Balanced Health

Verified listing
1819 Union St, San Francisco, CA, 94123
4.8(24 Google reviews)
Read reviews on Google ↗as of Oct 2026

About Balanced Health

What is Balanced Health?

Balanced Health is a naturopathic practice in the Cow Hollow area of San Francisco, at 1819 Union St, led by naturopathic physician Erika Horowitz, ND. It is built around functional endocrinology rather than weight loss alone: hormone balance, thyroid issues, sleep problems, women's health, digestive health, and nutrition consultations sit alongside its medically supervised weight loss program. Weight loss here is approached through that same lens, with an evaluation of symptoms, medical history, vital signs, and diagnostic testing before a plan is built, and with human chorionic gonadotropin (HCG) and bioidentical hormone therapy named as components some patients use. The practice treats patients age 12 and older and describes itself as women-owned and LGBTQ+ friendly. It is open Monday through Thursday, closed Friday through Sunday, and does not publish anything about telehealth visits.

What does it cost?

Balanced Health does not publish prices for its weight loss program, consultations, or any membership tier on its site, though it does mention an "Annual Wellness Membership" and a "Balance Assessment" by name without listing what either costs. It notes it is an out-of-network provider and can give you a compiled invoice to submit to your insurance yourself, which is different from being in-network or billing insurance directly. Ask for a full breakdown before booking: the cost of the initial visit, any lab or diagnostic testing, and the medication itself, since none of that is listed anywhere public.

What should you ask before you book?

Ask whether the monthly or program fee includes HCG or bioidentical hormone medication, or whether those are billed separately. Ask whether Dr. Horowitz is the one who evaluates and signs off on your specific plan, since she is the only prescriber named. Ask what the Annual Wellness Membership actually includes and what it costs, since the site references it without pricing. Find out what bloodwork or diagnostic testing is folded into your visit and what is billed on top. Since the practice is out-of-network, ask exactly what the compiled invoice includes and whether your insurer is likely to reimburse any of it. Ask about cancellation or refund terms for any membership or package before you sign on.

In its own words: "We are an out-of-network provider. We may provide a compiled invoice upon request for submission to insurance."

Who is it a good fit for?

This is a good fit if you want a naturopathic, testing-heavy approach to weight and hormone concerns, with lab work and lifestyle changes built into the plan rather than a quick prescription handoff. It's a less direct fit if you're looking for transparent published pricing up front or a strictly telehealth, medication-first program, since neither is spelled out here.

Sources: balancedhealthsf.com, balancedhealthsf.com/services/weight-loss

Services Offered

✓Bioidentical Hormone Therapy
✓Hormone Balance
✓Women’s Health
✓Sleep Problems
✓Stress Hormones
✓Weight Loss
✓Nutrition Consultation
✓Digestive Health
✓Thyroid and Balance

What we confirmed

Read off Balanced Health’s own website on 2026-10-10. These are their words, not ours.

  • ✓Medical weight loss — listed on their site as “exceptional naturopathic physician Erika Horowitz, ND, and her team offer medically supervised weight loss to kick-start your metabolism and help you achieve your target weight.” source
  • ✓Hormone therapy — listed on their site as “Bioidentical Hormone Therapy” source

We have not yet collected published prices or prescriber credentials for this clinic. When we do, they will appear here with a link to the page they came from — or a note saying the clinic publishes none, which is itself worth knowing. Call them for a price in the meantime.

Location