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PHYSICIAN-LED • ROOT-CAUSE • AI-INTEGRATED

PRIME VITALITY SERVICES HUB

Complete Wellness,
One Practice.

Board-certified physician-led care spanning functional medicine, hormone optimization, aesthetics, weight management, and men's health — available in-clinic in San Antonio and via secure telehealth nationwide.

“Healing begins from within. We hold the power to transform our health by understanding root causes — not just treating symptoms.” — Dr. Shiv Goel, MD
Board-Certified Physician Root-Cause Approach In-Office & Telehealth

🏥 In-Office Visits

Comprehensive exams, labs, hormone testing, and procedures at our San Antonio clinic.

Book In-Office Visit →

Urgent Care Support

Rapid virtual or in-person care for acute concerns — infections, flare-ups, medication issues.

Request Urgent Visit →

💻 Telehealth Nationwide

Secure virtual visits for follow-ups, refills, lab reviews, and new consultations.

Start Telehealth Visit →
Our Integrated Toolkit

The Tools Behind Your Transformation

Every protocol at Prime Vitality is powered by advanced diagnostics, physician-led therapies, and AI-driven precision — blending Eastern wisdom with Western evidence-based medicine.

🧪

Advanced Lab Panels

Comprehensive biomarker analysis — hormones, metabolic markers, inflammation, nutrient status, and longevity indicators.

🧬

Peptide Protocols

Targeted peptide therapies for recovery, cognition, fat loss, immune function, and cellular regeneration.

💉

Hormone Optimization

BHRT, TRT, thyroid, and adrenal protocols calibrated to your labs, lifestyle, and goals.

💧

IV Nutrient Therapy

Medical-grade IV infusions — NAD+, glutathione, iron, hydration, and custom cocktails delivered in-clinic.

Aesthetic & Regenerative

Injectables, RF microneedling, PRP, exosomes, and energy-based devices — physician-led, never delegated.

💻

Telehealth & AI

Secure virtual visits, AI symptom checker, remote monitoring, and digital care plans via Prime Virtual Care.

⚖️

GLP-1 & Weight Loss

Semaglutide, tirzepatide, and metabolic reset protocols with physician oversight and telehealth check-ins.

🌿

Functional Medicine

Root-cause diagnostics, gut health, detox pathways, circadian optimization, and longevity science.

🧑‍⚕️

Concierge Care Model

Extended visits, direct physician access, same-week appointments, and personalized wellness roadmaps.

🧖

Mind-Body Integration

Stress reduction, adrenal support, sleep optimization, and holistic protocols bridging Eastern and Western approaches.

TL;DR

Prime Vitality at a Glance

Prime Vitality Care is a physician-led integrative wellness practice in San Antonio, founded by Dr. Shiv Kumar Goel, MD — board-certified in Internal Medicine, Functional Medicine, and Aesthetic Medicine. We don't chase symptoms. We find the root cause.

We offer 12 specialized service hubs spanning hormone optimization, peptide therapy, medical weight loss, aesthetics, IV therapy, functional medicine, hair restoration, men's health, women's health, telehealth, wound care, and corporate wellness — all under one roof, one physician, one philosophy.

Whether you're here for energy and hormones, weight loss and metabolism, skin and aesthetics, or total wellness optimization — every plan begins with advanced labs, a deep intake, and a personalized protocol designed around your biology, goals, and life.

"Healing begins from within — we hold the power to transform our health by understanding root causes. True vitality is not just looking good, but feeling alive from within." — Dr. Goel

Is This Right for You?

Who Our Services Are For

Prime Vitality serves patients who are ready to move beyond band-aid fixes and step into root-cause, physician-guided care.

The Energy-Depleted Professional

You're successful but running on empty — constant fatigue, brain fog, poor sleep, and stress are your norm. You need a plan that targets why you feel this way, not just another stimulant or supplement.

Hormones Functional Medicine IV Therapy Peptides
💪

The Weight Loss Warrior

You've tried every diet and program. You're ready for a medical approach — GLP-1 medications, metabolic testing, hormone alignment, and a physician who understands your body is not a math equation.

Weight Loss Hormones Peptides Telehealth

The Confidence Seeker

Aging, sun damage, hair thinning, or post-pregnancy changes have shifted how you see yourself. You want aesthetic results rooted in health — not just surface fixes, but beauty that reflects inner vitality.

