The Program
Trabeca is a 12-month membership for women 50 and older that brings medical care, supervised strength training, nutrition and measurement together under one physician's plan. Every part informs the others, and you see the results.
What's Included
A 90-minute Baseline Assessment with Dr. Spielberg: your history and fracture risk, a full lab panel, a radiation-free bone density scan, body composition, and strength and balance tests. You leave with a written plan built from your results.
Physician visits at 3, 6, 9 and 12 months. Estrogen protects bone and muscle, and bone loss speeds up when it falls at menopause. When it is right for you, Dr. Spielberg prescribes hormone therapy and monitors your levels, or bone medication when you need it. Prescriptions are filled at your pharmacy.
Two 45-minute small-group classes a week, eight people at most, using real weights and resistance. Classes follow the Trabeca Method, designed by a physician and a Doctor of Physical Therapy, and each member trains from a personal training card with her starting loads and limits.
A 60-minute nutrition assessment, then a 30-minute session every month. Protein, calcium and vitamin D targets are set from your labs and adjusted as your numbers change.
Measurement
Most women get one bone scan every two years. Trabeca measures far more often, so the plan can change while there is still time to act.
Labs, including bone turnover markers (P1NP and CTX) that show whether your body is building or breaking down bone months before a scan can. Vitamin D, and hormone levels if you are on hormone therapy. Body composition, and strength and balance tests.
A radiation-free bone density scan that measures both density and bone quality. DEXA, the standard scan, stays part of your care at the usual intervals through your insurance.
Your Bone and Strength Scorecard: 18 measures across bone density and quality, bone turnover, hormones and nutrition, and muscle, strength and balance, each with your goal and whether it is on track.
Renew the full program, or step down to a lower-cost maintenance membership that keeps you training and measured.
The Evidence
In the LIFTMOR trial, 101 women with low bone mass did supervised, heavy strength training twice a week for eight months. Their spine bone density rose 2.9%. The comparison group's fell 1.2%.
Watson et al., Journal of Bone and Mineral Research, 2018. Results vary by person; your physician will tell you what is safe for you. Trabeca does not provide primary care, so you keep your own doctor and we work alongside them.
A complimentary phone call with Dr. Spielberg or Dr. Grathwohl to walk through the program and whether it fits you. The call is informational and is not medical advice.
