Physician care
Ongoing care from Dr. Spielberg, including bone health treatment decisions and hormone therapy evaluation and management when clinically appropriate.
Pricing and FAQ
One membership. Everything included.
Trabeca is a 12-month membership that covers your physician care, supervised strength training, registered dietitian and all scheduled testing. We share full pricing on your complimentary discovery call, so we can make sure the program fits you first.
What Your Membership Includes
No add-ons for the essentials
Supervised strength training
Two supervised 45-minute small-group sessions each week, built on a program designed by a Doctor of Physical Therapy.
Registered dietitian
A 30-minute session with your dietitian each month, focused on protein, calcium, vitamin D and what you actually eat.
Measurement
Labs and body composition every 3 months, a radiation-free bone density scan every 6 months, strength and balance testing, and a scorecard each quarter.
Founding Members
Reserve your place with a $500 refundable deposit.
The program begins March 2027 and founding spots are limited by class size. A $500 deposit holds your place, is applied to your Baseline Assessment, and is fully refundable if you decide not to join before the program starts.
Not Ready to Join?
Start with a bone scan for $299.
See where your bones stand today with a radiation-free REMS scan, a written read from Dr. Spielberg and a short call to go over your results. If you join within 60 days, the $299 is credited toward your Baseline Assessment.
REMS tracks change between DEXA scans. It does not replace the DEXA your doctor orders through insurance.
Frequently Asked Questions
Common questions
Do you take insurance or Medicare?
No. Trabeca is a cash-pay membership and does not bill insurance or Medicare. Many members use HSA or FSA funds for eligible services; check with your plan administrator.
Why a 12-month commitment?
Bone responds slowly. It takes months of consistent training, nutrition and treatment to see change on a scan, so the program is built around a full year.
You can renew the full program or move to a lower-cost maintenance membership: two supervised classes a week, a bone scan and labs once a year, and a quarterly scorecard of your strength, balance and body composition. Medical care can be added separately.
You can renew the full program or move to a lower-cost maintenance membership that keeps you training and measured.
Do I keep my own doctor?
Yes. We work alongside your primary care doctor and specialists and share your results with them, with your permission.
Is lifting safe if I have osteoporosis?
For most women, supervised, progressive training is safe and recommended. Research such as the LIFTMOR trial found improvements in bone density in women with low bone mass. Every member is cleared by our physician and starts at a level that fits her.
What is the radiation-free bone scan?
We use REMS, an ultrasound-based bone density scan, so we can measure more often without radiation. DEXA remains the reference test, and we will tell you when one is recommended.
Do you provide medications?
Dr. Spielberg prescribes when appropriate. Trabeca does not dispense medication; prescriptions are filled at the pharmacy of your choice.
I live here part of the year. Can I join?
Yes. Dietitian sessions and education continue while you are away, and we will plan your training and testing around your months in Sarasota.
Get full pricing on a 10-minute call.
A complimentary phone call with Dr. Spielberg or Dr. Grathwohl to walk through the program, pricing and whether it fits you. The call is informational and is not medical advice.