Aesthetics Hair Restoration Women's Health Men's Health
🧬

The Biohacker & Optimizer

You're not sick — you want to be extraordinary. Longevity science, peptides, NAD+, advanced labs, and performance-driven protocols to push past "normal" into peak human performance.

Peptides IV Therapy Functional Medicine Hormones
🏥

The Frustrated Patient

You've been to 5 doctors and still don't have answers. You're tired of 10-minute visits and generic prescriptions. You want a physician who listens, orders the right tests, and builds a plan that actually works.

Functional Medicine Hormones Telehealth Corporate Wellness
🌎

The Remote Patient

You don't live in San Antonio but want access to expert, integrative care. Telehealth consultations, virtual follow-ups, at-home labs, and shipped medications — your physician is a video call away.

Telehealth Weight Loss Hormones Peptides

Not sure where you fit? Take our AI Symptom Checker and get a personalized starting point in minutes.

Start My Plan
Explore Our Specialties

Your Path to Prime Vitality

Hover or tap any card to discover what each hub offers — and find the right starting point for your journey.

Men's Health Hub

Men's Health & Performance

In-Person & Telehealth

Men's Health Hub

TRT, sexual health, BroTox, performance optimization, and metabolic reset — designed for men who refuse to settle for "normal."

TRTSexual HealthPerformance
Explore Men's Health →
Women's Health Hub

Women's Health & HerHealth Haven

In-Person & Telehealth

Women's Health Hub

BHRT, perimenopause & menopause support, O-Shot, intimate wellness, thyroid care, and holistic hormonal balance for every stage of a woman's life.

BHRTMenopauseIntimate Wellness
Explore Women's Health →
Aesthetics Hub

Aesthetics & Medical Spa

In-Person • San Antonio

Aesthetics Hub

Injectables, RF microneedling, skin rejuvenation, body contouring, and physician-led treatments where beauty meets functional health.

InjectablesSkinBodyFace
Explore Aesthetics →
Hormone Optimization Hub

Hormone Optimization

In-Person & Telehealth

Hormone Hub

TRT, BHRT, thyroid, adrenal, and cortisol optimization — calibrated to your labs, not population averages. For men and women.

TRTBHRTThyroidAdrenal
Explore Hormones →
Peptide Therapy Hub

Peptide Therapy

Nationwide • Telehealth

Peptide Hub

BPC-157, Sermorelin, CJC/Ipamorelin, PT-141, Thymosin Alpha — targeted peptide protocols for recovery, cognition, fat loss, and immune function.

RecoveryCognitionFat LossImmunity
Explore Peptides →
Medical Weight Loss Hub

Medical Weight Loss & GLP-1

In-Person & Telehealth

Weight Loss Hub

Semaglutide, tirzepatide, metabolic testing, hormone alignment, and physician-supervised protocols that go far beyond "eat less, move more."

GLP-1Metabolic ResetHormones
Explore Weight Loss →
IV Therapy Optimization Hub

IV Therapy Optimization

In-Person • San Antonio

IV Therapy Hub

NAD+, glutathione, IV iron, hydration, immunity drips, and custom cocktails — medical-grade infusions administered by a physician, not a spa.

NAD+GlutathioneIronHydration
Explore IV Therapy →
Functional Medicine Hub

Functional Medicine

In-Person & Telehealth

Functional Medicine Hub

Root-cause diagnostics, gut health, detox pathways, circadian optimization, longevity science, and concierge care — treating you, not just your labs.

Root CauseGut HealthLongevity
Explore Functional Medicine →
Hair Restoration Hub

Hair Restoration

In-Person • San Antonio

Hair Restoration Hub

PRP, Bio-PRF, exosome therapy, Enerjet, and Prime Crown Club — physician-administered hair regrowth solutions for men and women.

PRPExosomesEnerjet
Explore Hair Restoration →
Telehealth Hub

Telehealth & Virtual Care

Nationwide

Telehealth Hub

Secure virtual consultations, AI symptom checker, remote lab ordering, shipped medications, and ongoing physician access via Prime Virtual Care.

