event patients.
What We Test
- ApoB (Apolipoprotein B)
- Lp(a) — Lipoprotein(a)
- hs-CRP (Vascular Inflammation)
- Homocysteine
- Fibrinogen
- NMR LipoProfile (Advanced Lipid Particle)
- Omega-3 Index
- LDL Particle Number & Size
- Oxidized LDL
- Coronary Artery Calcium Score (referral)
Genetic & Epigenetic Testing
Your DNA doesn't change — but how your genes express does. This panel reveals your genetic predispositions and methylation status, so we can tailor supplements, medications, and lifestyle protocols to your unique biology.
Anyone curious about genetic health risks, patients with medication sensitivities, family history of chronic disease, health optimizers, and those interested in longevity science.
What We Test
- Pharmacogenomics (Drug Metabolism Genes)
- MTHFR Gene Variants (C677T, A1298C)
- COMT & MAO Variants (Neurotransmitter Metabolism)
- Methylation Panel (Homocysteine, SAMe, Folate)
- ApoE Genotype (Alzheimer's / Cardiac Risk)
- Longevity-Related SNPs
- Detoxification Pathway Genes (CYP450)
- Vitamin D Receptor (VDR) Polymorphisms
Nutrient Deficiency Panel
You can eat perfectly and still be deficient. Absorption issues, medications, genetics, and gut health all affect nutrient levels. This panel reveals exactly what your body is — and isn't — getting enough of.
Chronic fatigue, hair loss, frequent illness, poor wound healing, muscle cramps, athletes, post-bariatric surgery patients, vegetarians/vegans, anyone taking multiple supplements without testing first.
What We Test
- Vitamin D (25-OH)
- Vitamin B12 & Folate
- Magnesium (RBC — not serum)
- Zinc
- Iron Studies (Ferritin, TIBC, Serum Iron)
- Omega-3 Index
- CoQ10 (Coenzyme Q10)
- Copper & Ceruloplasmin
- Selenium
- Vitamin A (Retinol)
Autoimmune & Inflammation Panel
When your immune system attacks your own body, symptoms can be vague and widespread. This panel detects autoimmune triggers and inflammatory markers that often go undiagnosed for years — even decades.
Unexplained joint pain, chronic fatigue, skin rashes, hair loss with no clear cause, family history of autoimmune disease (lupus, RA, Hashimoto's), or anyone with elevated inflammatory markers.
What We Test
- ANA (Antinuclear Antibodies)
- RF (Rheumatoid Factor)
- ESR (Erythrocyte Sedimentation Rate)
- CRP (C-Reactive Protein)
- Cytokine Panel (IL-6, TNF-alpha)
- Complement Levels (C3, C4)
- Anti-dsDNA Antibodies
- Thyroid Antibodies (TPO, TgAb)
- Immunoglobulins (IgG, IgA, IgM)
From Lab Order to Action Plan
Four simple steps — and Dr. Goel is involved at every one. No hand-offs, no automation, no guessing.
Order
Dr. Goel selects your panels based on your symptoms, goals, and health history — not a one-size-fits-all menu.
Draw
In-office blood draw at our San Antonio clinic or mobile phlebotomy at your home or office — your convenience, your choice.
Analyze
Dr. Goel personally reviews every single result — no auto-generated "normal" flags, no AI gatekeeping. Results in 3–5 days.
Action Plan
A personalized treatment protocol: supplements, medications, lifestyle changes, and follow-up timeline — not a generic printout.
Explore Our Comprehensive Diagnostic Lab Panels
Your regular doctor tests for disease. We test for optimization. There's a massive gap between "not sick" and "thriving" — and that's where we work.
Is This You?
Tap a card to see which lab panels address your concern. Most of these symptoms have a biological root cause that standard labs completely miss.
Unexplained Fatigue
Tap to see panelsRecommended Panels:
Fatigue is never "just stress." It's your body's alarm — thyroid dysfunction, iron depletion, adrenal imbalance, or nutrient deficiency could be the root cause.
Weight That Won't Budge
Tap to see panelsRecommended Panels:
Insulin resistance, leptin resistance, thyroid dysfunction, and cortisol imbalance are the four hidden metabolic blockers keeping weight on despite your best efforts.
Brain Fog
Tap to see panelsRecommended Panels:
Brain fog often traces back to inflammation, gut permeability, B12 deficiency, hormone imbalance, or methylation issues. Your brain needs data, not guesswork.
Hormone Concerns
Tap to see panelsRecommended Panels:
Low testosterone, estrogen dominance, cortisol dysregulation, or DHEA depletion affect energy, mood, body composition, and libido. A full cascade reveals the full picture.
Family History of Disease
Tap to see panelsRecommended Panels:
Genetics loads the gun — environment pulls the trigger. If heart disease, diabetes, or cancer runs in your family, proactive testing lets you intervene years before symptoms appear.
