TRAILHEAD WELLNESS MEDICINE

About TRAILHEAD WELLNESS MEDICINE

What is Trailhead Wellness Medicine?

Trailhead Wellness Medicine is a physician-led clinic at 256c Laguna Honda Blvd in San Francisco. It is run by Smriti Singh, D.O., MPH, an osteopathic physician who previously worked in emergency medicine. The practice offers hormone replacement therapy for women and men, medical weight loss with tirzepatide, peptide therapy, and prolotherapy joint injections that combine osteopathic manipulative treatment with dextrose-based injections. Weight loss and hormone care are structured as three-month programs, and visits can be done in person or by HIPAA-secure telehealth. Weight loss medication is typically a compounded version of tirzepatide, with brand-name ZepBound available but billed separately and without the ability to customize dose.

What does it cost?

The initial consult for any program is $300, though it is currently discounted to $199 as a limited-time launch special. The weight loss Basecamp Program runs $600 a month under a three-month commitment (launch special $349 a month), and includes labs before starting, monthly check-ins, secure messaging, and medication adjustments. The Summit Program, which adds personalized nutrition and workout programming, runs $800 a month (launch special $499 a month) under the same three-month term. Women's and men's hormone replacement therapy each run $450 a month under a three-month commitment (launch special $199 a month). These monthly fees include compounded medication when clinically appropriate; brand-name prescriptions filled at retail pharmacies are billed separately, and that cost is not stated. Labs are paid by the patient directly, though the practice says many are insurance-reimbursable and that it provides documentation for submission. No prices are published for peptide therapy or for prolotherapy joint injections, so ask directly. The practice is cash-pay only.

What should you ask before you book?

Ask whether your prescription will be written and signed by Dr. Singh herself, since she is the only prescriber named. Ask what the brand-name medication would cost if you prefer it over the compounded version, since that price is not published. Ask what happens to pricing once the launch specials end, since several of the posted rates are described as limited-time. Ask what the cancellation terms are if you need to stop partway through the three-month commitment, since that is not spelled out beyond the commitment itself. For peptide therapy and prolotherapy, ask for a full price breakdown before your consult, since neither is posted. Also ask what lab work costs out of pocket and how often it is repeated during a program.

Who is it a good fit for?

This is a good fit if you want a single physician overseeing hormone, weight loss, or joint care with in-person visits available in San Francisco, and if you are comfortable with a three-month minimum commitment and confirming the real cost of brand-name medication before you start. It is less of a fit if you are looking for drop-in telehealth with no term commitment or if you need published pricing for peptide therapy before you call.

Sources: trailheadwellnessmedicine.com/weightloss, trailheadwellnessmedicine.com/trt, trailheadwellnessmedicine.com/hrt, trailheadwellnessmedicine.com/peptides, trailheadwellnessmedicine.com, trailheadwellnessmedicine.com/blog/what-is-menopause-and-perimenopause-care, trailheadwellnessmedicine.com/pricing

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