Virtual VisitsAI ToolsRemote Labs
Explore Telehealth →
Advanced Wound Care

Advanced Wound Care

Visiting Physician

Wound Care

Chronic wound management, diabetic ulcer care, post-surgical healing, and regenerative wound protocols — delivered via Prime Vitality Health's visiting physician service.

Chronic WoundsDiabetic CareRegenerative
Learn About Wound Care →
Corporate Wellness

Corporate Wellness

San Antonio & Virtual

Corporate Wellness

On-site health screenings, executive physicals, team vitality programs, and wellness consulting for companies that invest in their people.

ScreeningsExecutive HealthTeam Programs
Learn About Corporate Wellness →
Medical Weight Loss

Medical Weight Loss Programs Starting from $299/mo

Physician-supervised GLP-1 programs with ongoing monitoring and dose optimization.

Compare Programs
Semaglutide | $299–$450/mo Tirzepatide | $399–$650/mo

Includes: Medication + Labs + Monitoring

No Hidden Fees HSA/FSA Eligible Cancel Anytime After Min. Term
Hormone Optimization

Hormone Optimization Programs

Comprehensive lab work, ongoing monitoring, and optimized dosing — all included.

View Hormone Plans
TRT | $199/mo ED Program | $99/mo Hormone Harmony | $199/mo

Labs + Medication + Monitoring: All Included

No Hidden Fees HSA/FSA Eligible Cancel Anytime After Min. Term
Concierge Medicine

Concierge Functional Medicine Memberships

Direct physician access, same-day appointments, and truly personalized care plans from a triple board-certified physician.

Compare Concierge Tiers
Essentials | $199/mo Optimization | $349/mo Prime Elite | $599/mo

Deep-Dive Onboarding: 45–90+ min included

No Hidden Fees HSA/FSA Eligible Cancel Anytime After Min. Term
Board-Certified · Never Diluted

Botox by Area. Physician-Injected. Save up to 30%.

Area-based neurotoxin pricing + filler packages from a triple board-certified physician. Memberships from $69/mo — 500+ five-star reviews.

View Aesthetics Plans
Tox Club | $69/mo Gold | $149/mo Platinum | $249/mo

Forehead Botox: $275 Member from $220

As Seen on KENS5 & KevinMD HSA/FSA Eligible America's Best Doctor 2025

How Your Prime Vitality Journey Works

Every visit follows a clear, physician-led roadmap that blends advanced diagnostics, personalized planning, and ongoing support.

1

Comprehensive Intake

Detailed review of your history, symptoms, goals, lifestyle, and previous labs to understand your full story.

2

Advanced Testing

Targeted lab work and biomarker analysis for hormones, metabolism, inflammation, and longevity markers.

3

Personalized Plan

A customized treatment roadmap including medications, peptides, hormone therapy, lifestyle shifts, and aesthetics.

4

Ongoing Optimization

We track progress, refine your plan, and adjust protocols so you continue to feel and look better for years.

In-Person Precision, Virtual Convenience

Prime Vitality Care combines a high-touch clinic experience in San Antonio with secure telehealth options across Texas.

In-Clinic Visits

Meet with Dr. Goel and the care team for physical exams, procedures, aesthetic treatments, and diagnostic evaluations.

    >Hands-on exams and procedures >On-site diagnostics and treatments >Personalized aesthetic consultations

Telehealth & Virtual Check-Ins

Continue your journey through secure video visits for follow-ups, medication management, and ongoing optimization.

    >Follow-up visits and lab reviews >Medication and protocol adjustments >Accountability and progress tracking

Coordinated Care & Support

Our team coordinates labs, refills, referrals, and education so your experience feels cohesive and proactive.

    >Care coordination and reminders >Education and lifestyle resources >Access to Prime Virtual Care services

Why Patients Choose Prime Vitality Care

Patients come to Prime Vitality Care when they are ready for more than quick fixes — they want a physician partner, a holistic strategy, and measurable results.

Physician-Led, Whole-Person Focus

Care led by a board-certified internal medicine physician who blends conventional expertise with functional, regenerative, and aesthetic tools.

Root-Cause, Data-Driven Approach

We look beyond symptoms to patterns in your labs, biomarkers, and lifestyle so we can address why you feel the way you do.

Common Questions

Frequently Asked Questions

Everything you need to know before starting your journey with Prime Vitality Care.

How do I know which service is right for me?

