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Men's Strength & Performance

Physician-Led Men's Strength & Performance Optimization in San AntonioEngineered by a Physician Who Competes

Dr. Goel doesn't just prescribe performance protocols — he trains, competes, and optimizes his own body. This is elite men's health from a physician who walks the walk.

Book Your Performance Consultation 📞 Call (210) 876-1635
500+ 5-Star Reviews NPC Physique Champion Triple Board-Certified Telehealth Available
Our Approach

This Isn't a Gym Program.
It's Medical-Grade Optimization.

Most men chase performance with guesswork — random supplements, cookie-cutter routines, and no bloodwork. At Prime Vitality, we build your optimization protocol on laboratory data, physician oversight, and evidence-based medicine.

Dr. Goel competes in NPC Men's Physique — meaning every protocol he recommends has been tested on the most demanding stage imaginable: his own body.

  • Lab-Driven: Every protocol starts with comprehensive bloodwork — not symptoms alone
  • Physician-Managed: Dr. Goel personally reviews and adjusts your protocols — never delegated to a coach
  • Competitor-Tested: These aren't textbook protocols — they're battle-tested on the NPC stage

🏆 The Physician Who Competes

Dr. Goel is the only triple board-certified physician in San Antonio who actively competes in physique sports. He doesn't just understand performance medicine — he lives it.

Athletic performance training and optimization
The Six Pillars

Your Performance Optimization Stack

Six integrated pillars — each backed by lab data, managed by a physician, and designed to work together for compounding results.

Hormone optimization and testosterone therapy

Hormone Optimization

TRT, DHEA, thyroid optimization, and growth hormone peptides — precisely dosed to restore peak hormonal function without guesswork.

Explore TRT & Hormones
Peptide therapy for recovery and performance

Peptide Therapy

BPC-157 for recovery, TB-500 for tissue repair, CJC-1295/Ipamorelin and Sermorelin for natural GH release — the cutting edge of performance medicine.

Explore Peptides
IV therapy and NAD+ infusions

IV Performance Drips

Performance IVs, NAD+ for cellular energy, amino acid infusions, and hydration protocols — delivered directly for 100% bioavailability.

Explore IV Therapy
Body composition and muscle optimization

Body Composition

Medical weight management, fat loss protocols, and EmSculpt NEO body contouring — reshape your physique with clinical precision.

Explore Body Hub
Advanced laboratory testing and diagnostics

Lab Intelligence

Comprehensive performance panels, metabolic testing, and nutrient optimization — because you can't optimize what you don't measure.

Explore Labs
PrimeVital MD physician-grade supplements

Elarive MD Supplements

Physician-formulated testosterone support, recovery, pre-workout, and protein optimization — pharmaceutical-grade, not gas-station supplements.

Shop Supplements
Why Dr. Goel

Your Performance Physician.
Not Just Another Provider.

Most doctors who prescribe performance protocols have never stepped on stage, tracked macros, or optimized their own hormones. Dr. Goel has.

Dr. Shiv Goel — NPC Men's Physique Champion and triple board-certified physician

NPC Men's Physique Champion

Dr. Goel competes at the national level in NPC Men's Physique — he puts his own body through the same optimization protocols he prescribes to you.

Triple Board-Certified

Internal Medicine, Functional Medicine, and Aesthetic Medicine — a rare combination that means whole-body understanding, not just hormones in isolation.

Lives the Lifestyle

Early mornings, meal prep, heavy training — Dr. Goel doesn't just understand the demands of a performance lifestyle; he lives it every single day.

Data-Driven Protocols

Every decision backed by labs, biomarkers, and objective data — not trends, bro-science, or one-size-fits-all templates. Regular monitoring ensures continuous optimization.

Lab Intelligence

The Performance Lab Panel

You can't optimize what you don't measure. Our comprehensive performance panel gives you a complete picture of your hormonal, metabolic, and nutritional status — the foundation for every protocol we build.

