Hormones & Energy
Hormones & Energy
- Low testosterone and andropause
- Adrenal stress, fatigue, and burnout
- Thyroid and metabolic slow-down
Physician-Led • Root-Cause • AI-Integrated
Prime Men's Health Hub
Men's Health, Redefined.
Comprehensive men's health care combining functional medicine, hormone optimization, sexual health, and performance treatments — 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
AI Health Integration
In-Office Men's Health Visits
Full physical exams, comprehensive labs, hormone testing, and in-person procedures at our San Antonio clinic.
Book In-Office Visit →Urgent Men's Health Support
Rapid virtual or in-person care for acute concerns — ED flares, infections, medication issues.
Request Urgent Visit →Telehealth Nationwide
Secure virtual visits for follow-ups, refills, lab reviews, and new consultations — powered by TimeVitality.ai.
Start Telehealth Visit →In one glance
Men’s Health at Prime Vitality Care is a comprehensive program for men facing low testosterone, sexual performance concerns, and resilience issues, using labs, TRT or enclomiphene where appropriate, peptides, and aesthetic options.
Care is led by Dr. Shiv Goel in San Antonio with hybrid in‑clinic and telehealth support, so you can enhance performance, longevity, and confidence with medical oversight.
Who our Men’s Health program is for
Designed for driven men who want to correct low‑T, improve sexual performance, reshape their body, and protect long‑term health—not just chase a number on a lab report.
Low‑T, fatigue & brain fog
Men with low drive, morning fatigue, loss of muscle, stubborn fat, or poor recovery despite training.
Sexual performance concerns
Erectile dysfunction, weaker erections, performance anxiety, or difficulty maintaining stamina and confidence.
Aesthetic & body goals
Men who want a sharper jawline, leaner midsection, or targeted changes such as BroTox, ButTox, or ScroTox for extra confidence.
What We Help Men With
Flip each card to see how we connect hormones, performance, weight, peptides, aesthetics, and hair into one integrated Men's Health program.
How Our Men’s Health Program Works
You’re guided by a physician who understands internal medicine, functional medicine, and performance‑driven men’s health—so every step fits your biology and goals.
1
Deep‑Dive Visit & Advanced Labs
We map your symptoms, training load, sleep, stress, and history, then order targeted hormone, metabolic, cardiovascular, and micronutrient labs to see the full picture.
2
Personalized Vitality Plan
Together we design a plan that may include hormone optimization, peptides, medical weight loss, sexual health treatments, IV support, and aesthetics—prioritized to your goals and risk profile.
3
Ongoing Follow‑Up & Telehealth Support
Regular in‑clinic or telehealth visits, lab reviews, and dose adjustments keep you progressing while we refine the plan for long‑term strength, cognition, and sexual confidence.
Dr. Shiv Goel, MD
Triple Board-Certified • Internal, Functional & Aesthetic Medicine
★ Physician-Led Men's Health
Why Prime Vitality?
Not a pill mill. Not a one-size-fits-all hormone clinic. Prime Vitality is physician-led, root-cause medicine built specifically for men who want real answers — and real results.
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Root-Cause, Not Band-Aid
Comprehensive labs and functional diagnostics to find why you feel the way you do — not just mask symptoms with a prescription.
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One Doctor, Full Spectrum
Hormones, sexual health, weight, aesthetics, and internal medicine — all under one physician who sees the full picture.
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Telehealth Nationwide
Convenient virtual visits from anywhere. No waiting rooms, no rushed appointments. Your health, on your schedule.
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A Doctor Who Gets It
Dr. Goel lives the lifestyle — fitness, optimization, longevity. He understands men's health because he's invested in his own.
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5.0 Stars Across Every Platform
88+ Google reviews, perfect scores on Zocdoc, RateMDs, RealSelf, WebMD, and Healthgrades. Results speak.
Board-Certified Internal Medicine
Functional Medicine
Aesthetic Medicine
What Most Men Notice Over Time
As we align hormones, peptides, lifestyle, and aesthetics, most men see a predictable progression in energy, performance, and confidence.
Weeks 2–4: Early reset
Steadier energy, less brain fog, improved sleep quality, and a subtle lift in mood and motivation as levels begin to stabilize.
Weeks 6–12: Performance shift
Stronger libido and erection quality, better workouts, and early shifts in muscle and midsection fat when paired with training and nutrition.
3–12 months: Compounding results
More stable hormones, durable strength and stamina, improved body composition, and deeper sexual and aesthetic confidence as gains compound.
What’s included in a Men’s Health plan
You’re not buying a single injection—you’re enrolling in a structured, medically supervised journey.
