Dr. Shiv GoelMD

Dr. Goel treats a broad range of adult conditions including low testosterone, hormone imbalances, thyroid and adrenal dysfunction, insulin resistance, metabolic syndrome, obesity, gut dysbiosis, SIBO, chronic fatigue, brain fog, menopause, PCOS, anxiety, depression, long COVID, hair loss, and skin aging. He also addresses men's sexual health concerns including erectile dysfunction and offers regenerative aesthetic treatments for skin rejuvenation and body contouring.

Dr. Goel holds triple board certification in Internal Medicine, Functional Medicine, and Aesthetic Medicine. He is the only physician in San Antonio with all three certifications. He also trained in Anesthesia and Critical Care prior to completing his Internal Medicine residency at Mount Sinai School of Medicine in New York.

Yes. Dr. Goel personally performs every aesthetic procedure at the practice. He administers Morpheus8 RF microneedling using four to seven customized passes, FaceTite, NeckTite, PDO thread lifts, dermal fillers, Botox, liposuction, and microneedling. He also personally formulates the serum cocktails used in Dermafuse treatments. No procedures are delegated to unsupervised technicians.

Dr. Goel believes healing begins from within. He focuses on identifying root causes rather than masking symptoms with prescriptions. His approach blends Eastern holistic traditions, which he studied growing up in India, with Western evidence-based medicine and AI-integrated diagnostics. He uses advanced biomarker panels and functional testing to build individualized care plans for each patient.

Dr. Goel completed medical school in India in the late 1990s, where he developed a strong foundation in holistic traditions. He later trained in Anesthesia and Critical Care before relocating to the United States. He completed his Internal Medicine residency at Mount Sinai School of Medicine in New York in the early 2000s. During residency, he contributed to peer-reviewed publications affiliated with the American College of Physicians.

Dr. Goel is an IFBB Masters Champion and NPC Men's Physique competitor who actively participates in physique sports. He applies the hormone, peptide, and metabolic protocols he uses in his own training directly to patient care. This hands-on experience allows him to validate the real-world effectiveness of the protocols he prescribes.

Yes. Dr. Goel received the America's Best Doctor 2025 designation and recognition as a Castle Connolly Top Doctor. He has been featured on KENS5 and Great Day SA, and his clinical writing appears on KevinMD, the SA Express-News, Op-Med, San Antonio Medicine, Voyage SA, Out, and Advocate.

Yes. Dr. Goel offers telehealth consultations for patients in Texas, California, and Florida. He conducts virtual visits for new consultations, follow-ups, lab reviews, and prescription refills. The practice ships medications directly to patients' doors, making the full care cycle available without an in-clinic visit for eligible patients.

Dr. Goel uses the DUTCH hormone panel, four-point saliva cortisol testing, and comprehensive biomarker analysis to calibrate hormone protocols to each patient's labs, lifestyle, and goals. He treats testosterone, thyroid, adrenal, and reproductive hormones together rather than in isolation. His functional medicine training allows him to address root causes of hormone dysfunction alongside direct optimization therapy.