The Triple Threat — Desire, Connection & Performance
The PT-141 Triple Combo is our physician-designed powerhouse — combining PT-141 for desire, Oxytocin for emotional connection, and Tadalafil for 36-hour erectile support. All three pillars of sexual health in one premium protocol. Available in San Antonio and via telehealth nationwide.
The PT-141 Triple Combo is an off-label compounded formulation. Not FDA-approved as a combination product. All treatments require physician evaluation, lab work, and prescription. Individual results vary.
What Is the PT-141 Triple Combo?
The PT-141 Triple Combo is our physician-designed flagship sexual health protocol — a proprietary combination of three agents that target all three dimensions of sexual health simultaneously:
- PT-141 (Bremelanotide): Activates melanocortin receptors in the brain to ignite genuine sexual desire and arousal
- Oxytocin: The "bonding hormone" — enhances emotional intimacy, connection, and the experience of closeness during sexual activity
- Tadalafil (Cialis): Provides up to 36 hours of reliable erectile support through PDE5 inhibition — the performance foundation
Where individual treatments address one piece of the puzzle, the Triple Combo addresses desire (brain), connection (hormonal), and performance (vascular) in a single protocol. Available as a compounded sublingual troche or injection depending on patient preference and physician recommendation.
⚕️ Physician-Designed & Prescription Required
The Triple Combo requires comprehensive medical evaluation and lab work before prescribing. This isn't an online pharmacy shortcut — it's a premium medical protocol designed by Dr. Goel. Available in-office in San Antonio and via telehealth with home delivery.
Three Agents. Three Pathways. One Complete Solution.
Each component of the Triple Combo targets a different dimension of sexual health — together, they create an experience that's greater than the sum of its parts.
Desire
Works directly on melanocortin-4 receptors in the central nervous system to ignite genuine sexual desire. Unlike Viagra, this activates wanting — not just functioning. The missing piece for men who can perform but don't feel the drive.
Connection
The "love hormone" deepens emotional bonding, trust, and intimacy during sexual encounters. Enhances the sense of closeness with your partner, intensifies orgasm, and transforms physical activity into a more connected, meaningful experience.
Performance
The proven PDE5 inhibitor provides the vascular foundation — reliable erectile support lasting up to 36 hours. Combined with desire and connection, you get the physical confidence to back up the mental and emotional readiness.
Who Benefits from the PT-141 Triple Combo?
This premium protocol is for men who want every dimension of sexual health optimized — not just one piece of the puzzle.
The Optimizer
You're already functional but want everything at peak performance. You want the desire, the emotional connection, and rock-solid confidence — all at once. You invest in the best.
The Relationship Rebuilder
ED or low libido has strained your relationship. You want a solution that restores not just function, but the desire and emotional connection your partner notices too.
The Multi-Treatment Patient
You're tired of juggling multiple separate prescriptions. The Triple Combo consolidates three treatments into one streamlined protocol — simplicity meets maximum results.
The Out-of-State Patient
You live in Texas, California, or Florida and want our flagship Triple Combo protocol via telehealth — with the compounded medication shipped directly to your door.
Two Paths to the Triple Combo
Whether you visit our San Antonio clinic or connect via telehealth, Dr. Goel personalizes your Triple Combo protocol from evaluation to ongoing optimization.
In-Office · San Antonio
Comprehensive Evaluation
Visit our San Antonio clinic for a thorough sexual health assessment — medical history, hormones, labs, and an honest conversation about your goals.
Protocol Design
Dr. Goel designs your personalized Triple Combo protocol — dosing, delivery method (troche or injection), and usage timing tailored to you.
Same-Day Start
Receive your first Triple Combo with detailed usage instructions. If injection format, receive hands-on training. Leave with your compounded supply.
Optimization Follow-Ups
Scheduled check-ins to fine-tune each component — adjust PT-141 dosing, optimize tadalafil timing, and dial in the perfect protocol.
Telehealth · Nationwide
Schedule Video Visit
Book a secure telehealth consultation from home — available in TX, CA, and FL. Discuss your sexual health goals and medical history.
Lab Work Ordered Locally
Comprehensive bloodwork ordered at a lab near you — hormones, metabolic panel, and any additional markers. Results reviewed by Dr. Goel.
Medication Shipped to You
Your custom Triple Combo is compounded and shipped directly to your door with complete instructions for each component.
Virtual Optimization
Ongoing video follow-ups to optimize your protocol. Dr. Goel adjusts each agent independently based on your response and feedback.
Why Patients Choose Prime Vitality
The Triple Combo isn't available at your typical pharmacy or online pill mill. Here's what makes our approach different.
Physician-Designed Protocol
The Triple Combo was designed by Dr. Goel based on clinical experience with hundreds of sexual health patients — not a generic formula from a compounding catalog.
Triple Board-Certified
Dr. Shiv Goel holds certifications in Internal Medicine, Functional Medicine, and Aesthetic Medicine — America's Best Doctor 2025.