- ✓ Deep intake including symptoms, performance demands, sleep, stress, and mental load
- ✓ Baseline and follow‑up labs (hormones, thyroid, metabolic and cardiovascular markers)
- ✓ Personalized TRT or enclomiphene strategy where appropriate, or non‑hormonal path
- ✓ Sexual medicine tools: P‑Shot, penile injection therapy, oral/sublingual medications
- ✓ Aesthetic options for men: BroTox, jawline sculpt, ButTox, ScroTox, double‑chin and chest work
- ✓ Peptide and recovery stacks where appropriate to support strength, sleep, and resilience
- ✓ Hybrid in‑clinic and telehealth follow‑ups when licensing and safety allow
- ✓ Ongoing monitoring of side effects, fertility, cardiovascular risk, and long‑term safety
- ✓ Coordination with weight loss, IV therapy, and functional medicine programs
Ready to Feel Like Yourself Again?
Share your top concerns, and we'll help you decide whether in-office care, telehealth, or a hybrid plan fits best.
★ Real Patient Reviews
What Men Say About Dr. Goel
5-star ratings across every major platform. Here's what our male patients say about their experience.
RateMDs
★★★★★
"His functional medicine approach helped me understand the root cause of my low energy and hormone issues instead of just treating symptoms. The hormone therapy he recommended has made a huge difference. I feel more balanced, more steady, and more like myself again. His telehealth visits are easy, comfortable, and never rushed."
RateMDs
★★★★★
"I was able to access BPC-157 peptide therapy and Sermorelin therapy through telehealth. My joint recovery improved greatly, and my energy and sleep quality were restored. The results have been truly life-changing."
Google
★★★★★
"Dr. Goel found underlying issues others missed, optimized my hormones, and dramatically improved my energy, mood, and stress coping. His personalized treatment plan has made a significant difference in my overall well-being."
RealSelf
★★★★★
"Game changer. Dr. Goel not only helped me gain muscle mass and new confidence — I lost 35 lbs of fat and gained muscle. If anyone's looking to make a real change, Prime Vitality is the only way."
WebMD
★★★★★
"As someone focused on performance and longevity, I needed a physician who understood optimization. Dr. Goel guided me through a tailored plan that supported my hormones, recovery, and overall vitality. My stamina, strength, and mental clarity have all improved. His integrative and holistic approach is unmatched."
RealSelf
★★★★★
"I began peptide therapy — CJC-1295 and Ipamorelin. Over six months, I've seen improvements in muscle mass, skin, hair, and sleep quality. I wake up refreshed and energized every morning."
Google
★★★★★
"Dr. Goel's telehealth setup is easy and actually feels personal — not rushed or like he's just checking boxes. His root-cause approach means you actually understand what's going on with your body."
Google
★★★★★
"They offer everything under one roof: weight loss, skin care, hormone therapy, and more. The best part? You actually get to speak with the doctor, not just a clinician. Highly recommend."
RealSelf
★★★★★
"I received hormone balance for my low testosterone. Quick and easy to set up an appointment. Always a great experience — the crew explains things well. Friendly staff."
Frequently Asked Questions
What does a men's health consultation include?
Your first visit includes a comprehensive health history review, physical exam, and advanced lab panels covering hormones (testosterone, thyroid, cortisol), metabolic markers, and cardiovascular risk factors. We use these results to build your personalized treatment plan.
Do you treat erectile dysfunction?
Yes. We offer a full ED treatment program including oral medications, injectable therapies, the P-Shot (platelet-rich plasma), and lifestyle optimization. Many patients see improvement within the first few weeks of treatment.
Is testosterone replacement therapy (TRT) safe?
When prescribed and monitored by a board-certified physician, TRT is safe and effective for men with clinically low testosterone. We monitor your labs regularly and adjust dosing to keep you in an optimal range with minimal side effects.
Can I do virtual visits instead of coming in?
Absolutely. We offer secure telehealth visits for follow-ups, lab reviews, medication adjustments, and new patient consultations in eligible states. Many of our men's health patients manage their care primarily through virtual visits after the initial evaluation.
How quickly will I see results?
It depends on the treatment. Patients on TRT often notice energy and mood improvements within 2-4 weeks. Weight loss patients on GLP-1 medications typically see measurable results within the first month. ED treatments can work within days to weeks depending on the approach.
Do you accept insurance?
We operate as a concierge and cash-based practice for most men's health services, which allows us to spend more time with each patient and offer treatments not typically covered by insurance. We can provide superbills for out-of-network reimbursement where applicable.
What's the difference between TRT and enclomiphene?
TRT (testosterone replacement therapy) delivers testosterone directly, while enclomiphene stimulates your body to produce its own testosterone. TRT typically produces faster, more noticeable results but requires ongoing monitoring for fertility and cardiovascular markers. Enclomiphene preserves natural production and fertility, making it a better fit for younger men or those planning families. Dr. Goel evaluates your labs, goals, and risk profile to recommend the right path.
How do I get started if I live outside San Antonio?
If you're in an eligible state, you can begin with a secure telehealth consultation. We'll review your symptoms, order labs at a facility near you, and build your personalized plan remotely. Many of our men's health patients manage their entire program via telehealth, with optional in-office visits for procedures or advanced diagnostics.
Take Control of Your Health
Ready to Perform at Your Peak?
Schedule a personalized consultation with Dr. Goel — in-clinic in San Antonio or via secure telehealth nationwide.
Book ConsultationNo referral needed • Most insurances accepted • Virtual visits available