Stop Chasing Symptoms.
Find the Root Cause.
Prime Vitality's functional medicine program goes beyond conventional care — integrating advanced diagnostics, gut science, hormone balance, detox pathways, and longevity protocols to uncover why you feel the way you do.
How We Investigate & Heal
Advanced diagnostics and targeted therapies that go far beyond standard blood work.
100+ Biomarker Panel
Hormones, thyroid, metabolic, inflammatory, nutrient & longevity markers in one comprehensive draw.
GI-MAP & SIBO Testing
Stool DNA analysis & breath testing to map your gut microbiome, pathogens, and permeability.
DUTCH Hormone Panel
Dried urine testing for comprehensive hormone metabolite mapping including cortisol rhythm.
Detox & Methylation
Genetic SNP analysis, organic acids, heavy metal screening, and liver detox pathway assessment.
IV Nutrient Protocols
Medical-grade infusions — glutathione, NAD+, high-dose vitamin C, and custom drips for cellular repair.
Peptide Therapy
BPC-157, Thymosin Alpha, KPV — targeted peptide protocols for gut healing, immunity, and recovery.
Functional Medicine at a Glance
Functional Medicine at Prime Vitality is a root-cause, systems-biology approach to health — led by Dr. Shiv Goel, MD, who is board-certified in both Internal Medicine and Functional Medicine. We don't treat lab numbers. We treat you.
Through advanced diagnostics (100+ biomarker panels, GI-MAP, DUTCH testing, organic acids), we uncover hidden imbalances in your hormones, gut, detox pathways, immune system, and metabolism — then build a personalized protocol that integrates nutrition, supplements, peptides, IV therapy, and lifestyle medicine.
This is medicine that asks "why" — not just "what." Available both in-person in San Antonio and via secure telehealth.
"The body has an extraordinary capacity to heal when we remove obstacles and provide the right environment. Functional medicine is about partnering with that intelligence." — Dr. Goel
Who Functional Medicine Is For
If conventional medicine left you with more questions than answers, you're in the right place.
The Undiagnosed Patient
You've seen multiple doctors, run standard labs, and been told "everything looks normal" — but you still feel terrible. Fatigue, brain fog, joint pain, and no one can explain why.
The Gut Sufferer
Bloating, IBS, food sensitivities, acid reflux, or autoimmune flares that nobody has properly investigated. You need someone who looks at the microbiome, not just prescribes antacids.
The Burnout Case
Adrenal fatigue, cortisol dysfunction, thyroid sluggishness, hormonal chaos. You're running on empty and caffeine is the only thing keeping you upright. You need a metabolic reset.
The Longevity Optimizer
You're not sick — you want to stay that way. Proactive testing, circadian optimization, detox pathways, cellular health, and epigenetic strategies for aging on your terms.
Healing from the Inside Out: Your Journey to Root-Cause Wellness
At Prime Vitality Care, we don’t just treat symptoms—we uncover the ‘why’ behind them. Our physician-led functional medicine approach combines advanced laboratory testing with personalized nutrition, hormone optimization, and lifestyle medicine to restore your body’s natural balance. Whether you’re struggling with fatigue, hormonal shifts, or chronic inflammation, we create a roadmap tailored to your unique biology so you can feel like yourself again..
Our Functional Medicine Programs
Each program begins with advanced diagnostics and a physician-guided protocol. Hover or tap to learn more.
Root-Cause Assessment
FoundationRoot-Cause Assessment
A 60-minute physician consultation with 100+ biomarker lab panel — mapping your hormonal, metabolic, digestive, and inflammatory landscape. This is not a 15-minute visit.
Explore Root Cause Assessment →
Gut Restoration Program
Gut HealthGut Restoration
GI-MAP stool analysis, SIBO breath testing, and the 5R framework — Remove, Replace, Reinoculate, Repair, Rebalance — to heal leaky gut and restore microbiome health.
Start Gut Healing →
Metabolic Reset
MetabolismMetabolic Reset
Fasting insulin, HbA1c, lipid fractionation, thyroid optimization, and circadian rhythm protocols to reverse metabolic dysfunction and insulin resistance.
Explore Metabolic Reset →
Detox & Methylation
DetoxificationDetox & Methylation
Genetic SNP analysis, organic acid testing, heavy metal screening, and liver phase I/II support to clear toxin burden and optimize methylation pathways.