Athletes Seeking an Edge
Tap to see panelsRecommended Panels:
Performance plateaus aren't always about training harder. Nutrient depletion, hormone imbalance, inflammation, and recovery markers reveal where biology is limiting your output.
Aging Gracefully
Tap to see panelsRecommended Panels:
Longevity isn't luck — it's strategy. Monitoring hormones, inflammation, cardiac risk, and methylation status gives you the data to age on your terms.
How We're Different
Getting lab results shouldn't feel like reading a foreign language. Here's what happens after your blood draw at a typical doctor vs. Prime Vitality.
Generic Lab Portal
Prime Vitality Review
Transparent Lab Pricing
No hidden fees, no surprise charges. Every panel includes Dr. Goel's personal review, annotated report, and action plan.
Executive Wellness Panel
$399Full metabolic, thyroid, inflammation, vitamins, iron, and CBC — the ultimate baseline.
Included with Optimization & EliteHormone Optimization
$349Complete male or female hormone cascade — testosterone, estradiol, cortisol, SHBG, and more.
Included with Elite MembershipGut Health & Microbiome
$499GI-MAP, SIBO breath test, food sensitivities, leaky gut markers, and H. pylori detection.
Metabolic & Weight Loss
$299Insulin, HbA1c, leptin, adiponectin, liver enzymes, and metabolic rate markers.
Included with Weight Loss ProgramsAdvanced Cardiac Risk
$399ApoB, Lp(a), NMR LipoProfile, homocysteine, and advanced lipid particle analysis.
Included with Elite MembershipGenetic & Epigenetic
$499Pharmacogenomics, MTHFR, methylation markers, and longevity-related SNPs.
Nutrient Deficiency
$249Vitamins D, B12, magnesium (RBC), zinc, iron studies, omega-3 index, and CoQ10.
Included with Optimization & EliteAutoimmune & Inflammation
$399ANA, RF, ESR, CRP, cytokine panel, and complement levels for immune system insight.
Save More With Membership
Concierge members at the Optimization ($349/mo) and Prime Elite ($599/mo) tiers receive comprehensive lab panels as part of their membership — no additional lab fees for included panels.
Explore Membership Options →Real Stories, Real Discoveries
See how comprehensive lab testing and 50+ biomarkers can uncover hidden patterns in energy, hormones, inflammation, and metabolic health—then guide a targeted plan instead of “normal” rubber-stamped results.
Patient Perspective
“My labs had been called ‘normal’ for years. At Prime Vitality, the advanced panel finally showed low B12, early insulin resistance, and inflammation markers that actually explained my fatigue. Having everything reviewed line by line changed how I see my health.”
Advanced Biomarker Panel · Physician-Reviewed Results in 3–5 Days
Frequently Asked Questions
Most standard blood panels return results in 3–5 business days. Specialized panels like GI-MAP and genetic testing may take 7–14 days. Dr. Goel schedules your results walkthrough as soon as everything is in — you'll never be left waiting and wondering.
Some panels may be partially covered by insurance depending on your plan and medical necessity. We provide CPT codes and can submit to insurance on your behalf. Many patients use HSA/FSA funds. For concierge members, comprehensive panels are included in membership — no additional lab fees for included panels.
For most panels, yes — a 10–12 hour overnight fast is recommended for the most accurate results (especially metabolic, insulin, lipid, and hormone panels). Water is always okay. We'll send you specific preparation instructions when your labs are ordered.
Yes. We offer mobile phlebotomy services — a licensed phlebotomist comes to your home or office for the blood draw. Stool-based tests (GI-MAP) and breath tests (SIBO) are always done at home with a kit we provide. For certain panels, in-office draws may be preferred for sample integrity.
Dr. Goel personally reviews every result, annotates your report, and schedules a walkthrough call or video visit. You'll receive a written action plan: specific supplements with dosages, medication recommendations if needed, lifestyle modifications, and a follow-up testing timeline — typically 60–90 days.
Absolutely. While concierge members enjoy included panels and priority scheduling, any patient can order individual lab panels à la carte. You'll still receive Dr. Goel's personal review and action plan with every panel — membership just makes it more cost-effective if you're testing regularly.
Connected to Your Complete Health Plan
Labs are just the starting point. Results fuel treatment across every service we offer.
Functional Medicine
Root-cause diagnosis powered by the lab data we collect — not symptom management.
Concierge Medicine
Members get comprehensive panels included — 24/7 access to Dr. Goel for results and follow-up.
Telehealth
Virtual results walkthroughs and follow-ups — no office visit required for your action plan review.
Book Your Labs
Ready to see what your biology reveals? Schedule your consultation and lab panel today.