Start with our AI Symptom Checker — it takes 2 minutes and recommends a personalized starting point based on your symptoms, goals, and health history. You can also book a discovery consultation directly with Dr. Goel, who will assess your needs and map the right combination of services.

Can I combine multiple services — like hormones, weight loss, and peptides?

Absolutely — and most patients do. Prime Vitality's integrative model is designed for stacking. For example, a typical plan might combine hormone optimization with peptide therapy and IV drips. Dr. Goel builds every protocol as part of one unified plan, not siloed treatments.

Do you offer virtual visits? I don't live in San Antonio.

Yes. Prime Virtual Care provides secure telehealth consultations for patients across Texas and expanding nationally. Services like hormone management, peptide therapy, weight loss, and functional medicine follow-ups are all available virtually. Lab kits can be shipped to your door, and prescriptions are sent to your local pharmacy.

Are your services covered by insurance or HSA/FSA?

Prime Vitality operates on a concierge cash-pay model for most services, which allows us to spend more time with you and offer truly personalized care. Many services — including lab panels, hormone therapy, and weight loss medications — are HSA/FSA eligible. We also offer membership plans that bundle services at significant savings. We provide superbills for patients who wish to submit to their insurance for potential reimbursement.

How soon will I see results?

It depends on the service, but most patients notice early improvements within 2–4 weeks — better sleep, energy, mental clarity. By 6–12 weeks, body composition, hormone balance, and skin quality show measurable shifts. Long-term compounding results continue for 3–12 months and beyond. Dr. Goel monitors your progress with follow-up labs and adjusts your plan accordingly.

What makes Prime Vitality different from a regular doctor or med spa?

Most clinics treat symptoms. We treat you. Dr. Goel is triple board-certified in Internal Medicine, Functional Medicine, and Aesthetic Medicine — which means he connects what's happening inside your body (hormones, metabolism, inflammation) with what's showing on the outside (skin, weight, energy). We integrate Eastern healing philosophy, evidence-based Western medicine, and AI-driven precision into one unified care experience. Everything is physician-led — never delegated.

What does a first visit look like?

Your first visit is a comprehensive 60-minute intake with Dr. Goel. We review your full health history, symptoms, goals, lifestyle, previous labs, and medications. A targeted lab panel is ordered (30+ biomarkers). Within 7–10 days you receive a written, personalized protocol covering every recommended therapy, dosing, timeline, and follow-up schedule. No cookie-cutter plans.

Do you treat both men and women?

Yes. We have dedicated hubs for Men's Health and Women's Health & HerHealth Haven, plus shared services like Hormone Optimization, Weight Loss, Aesthetics, Peptides, and Functional Medicine that serve all patients regardless of gender.

Still have questions? We're happy to help.

Book a Free Discovery Call

The Decision

Two doors. One standard of care.

If everything above resonated, the next step is choosing your level of partnership. The Signature Practice is by application — the Wellness Studio is by appointment. Either way, you'll meet a physician who cares more about getting it right than getting it fast.

By Application · Limited Panel

Apply to the Signature Practice.

For patients ready to commit to a 12-month physician-led protocol. Start with a 30-minute Discovery Call with Dr. Goel — no charge, physician-reviewed. Open to Texas residents today; multi-state licensure underway.

From $199/mo 12-Mo Standard Dr. Goel-Led Texas · Fully Virtual
Apply for Discovery Call Free · 30 min · physician-reviewed
By Appointment

Book the Wellness Studio.

Aesthetics, IV, and recovery treatments delivered to the same clinical standard — every plan reviewed by Dr. Goel personally. Book à la carte or as a Studio Member. In-clinic at our San Antonio Wellness Studio.

From $69/mo 90-Day Standard Physician-Supervised San Antonio · In-Clinic
Book Studio Consultation $50 deposit · credited toward $1,000+ plans
Transparent Tier Pricing Discovery Call Free · 30 Min Signature: Texas Statewide · Virtual Studio: San Antonio In-Clinic

From Dr. Goel's desk

Notes from inside the practice.

Field notes, lab interpretations, and protocol thinking — written by the same physician you'd work with. No ghostwriters, no AI fluff.

Written by Dr. Shiv Goel, MD KevinMD Doximity Op-Med Substack: Temporal Vitality Lab