  • Total Testosterone
  • Free Testosterone
  • IGF-1
  • DHEA-S
  • Thyroid Panel (TSH, T3, T4)
  • CBC (Complete Blood Count)
  • CMP (Comprehensive Metabolic)
  • Vitamin D (25-OH)
  • Vitamin B12
  • Iron Panel & Ferritin
  • CRP (Inflammation Marker)
  • Fasting Insulin
View All Lab Panels
Advanced laboratory diagnostics and performance bloodwork
Performance Peptides

Precision Peptide Protocols

Targeted peptide therapy for recovery, repair, growth hormone optimization, and cellular regeneration — physician-dosed and lab-monitored.

Recovery

BPC-157

Accelerates healing of tendons, ligaments, and gut lining. Reduces inflammation and speeds recovery between intense training sessions.

Tissue Repair

TB-500

Promotes tissue repair and new blood vessel formation. Exceptional for muscle strains, joint injuries, and athletic recovery.

GH Release

CJC-1295 / Ipamorelin

Stimulates natural growth hormone release for improved muscle mass, fat metabolism, deeper sleep, and enhanced recovery without synthetic HGH.

Anti-Aging

Sermorelin

A growth hormone-releasing hormone (GHRH) analog that restores youthful GH levels. Improves body composition, energy, sleep quality, and skin health.

IV Performance

Fuel Your Performance
at the Cellular Level

Oral supplements absorb at 20-40%. IV delivers 100% bioavailability — straight to your bloodstream, where it matters. Our performance IV protocols are designed for athletes and high-performers who demand peak output.

  • NAD+ Infusions — Cellular energy, mitochondrial support, anti-aging
  • Amino Acid Drips — Muscle protein synthesis, recovery acceleration
  • Athlete Recovery IV — High-dose Vitamin C, B-complex, magnesium, zinc
  • Pre-Competition Drip — Peak hydration, electrolytes, glutathione for detox
  • Executive Energy IV — Focus, stamina, and cognitive clarity for high-performers
Explore IV Therapy Menu
IV therapy performance drip infusion
Patient transformation — strength and performance results Patient Story
Transformation

From Exhausted Executive
to Competitive Athlete

"I came to Dr. Goel at 42, exhausted, gaining weight despite working out, and feeling like my best years were behind me. Within 90 days on his optimization protocol, I had more energy than my 20s. Six months later, I competed in my first obstacle race. This man changed my life."

Marcus R., 42 — San Antonio Executive & Obstacle Course Racer

+340%
Testosterone Increase
-28 lbs
Fat Loss
+15 lbs
Lean Muscle

Results may vary. Individual outcomes depend on multiple factors including baseline health, adherence to protocols, and lifestyle modifications.

PrimeVital MD

Physician-Formulated Supplement Stack

Pharmaceutical-grade formulations designed by Dr. Goel to complement your optimization protocols. Not available in stores — because your body deserves better than GNC.

Hormonal Support

Testosterone Support Complex

Zinc, magnesium, D-aspartic acid, fenugreek, and ashwagandha — optimized ratios to support natural testosterone production alongside TRT protocols.

Recovery

Recovery Formula

Curcumin, tart cherry extract, omega-3, and glutamine — clinically dosed to reduce inflammation, accelerate muscle repair, and improve sleep quality.

Pre-Workout

Performance Stack

Citrulline malate, beta-alanine, caffeine anhydrous, and beetroot extract — clean energy, enhanced endurance, and maximum pump without the crash.

Protein

Protein Optimizer

Grass-fed whey isolate with digestive enzymes, collagen peptides, and leucine boost — designed for maximum muscle protein synthesis and gut comfort.

Pricing

Performance Programs & Pricing

Transparent pricing. No hidden fees. Every program includes physician oversight by Dr. Goel — not a PA or nurse practitioner.

