Semaglutide & Tirzepatide
- Semaglutide (Ozempic/Wegovy) protocol
- Tirzepatide (Mounjaro/Zepbound) protocol
- Dose titration & side effect management
- Ongoing monitoring and prescription refills
PHYSICIAN-LED • MEDICALLY SUPERVISED • LASTING RESULTS
Weight Loss &
GLP-1 Programs.
Medical weight loss using semaglutide, tirzepatide, and comprehensive metabolic optimization — physician-supervised in San Antonio and via secure telehealth nationwide.
"Sustainable weight loss requires treating the whole person — hormones, metabolism, mindset, and lifestyle — not just a prescription." — Dr. Shiv Goel, MD
Semaglutide & Tirzepatide (GLP-1)
FDA-approved medications that reduce appetite, regulate blood sugar, and promote meaningful fat loss with medical oversight.
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Metabolic & Hormone Optimization
Address insulin resistance, thyroid dysfunction, and hormone imbalances that prevent lasting weight loss.
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Telehealth Nationwide
Virtual consultations, lab reviews, prescription management, and ongoing coaching from anywhere in Texas.
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IN ONE GLANCE
Weight Loss & GLP-1 at Prime Vitality Care
Our medically supervised weight loss program goes beyond prescription pads. We combine GLP-1 medications (semaglutide, tirzepatide) with metabolic optimization, hormone balancing, and lifestyle coaching for results that last.
Led by Dr. Shiv Goel, MD, our program is available in-clinic in San Antonio and via telehealth throughout Texas — so you get personalized, physician-supervised care wherever you are.
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GLP-1 Medications
Semaglutide & tirzepatide with medical supervision, dose titration, and ongoing management
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Metabolic Reset
Insulin resistance reversal, metabolic panel optimization, and energy restoration
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Hormone Balancing
Thyroid, testosterone, estrogen optimization to support metabolism and body composition
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Lifestyle Coaching
Nutrition guidance, movement strategies, and behavioral support for sustained results
Am I a Candidate for GLP-1-Based Medical Weight Loss?
The Weight Loss & GLP-1 Program is designed for adults with a BMI ≥27, metabolic syndrome, type 2 diabetes risk, insulin resistance, or hormone-driven weight gain who want medically supervised, lasting results.
Care is led by Dr. Shiv Goel, MD, in San Antonio with hybrid in-clinic and telehealth support — so you can access your physician-supervised weight loss program wherever you are.
Who our Weight Loss & GLP-1 program is for
Designed for adults who are ready for a medically supervised, comprehensive approach to sustainable weight loss — not just another crash diet.
Metabolic syndrome & prediabetes
Adults with insulin resistance, elevated A1C, high triglycerides, or cardiovascular risk factors who need a medically guided reset.
Hormone-driven weight gain
Individuals whose weight struggles are tied to thyroid dysfunction, low testosterone, estrogen imbalance, PCOS, or cortisol dysregulation.
GLP-1 ready adults
Adults with BMI ≥27 who are candidates for semaglutide or tirzepatide therapy and want physician oversight, lab monitoring, and long-term support.
What We Help With
Flip each card to explore our comprehensive Weight Loss & GLP-1 program areas — from GLP-1 therapy to metabolic reset and long-term support.
Metabolic Optimization
- Insulin resistance evaluation & reversal
- A1C and fasting glucose optimization
- Lipid panel management
- Metabolic rate and body composition analysis
Hormone-Driven Weight
- Thyroid optimization (T3/T4 balancing)
- Testosterone and estrogen support
- Cortisol and adrenal fatigue management
- PCOS-related weight management
Nutrition & Lifestyle
- Anti-inflammatory nutrition guidance
- Protein-forward meal planning
- Exercise and movement optimization
- Behavioral and mindset coaching
Body Composition
- Targeted fat loss strategies
- Muscle preservation during weight loss
- Peptide support (AOD-9604, BPC-157)
- Aesthetic body contouring options
Telehealth & Follow-Up
- Monthly virtual check-ins
- Lab monitoring and results review
- Prescription management and refills
- Plateau busting and protocol adjustments
How Our Weight Loss & GLP-1 Program Works
You're guided by a physician who understands metabolic medicine, hormonal health, and sustainable weight management — so every step is personalized to your biology and goals.
1
Comprehensive Intake & Advanced Labs
We review your full health history, weight loss journey, medications, and lifestyle — then order targeted metabolic, hormone, and cardiovascular labs to get the full picture before prescribing anything.
2
Personalized Weight Loss Protocol
Together we design your plan — which may include semaglutide or tirzepatide, metabolic optimization, hormone balancing, nutrition guidance, and peptide support — all prioritized to your goals, safety profile, and readiness.