Start Detox Protocol →
Autoimmune Management
Immune SystemAutoimmune Management
Comprehensive autoimmune panels, food sensitivity testing, gut-immune axis assessment, and anti-inflammatory protocols for Hashimoto's, lupus, RA, and more.
Explore Autoimmune Care →
Longevity & Anti-Aging
LongevityLongevity Optimization
NAD+ IV therapy, telomere support, senolytic protocols, peptides, and a longevity roadmap integrating hormones, cellular repair, and epigenetic strategies.
Explore Longevity →What to Expect Over Time
Energy begins to return. Sleep quality improves. Digestive symptoms start calming. Brain fog lifts. You feel something is shifting.
Lab markers improving. Inflammation dropping. Weight moving. Gut healing measurable on re-testing. Mental clarity and mood stabilize.
Root causes resolved. Autoimmune markers in remission. Metabolic health restored. Patients describe feeling “like a completely different person.”
How Functional Medicine Works at Prime Vitality
Deep-Dive Intake & Labs
60-minute consultation with Dr. Goel plus a comprehensive 100+ biomarker panel. We investigate everything — hormones, gut, thyroid, nutrients, inflammation, and detox markers.
Book My IntakePersonalized Protocol
Within 7–10 days you receive a written plan: targeted supplements, dietary shifts, peptides or IV therapy as needed, lifestyle protocols, and a clear timeline with milestones.
Monitor, Adjust, Optimize
Follow-up labs at 6–8 weeks. We track progress, refine the protocol, and keep optimizing. Available via in-office visits or secure telehealth from anywhere in Texas.
Functional Medicine Pricing & Memberships
Transparent, competitive pricing for San Antonio. No hidden fees. Every protocol is physician-designed, lab-driven, and personalized to your biology.
"Your body already knows how to heal — our job is to remove the obstacles and give it the right tools." — Dr. Shiv Goel
Individual Functional Medicine Services
No membership required — start your root-cause journey anytime
| Service | Details | List Price | Member Price |
|---|---|---|---|
| 🔍 Consultations | |||
| Initial Root-Cause Consult | 60–90 min deep-dive with Dr. Goel | $349 | Included |
| Follow-Up Visit | 30–45 min progress & protocol adjustment | $199 | Included |
| Telehealth Check-In | 20–30 min virtual visit | $129 | Included |
| 🧪 Diagnostic Panels | |||
| 100+ Biomarker Panel | Hormones, thyroid, metabolic, inflammation, nutrients | $599 | $449 |
| GI-MAP Stool Analysis | DNA-based gut microbiome & pathogen mapping | $499 | $399 |
| DUTCH Hormone Panel | Comprehensive dried urine hormone metabolites | $449 | $349 |
| Organic Acids Test | Metabolic, detox, neurotransmitter markers | $399 | $299 |
| Food Sensitivity Panel | 96+ food IgG/IgA immune response testing | $349 | $269 |
| Heavy Metal & Toxin Screen | Environmental toxin & heavy metal burden | $299 | $229 |
| 💉 Therapeutic Protocols | |||
| IV Nutrient Protocol | Custom functional IV — glutathione, NAD+, Vit C | $249+ | 15% off |
| Peptide Therapy | BPC-157, Thymosin Alpha, KPV protocols | $299+ | 15% off |
| Supplement Protocol | Physician-curated supplement plan (per quarter) | $99–$249 | 15% off |
Lab pricing reflects third-party lab fees passed through at member-discounted rates. Insurance may cover some labs — we provide superbills for out-of-network reimbursement. Prices may vary based on complexity.
Functional Medicine Membership Plans
Commit to your root-cause healing journey and save significantly. All plans include direct physician access, personalized protocols, and member-only lab pricing.
