}
Discover the root causes of your health challenges and achieve lasting wellness through personalized functional medicine protocols. Serving San Antonio locally and patients nationwide via telehealth.

At PrimeVitalityCare, We specialize in bioidentical hormone therapy (BHRT) for men, offering a natural approach to hormone balance and overall wellness. Our expert team understands the unique challenges men face as they age, and we’re committed to helping you regain your energy, focus, and zest for life.
Bioidentical hormone therapy uses hormones that are molecularly identical to those naturally produced by your body. This innovative treatment aims to restore hormonal balance, addressing symptoms associated with aging and hormonal imbalances in men.


Don’t let hormonal imbalances hold you back from living your best life. Contact PrimeVitalityCare today Schedule a consultation and discover how bioidentical hormone therapy can help you reclaim your vitality and well-being.
Posted onKmmy'i LolokoTrustindex verifies that the original source of the review is Google. I am writing to share my positive experience with your practice, which has truly exceeded my expectations. One of the most notable aspects was the dedicated concierge service. It felt as though I had a personal guide throughout the entire process, providing support and assistance whenever needed. This level of attention significantly enhanced my comfort and confidence in the care I was receiving. Additionally, I greatly appreciated the flexibility offered by the convenient telehealth options. Given my busy schedule, being able to access care remotely was invaluable and made managing appointments much easier without compromising the quality of service. The wound care treatments provided by your expert provider were both effective and delivered with clear communication. The provider's genuinely caring manner made a substantial difference, ensuring that I felt well-informed about my treatment plan at every stage. This transparency and compassion contributed to a strong sense of trust and reassurance. Overall, the excellent service I received from your entire team is commendable, and I wanted to express my sincere gratitude for the exceptional care. Thank you once again for your dedication and professionalism. VkPosted onKedra LambTrustindex verifies that the original source of the review is Google. Absolutely amazing experience I did PDO threads And two Morpheus 8 treatments on my face and neck hardly any downtime and the results are phenomenal. I’ve gotten so many compliments over the last couple weeks about how good my skin looks. How nice my neck looks. It was definitely worth it. Not to mention I had hardly any downtime. The skin care products are amazing. I couldn’t be happier. Definitely debating on what I want do next. Thank you, Dr. Goel. I appreciate you!! See you soon on my next impulse decision!Posted onJonah Van VeldhuizenTrustindex verifies that the original source of the review is Google. “As a patient from Dallas, I’ve been grateful for the telehealth services offered by Dr. Shiv Goel and Prime Vitality Care. Through virtual visits, I was able to access advanced therapies without leaving home. Dr. Goel recommended BPC‑157 peptide therapy, which greatly improved my joint recovery, and Sermorelin therapy, which restored my energy and sleep quality. His telehealth approach made care convenient, safe, and highly effective, and the results have been truly life‑changing.”Posted onPhillip GossTrustindex verifies that the original source of the review is Google. Great doctor, very professional and asks questions to best get a complete assessment of problems you have. A+++++Posted onMartha RodriguezTrustindex verifies that the original source of the review is Google. Dr. G is very through, he looks at the whole history of the patient. He has always been kind when i come in. He also loves fees a concierge service for your overall health. I will continue to come here. He has been an asset in my health journey.Posted onLydia VallejoTrustindex verifies that the original source of the review is Google. I had an amazing experience at Prime Vitality Wellness—something I hadn’t felt at any other place I visited. For the first time, I truly understood what was going on with my health. Dr. Shiv Goel took the time to explain the root causes of my symptoms with clarity and compassion. I started hormone replacement therapy, a customized skincare regimen, and a weight loss program. It’s been less than a month, and I already feel so much better—more energized, balanced, and confident. I also decided to get the Morpheus8 treatment, and the results have been incredible. My skin looks firmer and more radiant—friends and family have noticed the difference! What I really appreciate is that Dr. Shiv Goel doesn’t treat this as just a job or a business. He genuinely cares about his patients. He doesn’t just hear you—he truly listens to your needs. That level of empathy and dedication is rare, and it made all the difference in my experience. I’m very satisfied with his care and highly recommend him to anyone looking for a physician who combines expertise with heart. This is just the beginning of my journey, and I can’t wait to see what’s ahead. I feel better from the inside out—and that’s priceless. LydiaPosted onDerek HolleranTrustindex verifies that the original source of the review is