Comprehensive Approach
The Triple Combo integrates into a broader sexual health program — combined with TRT, regenerative therapies, and metabolic optimization when needed.
In-Office + Telehealth
Visit our San Antonio clinic or get treated from anywhere in TX, CA, or FL. Compounded medication delivered to your door with full physician support.
What to Expect with the Triple Combo
The Triple Combo delivers a multi-layered experience that builds with each use. Here's a realistic timeline.
First Use (30–60 Minutes)
Tadalafil provides erectile readiness within 30–60 minutes (lasting up to 36 hours). PT-141 activates desire pathways within 30–45 minutes. Oxytocin enhances the sense of connection and emotional warmth during intimacy. The combined experience is noticeably different from any single agent alone.
First Few Uses (Weeks 1–2)
Patients consistently report the "complete" feeling — desire is present, connection with their partner deepens, and physical performance is reliable. Partners often notice the difference. Confidence begins rebuilding rapidly.
Optimized Protocol (Weeks 3–6)
Dr. Goel fine-tunes each component independently — adjusting PT-141 dosing, oxytocin levels, and tadalafil timing based on your feedback. The protocol becomes precisely calibrated to your needs.
Long-Term Enhancement
Used on an as-needed basis, the Triple Combo provides consistent results over time. Many patients describe it as "transformative" for their relationships. Combined with hormone optimization and healthy lifestyle, sexual health continues to improve.
Results may vary. Individual outcomes depend on health status, hormonal levels, and adherence to physician recommendations.
"I'd tried Cialis alone, then PT-141 alone. Both helped, but something was missing. When Dr. Goel put me on the Triple Combo, my wife was the first to notice the difference. It's not just that I can perform — I actually want to, and the connection between us is deeper than it's been in years."
David R., Age 52
PT-141 Triple Combo · Telehealth Patient (Dallas, TX)
*Patient name changed for privacy. Individual results vary.
Triple Combo Pricing & Membership
Our flagship protocol is a premium service reflecting the comprehensive nature of three active agents. All programs include physician design, custom compounding, and ongoing optimization.
Triple Combo Protocol
Pricing varies by protocol complexity, delivery method, and supply duration. Discussed during consultation.
- Comprehensive physician evaluation
- Lab work & hormonal assessment
- Custom Triple Combo compounding
- PT-141 + Oxytocin + Tadalafil
- Dosing optimization & follow-ups
ED Membership
Comprehensive sexual health membership includes the Triple Combo protocol and all additional therapies.
- Monthly physician check-ins
- Triple Combo protocol included
- Lab monitoring & hormone optimization
- Telehealth or in-office flexibility
- Access to full treatment catalog
- Priority scheduling & support
PT-141 Triple Combo FAQ
Answers to the most common questions about our flagship sexual health protocol.
Yes. The PT-141 Triple Combo is fully available via telehealth for patients in Texas, California, and Florida. After a video consultation with Dr. Goel and lab review, your custom-compounded medication is shipped directly to your home with complete usage instructions.
The Triple Combo is available as a compounded sublingual troche (dissolved under the tongue) or as separate injectable components, depending on your preference and Dr. Goel's recommendation. The troche format is most popular for its convenience — simply dissolve it 30–45 minutes before anticipated activity. No injection required for most patients.
We currently prescribe and ship the Triple Combo to patients in Texas, California, and Florida. Dr. Goel is licensed in these states for telehealth prescribing. Contact us for the latest availability as we expand to additional states.
Side effects may include mild nausea (from PT-141, usually resolves after first few uses), flushing or headache (from tadalafil), and mild facial warmth (from oxytocin). Serious side effects are rare when properly prescribed and monitored. Dr. Goel reviews your complete medical history, current medications, and lab work before prescribing to ensure safety.
No. While we welcome patients at our San Antonio clinic (10007 Huebner Rd, Bldg 3, Suite 302), the Triple Combo protocol is fully available via telehealth. You can complete your consultation by video, have labs drawn at a facility near you, and receive your medication by mail.
Your custom-compounded Triple Combo is shipped from our compounding pharmacy partner directly to your home. The sublingual troche format ships at room temperature. If the injection format is prescribed, it ships in temperature-controlled packaging. All shipments are discreet with no identifying treatment information on the exterior.
Individual treatments address one dimension of sexual health — tadalafil for erections, PT-141 for desire, oxytocin for connection. The Triple Combo addresses all three simultaneously, creating a synergistic effect that patients describe as qualitatively different. It's also more convenient than managing multiple separate medications. For men who want comprehensive optimization, it's the most complete solution available.
The Triple Combo is not recommended for patients taking nitrates (nitroglycerin, isosorbide), those with uncontrolled hypertension or significant cardiovascular disease, or men with certain contraindications to any of the three components. Dr. Goel performs a thorough medical evaluation including lab work before prescribing to ensure the protocol is safe and appropriate for you.