3
Ongoing Follow-Up & Telehealth Support
Regular check-ins — in-clinic or via telehealth — keep you progressing. We monitor labs, adjust doses, troubleshoot plateaus, and refine your plan for lasting results and long-term metabolic health.
What Our Patients Notice Over Time
As we optimize your metabolism, hormones, and lifestyle habits, most patients see a predictable progression in energy, body composition, and overall wellbeing.
Weeks 2–4: Early Momentum
Reduced appetite and cravings, steadier energy throughout the day, and less bloating or digestive heaviness as GLP-1 medications begin to take effect.
Weeks 6–12: Visible Progress
Measurable weight loss, improved metabolic markers (A1C, lipids, fasting glucose), better sleep quality, and increased motivation to maintain healthy habits.
3–12 Months: Lasting Transformation
Durable fat loss, improved body composition, optimized hormone levels, and the metabolic foundation for long-term weight maintenance — not just a number on the scale.
What's Included in a Weight Loss & GLP-1 Plan
You're not getting a quick fix — you're enrolling in a structured, physician-supervised metabolic reset.
- ✓ Comprehensive intake including weight history, medications, labs, and metabolic goals
- ✓ Baseline and follow-up labs (metabolic panel, thyroid, hormones, A1C, lipids)
- ✓ Personalized GLP-1 protocol (semaglutide or tirzepatide) with dose titration
- ✓ Metabolic optimization: insulin resistance, thyroid, hormone balance where needed
- ✓ Nutrition guidance, movement coaching, and behavioral support for lasting change
- ✓ Peptide support options (AOD-9604, BPC-157) where appropriate for body composition
- ✓ Hybrid in-clinic and telehealth follow-ups throughout Texas
- ✓ Ongoing monitoring of side effects, weight trends, and cardiovascular safety
- ✓ Coordination with functional medicine, hormone therapy, and aesthetic programs
Ready to Start Your Weight Loss Journey?
Share your top concerns, and we'll help you decide whether in-office care, telehealth, or a hybrid plan fits best.
Real Results from Real Patients
I was skeptical at first, but the telehealth program made everything so easy. Dr. Goel walked me through every step. Down 22 lbs and my A1C dropped from 6.2 to 5.5.
Robert T., 49
Semaglutide Weight Loss Program
After struggling with my weight for years, Dr. Goel's GLP-1 program finally worked. Lost 28 lbs in 4 months. My energy and lab results have never been better.
Sarah M., 41
GLP-1 Weight Loss Program
The hormone balancing component was the missing piece for me. Once my thyroid was optimized alongside tirzepatide, the weight finally started coming off consistently.
Jennifer R., 44
Tirzepatide & Hormone Program
Frequently Asked Questions
Am I a candidate for GLP-1 medications like semaglutide or tirzepatide?
Most adults with a BMI of 27 or higher — especially those with metabolic syndrome, insulin resistance, prediabetes, or hormone-related weight gain — are candidates. Dr. Goel reviews your full history and labs before prescribing to ensure safety and appropriateness.
What's the difference between semaglutide and tirzepatide?
Semaglutide (Ozempic/Wegovy) is a GLP-1 receptor agonist that reduces appetite and blood sugar. Tirzepatide (Mounjaro/Zepbound) targets both GLP-1 and GIP receptors, often producing greater weight loss. Dr. Goel will recommend the best option based on your labs, goals, and medical history.
How much weight can I expect to lose?
Clinical studies show 10–22% total body weight loss with GLP-1 medications when combined with lifestyle support. Results vary based on starting weight, hormone status, metabolic health, and consistency. Our program is designed to maximize and maintain results long-term.
Do you treat hormone-related weight gain?
Yes. Thyroid dysfunction, low testosterone, high cortisol, estrogen imbalance, and PCOS can all contribute to weight gain that doesn't respond to diet alone. We test and optimize these hormones as part of a comprehensive weight loss strategy.
Can I do this program via telehealth?
Yes. Our program is available fully via telehealth throughout Texas, with in-clinic options available in San Antonio. Consultations, lab reviews, prescription management, and follow-up visits can all be done virtually.
What labs are included in the program?
We order a comprehensive metabolic panel, thyroid panel (TSH, free T3, free T4), hormone levels (testosterone, estrogen, cortisol), fasting insulin, A1C, fasting glucose, lipid panel, and more based on your specific presentation.
How do I get started if I live outside San Antonio?
Use our online intake form or telehealth booking to schedule a virtual consultation. Dr. Goel can evaluate you, review labs, and prescribe medications remotely for patients throughout Texas. Lab orders can be completed at a local draw site near you.
Do you accept insurance?
Our program is primarily fee-for-service. However, some lab tests and medications may be covered depending on your insurance plan. We'll help you understand your options and provide documentation to support insurance submission where applicable.
Weight Loss Program Consultation Request
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.