Physician-led muscle and bone health · Sarasota, Florida
A physician-led program for women 50 and older that combines progressive strength training, a registered dietitian, hormone care when it's right for you, and objective measurement to help you build and preserve muscle and bone.
Who Trabeca Is For
Trabeca Bone and Strength is a physician-led program for women 50 and older who want a structured, measurable way to build and preserve muscle and bone, whether you already have osteopenia or osteoporosis or want to prevent it. Men are welcome too.
See who the program is forYou have a bone density result that needs a plan. Trabeca pairs medical management with supervised strength training, nutrition, and repeat measurement, so decisions reflect how you are actually responding.
Perimenopause and menopause bring changes that affect both muscle and bone. This pathway starts with a baseline and builds strength early, while there is more to protect.
Progressive strength training, a registered dietitian, hormone care when appropriate, and objective measurement, coordinated under one physician's plan instead of assembled from separate sources.
The Connection
Muscle and bone work as one system. Bone adapts to the loads placed on it, and much of that load comes from muscles pulling on the skeleton during movement and training. Muscle strength also supports balance, steadiness, and fall prevention.
Both tend to decline with age, and for many women bone loss speeds up around menopause. Addressing one without the other leaves part of the picture untreated, so Trabeca trains, nourishes, and measures them together.
The Program
Trabeca is a single 12-month membership, not a menu of separate services. Each part informs the others, and a physician oversees all of it.
A comprehensive evaluation, then ongoing medical management throughout the year.
A standardized, evidence-informed strength program delivered in small groups, with movements and progression modified to the individual based on ability, experience, and clinical needs.
Practical, sustainable nutrition guidance that supports muscle and bone, with targets set from your labs by a registered dietitian.
Objective data collected on a schedule, so the plan is adjusted based on results.
Why Trabeca Exists
After residency, I followed standard screening guidance and ordered first DEXA scans when patients turned 65. What struck me was how rarely those scans were normal. Most patients already had osteopenia or osteoporosis.
Medicine was not doing enough, early enough. The research pointed toward supervised, progressive strength training, yet patients had no clear place to get it alongside medical care, nutrition, and measurement. I built Trabeca so they would not have to piece it together.
Sheena Spielberg, MDFounder & Medical Director
Read why I built TrabecaHow It Works
The first year follows a clear sequence: assess, plan, train, then measure and adjust. After the first year, members can renew or step down to a lower-cost maintenance membership.
Baseline labs are completed before your first visit. The 90-minute Baseline Assessment brings the physician assessment, a radiation-free bone density scan, body composition, and baseline strength and balance testing together in one appointment.
Your physician reviews the results and creates a plan for training, nutrition, and medical care, including hormonal factors or medication when clinically appropriate.
Twice-weekly supervised strength sessions, a monthly session with your registered dietitian, and a structured educational curriculum put the plan into practice.
Scheduled reassessments show how you are responding, and the plan is adjusted based on objective data.
Evidence. Precision. Progress.
Progress is tracked on a fixed schedule and summarized in a scorecard every quarter, so each result can be compared with the ones before it and the plan adjusted accordingly.
Founder & Medical Director
Board certified in internal medicine and obesity medicine, Dr. Spielberg focuses on prevention, midlife health, and metabolic, muscle, and bone health. She leads each member's medical evaluation, ongoing management, and monitoring, and develops the clinical plan.
Director of Strength & Performance
A Doctor of Physical Therapy and Certified Strength and Conditioning Specialist, Dr. Grathwohl brings expertise in progressive strength training, movement, performance, and bone-health exercise to Trabeca’s strength program.
Resources
Bone Health
What an osteopenia result tells you, what it does not, and the questions worth asking next.
Perimenopause & Menopause
How hormonal change affects muscle and bone, and which factors are within your control.
Strength & Muscle
Why the type and progression of training matter, and why supervision is part of the approach.
Measurement & Testing
How this ultrasound-based bone measurement works and how it differs from a DEXA scan.
The discovery call is a complimentary phone call with Dr. Spielberg or Dr. Grathwohl. We will walk through how the program works and help you decide whether it is the right fit. The call is informational and is not medical advice.
