01
We contact your patient within 48 hours
Send a referral and we reach out to schedule a discovery call and, if appropriate, a Baseline Assessment.
For Referring Clinicians
A structured bone and strength program for your patients, with results sent back to you.
Trabeca is a physician-led program led by Dr. Sheena Spielberg, board certified in internal and obesity medicine, and Dr. Jonathan Grathwohl, DPT, CSCS. We complement your care. Your patient stays with you.
How Referrals Work
Simple for you and your office
02
You receive a consult note
After the Baseline Assessment, we send a consult note with findings, labs and the plan.
03
Quarterly scorecards
Every quarter you receive the patient's strength, balance, body composition, lab and bone density results, with the patient's permission.
04
Your patient stays with you
We do not replace primary care. We coordinate with you on treatment decisions and refer back for anything outside our scope.
Who to Refer
Patients who benefit most
Women 50 and older with osteopenia or osteoporosis, women in or past menopause with fracture risk, patients losing muscle on GLP-1 medication, and patients with low strength or balance who are cleared to exercise. Men are welcome too.
Patients with a fracture in the past year, who use a walker or cane, or who are very frail are not placed in group training but can be seen for medical care. Trabeca does not pay for referrals and does not accept payment for referring patients.
Talk with Dr. Spielberg.
We are happy to meet with your practice, share our clinical standards and set up a referral process that works for your office.