Performance Consultation

$250
One-time visit
  • 60-min physician consultation
  • Health & performance history review
  • Custom protocol roadmap
  • In-person or telehealth
Book Consultation

Comprehensive Panel

$500
Full performance labs
  • 12+ biomarker panel
  • Hormone & metabolic testing
  • Nutrient deficiency screening
  • Physician review & interpretation
Order Labs

Monthly Optimization

$349
Per month
  • Monthly physician check-ins
  • TRT or peptide management
  • Quarterly lab panels
  • Protocol adjustments
  • Direct messaging access
Start Optimizing

Elite Program

$599
Per month
  • Everything in Monthly +
  • Weekly physician access
  • Monthly IV performance drip
  • Supplement stack included
  • Priority scheduling
  • Competition prep support
Go Elite

Pricing does not include medications, labs drawn externally, or additional treatments. All programs require an initial consultation. Explore our memberships for additional savings.

FAQ

Frequently Asked Questions

Everything you need to know about our strength and performance optimization programs.

Our strength and performance program is designed for athletes (recreational and competitive), executives who want peak mental and physical energy, weekend warriors, bodybuilders, and men over 30 who are noticing declines in energy, recovery, or body composition. Whether you're training for an NPC show or just want to feel like yourself again, we build protocols for your goals.
No. TRT is one tool in the toolbox, not a requirement. After reviewing your labs, Dr. Goel may recommend TRT, peptide therapy, lifestyle modifications, supplement optimization, or a combination — depending on what your body actually needs. We never push hormones when they're not indicated.
Most testosterone clinics are one-dimensional — they check your T levels, hand you a vial, and send you home. We take a comprehensive approach: hormones, peptides, IV therapy, body composition, nutrition, labs, and supplements — all managed by a triple board-certified physician who competes in physique sports. This isn't a testosterone factory. It's a complete performance medicine practice.
Yes. Many of our performance patients work with Dr. Goel via telehealth. Consultations, protocol adjustments, and lab reviews can all be done virtually. Lab work can be ordered to a lab near you. IV therapy and certain treatments require in-person visits at our San Antonio clinic.
Most patients notice improved energy, sleep, and recovery within 2-4 weeks. Body composition changes typically become visible at 6-8 weeks. Full optimization — including significant muscle gain, fat loss, and lab normalization — generally occurs within 3-6 months. Results depend on adherence to protocols, baseline health, and training consistency.
The peptides we prescribe (BPC-157, TB-500, CJC-1295/Ipamorelin, Sermorelin) are sourced from licensed U.S. compounding pharmacies and prescribed by Dr. Goel after a thorough medical evaluation. They are legal when prescribed by a physician. We monitor all patients with regular lab work to ensure safety and efficacy.
Our comprehensive performance panel includes Total/Free Testosterone, IGF-1, DHEA-S, full thyroid panel, CBC, CMP, Vitamin D, B12, iron panel, CRP, and fasting insulin. Initial labs are drawn before starting any protocol. Monthly Optimization patients get quarterly labs; Elite Program patients get labs every 8 weeks or as needed.
Performance optimization is a cash-pay service, as most insurance plans do not cover elective hormone optimization, peptide therapy, or IV drips. However, we can provide superbills for you to submit to your insurance for potential reimbursement on qualifying lab work and consultations. HSA/FSA cards are accepted.
Related Services

Explore More at Prime Vitality

Your performance journey extends beyond a single protocol. Explore our integrated men's health services.

Testosterone Replacement Therapy

TRT Therapy

Testosterone optimization
Men's Sexual Health

Sexual Health

ED, P-Shot, performance
Peptide Therapy

Peptide Therapy

Recovery & GH protocols
IV Therapy

IV Therapy

Performance & NAD+ drips
Body Contouring

Body Contouring

EmSculpt & fat loss

Ready to Optimize Your Performance?

Book Now 📞 (210) 876-1635
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