Prime Vitality Total Wellness and Medical Spa

Prime Vitality Total Wellness and Medical Spa operates in San Antonio, Texas, under the medical direction of Shiv K. Goel, MD, delivering peptide therapy, hormone optimization, and metabolic wellness programs through both in-person and telehealth consultations. Dr. Goel's practice integrates regenerative medicine protocols with evidence-based aesthetic treatments, serving patients throughout Bexar County and beyond via virtual care platforms. The clinic's hybrid model allows San Antonio residents to receive initial assessments and follow-up monitoring remotely while accessing in-office procedures when medically indicated.

Prime Vitality Total Wellness and Medical Spa's peptide therapy menu includes NAD+, with treatment protocols customized based on individual health goals and lab work. Additional peptide options may be available based on medical necessity and FDA guidelines.

Dr. Shiv K. Goel brings board-certified medical expertise to Prime Vitality's regenerative medicine offerings, applying clinical protocols that address hormonal imbalances, metabolic dysfunction, and age-related physiological changes. His treatment philosophy emphasizes root-cause analysis rather than symptom suppression, utilizing advanced diagnostics to identify deficiencies in testosterone, thyroid hormones, growth hormone, and other endocrine pathways before designing intervention strategies. The clinic's hormone optimization programs combine bioidentical hormone replacement therapy with peptide adjuncts, nutritional interventions, and lifestyle modifications tailored to each patient's laboratory findings and clinical presentation. Dr. Goel's medical oversight ensures that peptide prescriptions align with current research and safety guidelines while monitoring for potential contraindications or adverse effects.

Patients at Prime Vitality Total Wellness and Medical Spa begin with a comprehensive intake process that includes detailed health history review, symptom assessment questionnaires, and baseline laboratory testing ordered through the clinic's partner facilities in San Antonio. Initial consultations, available both in-person at the medical spa location and via HIPAA-compliant telehealth platforms, typically last 45-60 minutes and cover treatment goals, medical history review, and discussion of peptide options with expected timelines for clinical response. The clinic provides detailed treatment protocols in writing, including injection schedules, storage requirements, and monitoring parameters, with nursing staff available to demonstrate subcutaneous injection technique for patients new to peptide administration. Follow-up appointments occur at intervals determined by the specific peptide regimen, generally every 4-8 weeks initially, with laboratory retesting scheduled to assess hormone levels, metabolic markers, and treatment efficacy.

Prime Vitality's telehealth infrastructure enables patients across Texas to access Dr. Goel's expertise without geographic limitations, with peptide medications shipped directly from compounding pharmacies to patient homes following state and federal regulations. The clinic maintains relationships with accredited 503B compounding facilities that provide third-party testing certificates of analysis for peptide purity and potency. San Antonio-based patients benefit from the option to combine virtual consultations with in-office body composition scans, aesthetic treatments such as microneedling or laser therapy, and IV nutrient infusions that complement peptide protocols. The medical spa component offers cosmetic peptide applications including GHK-Cu for skin regeneration and collagen synthesis, integrated with the clinic's functional medicine approach to address both internal optimization and external aesthetic concerns. With 88 five-star reviews reflecting patient satisfaction, Prime Vitality has established a reputation in the San Antonio wellness community for thorough medical evaluation, accessible provider communication, and results-oriented peptide therapy programs.