Foundation
- 1 follow-up visit per month (in-person or telehealth)
- Annual comprehensive wellness exam
- Telehealth messaging with Dr. Goel
- Member pricing on all diagnostic panels
- 10% off IV therapies & supplements
- Personalized nutrition & lifestyle plan
- Priority scheduling
Optimize
- 2 visits per month (in-person or telehealth)
- Quarterly root-cause reassessment with Dr. Goel
- 1 comprehensive lab panel included per quarter
- Gut health & hormone optimization protocols
- 15% off IV therapies, peptides & supplements
- Direct messaging with Dr. Goel — priority response
- Supplement guidance & tracking
- Member-exclusive weight loss protocols
Total Wellness
- Unlimited visits (in-person & telehealth)
- All diagnostic panels included (2 full panels/year)
- Monthly root-cause deep-dive with Dr. Goel
- Complete hormone & gut protocol management
- 20% off IV therapies, peptides & supplements
- Monthly wellness check-in & accountability
- Priority + same-day booking access
- Detox & methylation pathway management
- 10% off all other Prime Vitality services
All memberships require a 3-month minimum commitment. Lab panels are third-party fees and may vary. Insurance superbills provided for potential out-of-network reimbursement. Supplement costs are separate from membership. All protocols designed and supervised by Dr. Shiv Goel, board-certified in Internal Medicine and Functional Medicine.
Not sure which plan is right for your health journey? Call (210) 876-1635 or book a free discovery call.
Functional Medicine for the Gut-Brain-Skin Connection
Explore how gut health may influence the mind, mood, inflammation, and skin—then read patient feedback about Dr. Shiv Goel’s root-cause functional medicine approach.
Healthgrades Reviews
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Understands Root Causes
“I finally feel like someone looked for the real reasons behind how I was feeling. His functional medicine approach helped me understand the root cause...”
Restoring Balance Through Functional Medicine
“Dr. Goel’s functional medicine approach goes beyond quick fixes. He helped me understand the root causes of my health issues...”
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Functional Medicine FAQs
What is functional medicine and how is it different from regular medicine?
Conventional medicine identifies a disease and prescribes a treatment. Functional medicine asks why the disease developed in the first place. We use advanced lab testing (100+ markers), timeline analysis, and systems biology to find root causes — then address them with targeted nutrition, supplements, lifestyle changes, peptides, and when needed, medication. It's investigative, personalized, and focused on restoring function rather than masking symptoms.
What does the first appointment look like?
Your first visit is a comprehensive 60-minute intake with Dr. Goel. We review your full health timeline, symptoms, diet, lifestyle, medications, and previous labs. A targeted lab panel is ordered. Within 7–10 days you receive a detailed, written protocol covering every recommended therapy, supplement, dietary change, and follow-up timeline. No cookie-cutter plans.
What conditions can functional medicine help with?
Chronic fatigue, brain fog, IBS/SIBO, autoimmune conditions (Hashimoto's, lupus, RA), metabolic syndrome, insulin resistance, adrenal dysfunction, thyroid disorders, chronic inflammation, hormonal imbalances, food sensitivities, weight resistance, anxiety/depression with metabolic roots, and longevity optimization. If you've been told "your labs are normal" but still feel terrible, functional medicine is designed for exactly that.
Do you accept insurance? What does it cost?
Prime Vitality operates on a concierge cash-pay model, which allows 60-minute visits, same-week access, and truly personalized care. Many services are HSA/FSA eligible. We offer membership plans that bundle services at significant savings, and provide superbills for potential insurance reimbursement. The investment varies by program — contact us for specific pricing.
Can I do functional medicine visits via telehealth?
Absolutely. Many of our functional medicine patients work with Dr. Goel entirely via secure telehealth through Prime Virtual Care. Lab kits can be shipped to your home, prescriptions sent to your local pharmacy, and follow-ups conducted by video. Available across Texas and expanding nationally.
How long does it take to see results?
Most patients notice meaningful improvements within 2–4 weeks — better energy, sleep, and mental clarity. By 6–12 weeks, lab markers show measurable change. Complex or chronic conditions (autoimmune, gut, metabolic) typically take 3–6 months of sustained protocol work for full resolution. Dr. Goel monitors progress with follow-up labs and adjusts your plan as needed.
Have a question not listed here? Let's talk.
Book a Free Discovery CallWhole Health, Real Results
Founded in 2021 by Dr. Shiv K. Goel in San Antonio, Prime Vitality Care is a physician-led wellness and aesthetic clinic offering personalized, root-cause care that blends internal medicine with cutting-edge aesthetic and regenerative treatments. With both in-person and virtual services, the clinic empowers clients across Texas to feel and look their best—inside and out.
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