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Our dual Semaglutide & Tirzepatide program in San Antonio targets appetite, blood sugar, and metabolic signaling so you can lose 15–20%+ of your body weight with expert physician guidance, comprehensive labs, and telehealth support across TX, CA, and FL.
Semaglutide is an FDA-approved GLP-1 receptor agonist that has transformed medical weight loss. At Prime Vitality Care in San Antonio, TX, we prescribe semaglutide as part of a comprehensive, physician-supervised weight loss program that addresses the root metabolic causes of weight gain.
Tirzepatide is a dual GLP‑1/GIP agonist that activates two incretin pathways at once, often achieving even greater average weight loss in head‑to‑head studies.
At Prime Vitality, we evaluate your history, labs, and goals, then match you to the molecule and dosing strategy that fits your biology and budget — all under one integrated program.
Real‑world telehealth programs combining Semaglutide or Tirzepatide with lifestyle support achieve substantial, clinically meaningful weight loss over 6–12 months.
Semaglutide cohorts average ~15–17% weight loss, while Tirzepatide may reach ~20%+ in some trials when paired with structured care.
Ideal for patients starting GLP‑1 therapy or prioritizing affordability. Learn how our Semaglutide protocol works, dosing, labs, and safety.
Dual GLP‑1/GIP pathway with the most aggressive weight‑loss data to date. Explore who it’s for, safety, and how we titrate doses virtually.
Combine virtual visits for convenience with in‑office InBody scans and labs in San Antonio when you want deeper metabolic tracking.
Weight, body composition, and lab markers guide every dose change, so your plan evolves with your results.
Whether you prefer in-person visits at our San Antonio office or the convenience of telehealth from anywhere in TX, CA, or FL — we make it easy.
GLP-1 Medications such as semaglutide & tirzepatide are most effective for adults who meet specific clinical criteria. Dr. Goel evaluates every patient individually to ensure safe, appropriate care.
BMI 27+ with a weight-related comorbidity (hypertension, diabetes, sleep apnea) or BMI 30+ regardless of comorbidities.
Patients who have failed to achieve or maintain weight loss through diet and exercise alone, and need pharmaceutical support to break through.
Patients with type 2 diabetes, prediabetes, or insulin resistance who would benefit from improved blood sugar control alongside weight loss.
Remote patients across Texas, California, and Florida who want physician-supervised weight management with medication delivered to their door.
Telehealth AvailableGLP-1 Medications delivers progressive, sustained weight loss. Here is a typical timeline of what patients experience during physician-supervised treatment.
Your body adapts to semaglutide at the lowest dose. Mild appetite changes begin, and some patients experience temporary GI side effects (nausea, fullness) as the medication takes effect. Dr. Goel monitors closely during this phase.
Appetite reduction becomes significant. Patients report feeling satisfied with smaller portions and fewer cravings between meals. Most see their first meaningful weight changes on the scale.
3–5% Body Weight LossWith dose escalation and established lifestyle changes, weight loss accelerates. Significant improvements in energy levels, sleep quality, and daily stamina. Clothes fit differently — others start noticing.
8–12% Body Weight LossPeak weight loss phase for most patients. Metabolic markers improve dramatically — blood sugar, blood pressure, cholesterol. Body recomposition visible. InBody analysis shows fat loss with muscle preservation.
15–20% Body Weight LossTransition to maintenance phase with sustained results. Dr. Goel creates a personalized tapering plan integrating lifestyle changes. Some patients maintain with lower doses long-term for continued weight management.
Sustained ResultsYour weight loss journey deserves more than a subscription box. We combine physician expertise with concierge-level care for truly personalized results.
Dr. Goel personally manages every semaglutide protocol. No nurse practitioners, no physician assistants — your care is directed by a board-certified physician from start to finish.
Cost-effective compounded semaglutide available from licensed 503B pharmacies, providing the same active ingredient at a fraction of the brand-name price.
Track fat loss versus muscle preservation with medical-grade body composition analysis. Know exactly what your body is doing — not just what the scale says.
Direct messaging with Dr. Goel, rapid response times, and no call center runaround. When you have a question or concern, you get answers fast — from your actual physician.
I’d tried every diet imaginable. Within the first month on semaglutide with Dr. Goel’s guidance, my appetite completely changed. I’ve lost 47 pounds in 5 months and I finally feel in control of my relationship with food.
Rachel M.
Age 41 • Telehealth Patient • Semaglutide Program
Everything you need to know about our semaglutide weight loss program, from how it works to what results to expect.
Most patients see 3–5% body weight loss in the first month, with progressive results reaching 15–20% by months 6–12. Individual results vary based on starting weight, adherence to nutritional guidance, activity level, and dose escalation timeline. Dr. Goel tracks your progress at every check-in and adjusts your protocol for optimal results.
Nausea, constipation, and diarrhea are the most common side effects, particularly during dose escalation phases. These typically subside as your body adjusts to each new dose level. Dr. Goel manages dose increases carefully to minimize side effects — sometimes holding at a dose longer or adjusting the escalation schedule based on your individual tolerance.
Compounded semaglutide contains the same active ingredient (semaglutide) as Ozempic and Wegovy. Compounded versions are prepared by licensed 503B pharmacies as a cost-effective alternative. Brand-name Ozempic requires specific insurance coverage and is often subject to shortages. Compounded semaglutide offers reliable access at a lower price point while delivering the same active molecule.
No! Our semaglutide program is available via telehealth for patients in Texas, California, and Florida. You will have video consultations with Dr. Goel, and your medication is shipped directly to your door. San Antonio patients also have the option of in-office visits with InBody body composition analysis for additional tracking.
Sustainable weight maintenance requires lifestyle changes developed during your treatment. Dr. Goel creates a personalized tapering and maintenance plan well before discontinuation. Some patients maintain their results through diet and exercise alone, while others benefit from continuing on a lower maintenance dose long-term. The habits and metabolic improvements built during treatment provide a strong foundation.
Yes, semaglutide is often combined with nutrition plans, structured exercise protocols, peptide therapy (such as sermorelin for growth hormone optimization), or broader metabolic optimization programs. Dr. Goel evaluates your full health picture and may recommend complementary therapies to enhance your results and overall wellness.
Muscle preservation is a key focus of our program. Dr. Goel recommends a protein-rich diet (typically 0.8–1g protein per pound of target body weight), consistent resistance training, and regular InBody monitoring to track lean mass. If body composition analysis shows concerning muscle loss, the protocol is adjusted — sometimes including additional peptide support or nutritional modifications.
It is simple: book your appointment online, complete a brief intake form, then meet Dr. Goel via a secure video consultation. If you are a good candidate, your prescription is sent to a licensed pharmacy and medication is delivered to your home. From there, you will have regular virtual check-ins to monitor progress, adjust dosing, and address any questions. The entire process is designed for convenience without compromising care quality.
Schedule your consultation with Dr. Goel today. Available in-office in San Antonio or via telehealth across Texas, California, and Florida. Medication delivered to your door.
Not local? We offer Semaglutide telehealth and Tirzepatide telehealth across nationwide — medication shipped to your door.
This content is for educational purposes only and does not constitute medical advice. Compounded semaglutide and tirzepatide are provided under physician supervision. Compounded medications are not FDA-approved drug products and are prepared by licensed compounding pharmacies.
The FDA has noted that compounded versions of GLP-1 medications differ from brand-name FDA-approved products (Ozempic®, Wegovy®, Mounjaro®, Zepbound®). Results vary based on individual health status, adherence, and clinical factors.
Consult Dr. Goel to determine if this treatment is right for you.
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