Google. Review for Dr. Shiv Goel and Prime Vitality** After experiencing a zygomatic bone fracture in an accident, I was understandably nervous about seeking treatment. I was hesitant to visit any med spa or doctor, but I decided to consult Dr. Shiv Goel at Prime Vitality, and I’m so glad I did. From the moment I met him, I felt reassured by his professionalism, compassion, and expertise. He patiently explained the procedure and made sure I was comfortable throughout. The dermal filler treatment was a fantastic decision — the results look natural and have truly helped restore my confidence. I am extremely happy with the outcome and grateful for Dr. Goel’s skill and care. Highly recommend Dr. Shiv Goel and Prime Vitality to anyone seeking quality aesthetic treatments with a trustworthy and caring doctor!Posted onJoselyn InzunzaTrustindex verifies that the original source of the review is Google. I recently visited Prime Vitality for Botox treatments and had an exceptional experience with Dr. Shiv Goel. From the moment I walked in, I felt welcomed and well-cared for. Dr. Goel is incredibly professional, knowledgeable, and attentive to my concerns. He explained the procedure thoroughly, ensuring I was comfortable and informed every step of the way. The results have been fantastic — natural-looking and very satisfying. I truly appreciate his expertise and gentle approach, which made the entire process smooth and painless. I highly recommend Dr. Shiv Goel and Prime Vitality to anyone considering aesthetic treatments. I will definitely be returning for future treatments!Posted onLuis SeguraTrustindex verifies that the original source of the review is Google. I received great care and attention to my needs at Prime Vitality. It truly exceeded my expectations! 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 you go see Doc today!Posted onMiguel A. GonzalezTrustindex verifies that the original source of the review is Google. Dr. Goel is a very reputable expert with patient care! From internal care, to beauty, to wound care, and beyond! Very very impressive work throughout the years and he still continues. I highly recommend him.Verified by TrustindexTrustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more
1. What is bioidentical hormone therapy (BHRT)?
Bioidentical hormone therapy uses hormones that are chemically identical to those your body produces naturally. For men, this typically involves optimizing testosterone levels to address symptoms of hormonal imbalance or decline.
2. How do I know if I need bioidentical hormone therapy?
Common signs that you might benefit from BHRT include low energy, decreased libido, muscle loss, weight gain, mood changes, and sleep disturbances. A comprehensive evaluation, including blood tests, can determine if you have a hormonal imbalance.
3. What are the benefits of bioidentical hormone therapy for men?
Benefits can include increased energy, improved muscle mass and strength, enhanced libido, better mood and cognitive function, reduced body fat, improved sleep quality, and better overall well-being.
4. Is bioidentical hormone therapy safe?
When administered by qualified professionals and monitored regularly, BHRT is generally considered safe. However, like any medical treatment, it carries some risks which will be discussed during your consultation.
5.How long does it take to see results from BHRT?
Many men report feeling improvements within a few weeks of starting treatment. However, full benefits may take several months to manifest as your body adjusts to optimized hormone levels.
6. How is bioidentical hormone therapy administered?
BHRT can be administered through various methods, including pellets inserted under the skin, injections, topical gels or creams, and oral tablets. The best method for you will be determined based on your individual needs and preferences.
7. Will BHRT affect my fertility?
BHRT can potentially reduce sperm production. If you’re planning to have children, it’s important to discuss this with your healthcare provider before starting treatment.
8. How often will I need treatments?
The frequency of treatments depends on the administration method and your individual response. Pellets typically last 3-6 months, while injections might be given weekly or bi-weekly. Your treatment schedule will be personalized to your needs.
9. Can bioidentical hormone therapy help with erectile dysfunction?
While BHRT is not a direct treatment for erectile dysfunction, optimizing testosterone levels can often improve sexual function, including erectile quality.
10.Are there any side effects of bioidentical hormone therapy?
Potential side effects can include acne, sleep apnea, enlarged prostate, and changes in blood cell counts. However, these are typically manageable with proper monitoring and dose adjustments.
11. How is bioidentical hormone therapy different from synthetic hormone replacement?
Bioidentical hormones are chemically identical to those produced by your body, potentially leading to better tolerance and fewer side effects compared to synthetic hormones.
12. Is bioidentical hormone therapy covered by insurance?
Coverage varies by insurance provider and specific plan. We recommend checking with your insurance company for details on coverage for hormone therapy treatments.
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.
Take the First Step Toward Optimal Health and Wellness