Tri Valley Health & Aesthetics
Verified listingAbout Tri Valley Health & Aesthetics
What is Tri Valley Health & Aesthetics?
Tri Valley Health & Aesthetics is a medical spa with offices in Livermore, California, and Coeur d'Alene, Idaho. It is run by Donna Bierut, a Family Nurse Practitioner with an MSN, who also serves as its clinical director. The practice is mainly a medical spa built around laser and skin treatments such as CO2 resurfacing, Fraxel, IPL, Botox and Dysport, and body contouring with EMSCULPT neo and EMSELLA, alongside a smaller set of medical services: bio-identical hormone replacement, peptide weight loss using semaglutide and tirzepatide, IV hydration, and plant-based nutrition counseling. An anti-aging medicine page is listed among its services but currently reads "Coming Soon." In its own words, "Tri Valley Health & Aesthetics is dedicated to improving the well-being of the Bay Area, including San Francisco, Oakland, Livermore, Fremont and the entire San Ramon Valley." The weight loss program includes one-on-one consultations, blood panel assessments, and weekly body composition checks, and patients are told they can get a prescription for brand-name semaglutide or tirzepatide called in to a pharmacy of their choice, with a separate monthly weight management fee charged for the service.
What does it cost?
No prices are published for weight loss, hormone therapy, or peptide programs. A monthly weight management fee applies to anyone on the weight loss program, separate from the cost of the medication, but the amount of that fee is not stated anywhere, and there is no mention of whether it changes depending on which medication is prescribed. Ask directly what the monthly fee covers, what the medication costs on top of it, and what the first visit costs before booking anything.
What should you ask before you book?
Ask whether Donna Bierut is the one who will see you for weight loss. The hormone pages name her directly, but the weight loss page names no prescriber at all. Ask whether the semaglutide or tirzepatide prescribed is brand-name or compounded. The weight loss page refers to brand-name options filled at a pharmacy of your choice, but it does not rule out compounding. Ask what lab work is required for hormone therapy or weight loss and whether that cost is separate from the monthly fee. Ask whether insurance is accepted for any visit or lab work, since that is not addressed anywhere. Ask about cancellation terms for any program before signing up, since none are published.
Who is it a good fit for?
This is a good fit if you are already drawn to the skin and body aesthetic side of the practice and want weight loss or hormone therapy folded into that same relationship, and you are comfortable calling ahead to get pricing and prescriber details that are not posted anywhere online.
Sources: trivalleylivewell.com, trivalleylivewell.com/hormone-replacement-therapy-and-the-aging-process, trivalleylivewell.com/medical-treatments/peptide-weight-loss
Services Offered
What we confirmed
Read off Tri Valley Health & Aesthetics’s own website on 2026-10-10. These are their words, not ours.
- ✓Medical weight loss — listed on their site as “Semaglutide is a medication used for medical weight loss.” source
- ✓Hormone therapy — listed on their site as “The bioidentical hormone replacement therapy at Tri Valley uses plant-derived hormones that are chemically identical to your body’s natural hormones.” source
- ✓Peptide therapy — listed on their site as “Peptide Weight Loss Therapy” source
- ✓Longevity / anti-aging — listed on their site as “Anti-Aging Medicine” source