Alejandra Borensztein MD

Thinking about starting a GLP-1? Here are 3 things to do first so you get the most out of your treatment 👇

1️⃣ Get a thorough medical evaluation. Weight gain isn’t always just about food and activity. A full workup helps uncover anything else that might be going on, like thyroid issues, hormonal changes, or insulin resistance. It’s also a chance to review your current medications, since some can contribute to weight gain and may be able to be adjusted.

2️⃣ Take an honest look at your nutrition. Is takeout showing up a lot? Are carb-heavy snacks filling the gaps? Are you getting enough protein? Small shifts now make a big difference once your appetite changes on medication, especially prioritizing protein to protect muscle.

3️⃣ Get moving, and start strength training. If you’ve fallen out of a routine, now is the time to ease back in. And if you’re not lifting yet, start. Building and preserving muscle is key for your metabolism and long-term results.

GLP-1s are a powerful tool, but they work best on a strong foundation. Doing this prep sets you up for success. 💪

Ready to start your GLP-1 journey the right way? Book a consultation at the link in bio. In-person in South Jersey and telemedicine across NJ & PA.

In my practice, you get:
✔️ Real time — no rushed, assembly-line visits
✔️ A true deep-dive into your full history
✔️ A doctor who listens and builds your plan with you
✔️ Evidence-based care, always tailored to your body and your life
✔️ Close follow-up and easy communication between visits

Endocrine, hormone, and weight concerns are complex — they deserve attention, not a stopwatch. When you feel truly heard and supported, you stick with the plan. And that’s what gets real results.

This is the care I always wanted to give — so I built my practice around it. 🤍

📍 In-person in South Jersey + telehealth across NJ & PA
🔗 Ready for a doctor who partners with you? Link in bio to learn more.

I see this ALL the time.

Once someone has a diagnosis like hypothyroidism, low testosterone, or menopause, suddenly every symptom gets blamed on that one diagnosis.

Still tired? Must be your thyroid.
Brain fog? Must be your hormones.
Low energy? Let’s adjust the dose again.

And patients can spend months—or even years—frustrated because they’re still not feeling well despite repeated medication adjustments.

As an endocrinologist, I’ve seen how often something else was hiding in plain sight: iron deficiency, B12 deficiency, obstructive sleep apnea, another hormonal issue, or an entirely different diagnosis that had been overlooked.

Yes, we want to make sure your hormone treatment is optimized. But if your numbers look appropriate and you still don’t feel right, we also need to be willing to look beyond the original diagnosis.

Sometimes there isn’t just ONE thing going on.

Your thyroid can be adequately treated AND you can have iron deficiency.
Your testosterone can be optimized AND you can have sleep apnea.
Your menopause symptoms can improve with hormone therapy AND there may be another reason you’re still exhausted.

Sometimes feeling better requires stepping back, looking at the whole picture, and asking:

“What else could we be missing?”

If you’re tired of treating one number or one diagnosis and want a more complete evaluation, I’m currently accepting new patients in South Jersey and the Philadelphia area.

I’m a board-certified endocrinologist, obesity medicine specialist, and menopause specialist, and my practice is designed to provide comprehensive, evidence-based care with the time to dig deeper and develop a treatment plan personalized to you.

📍 South Jersey + Philadelphia area

📅 New patients can book through the link in my bio.

For years we called it Polycystic O***y Syndrome. The problem? Those “cysts” were never really cysts — they’re normal follicles. And the name pointed everyone at the ovaries while hiding the part that matters most: your metabolism.

Insulin resistance. Weight changes. High cholesterol. A higher risk of type 2 diabetes and heart disease. That’s the heart of this condition — and the old name left it out.

As of 2026, it’s officially Polyendocrine Metabolic Ovarian Syndrome — PMOS. A name that finally treats it as the whole-body hormonal condition it always was.

Why does a name matter? Because a better name means better questions, better screening, and better care. If your diagnosis has quietly focused on your cycle while your metabolic health went unwatched, this shift is for you.

If you’re in South Jersey or Philadelphia and have PMOS (or think you might), let’s look at the whole picture — not just your periods.
DM me or book through the link in bio. 🔗

So here it is—the behind-the-scenes of building something from the ground up.

Healthy You has been a labor of love from day one. Setting up the office. Putting together every patient packet by hand. The quiet hours at my desk. Because I didn’t just want to open a practice—I wanted to create a place that feels different the moment you walk in.

Warm. Welcoming. Unhurried. A space where you’re a person, not a chart number.

This is what direct care makes possible:
→ Real time with your physician—appointments that aren’t rushed to fit an insurance clock
→ Direct access to me when you need it, not a phone tree
→ Transparent, membership-based pricing with no surprise bills
→ Evidence-based medicine tailored to you—not dictated by what a plan will or won’t cover

Every detail here exists for one reason: to help you feel your best, backed by real science and real attention.

That smile at the end? That’s me knowing this is exactly what I set out to build. 🤍

—

Ready to experience healthcare that actually feels like care?
Link in bio to learn more.
📍 Collingswood, NJ | Telehealth across NJ & PA

Will hormone therapy make you gain weight? 🤔

This is one of the concerns I hear frequently from women considering hormone therapy.

The good news: menopausal hormone therapy does not appear to cause an increase in body fat. Some women may notice bloating or fluid retention when they first start treatment, but that’s different from gaining fat—and it often improves as the body adjusts.

But what about the opposite? Can hormone therapy help you lose weight?

Not exactly. While hormone therapy may have some favorable effects on body composition and abdominal fat during the menopause transition, it is not a weight-loss treatment.

If weight gain is your main concern, it deserves its own evaluation and treatment plan—not simply a prescription for hormones.

Welcome to Menopause: Myth or Fact?, where I’ll break down some of the most common menopause myths and look at what the science actually says.

💬 What menopause myth would you like me to tackle next?

Follow for evidence-based information on menopause, hormones, and metabolism.

If your body feels different in your 40s, you’re not imagining it.

During perimenopause and menopause, declining estrogen can change **where your body stores fat and how much muscle you carry**—and those changes can affect much more than the number on the scale.

We tend to see:
• More visceral fat around the abdomen
• Loss of lean muscle mass
• Changes in metabolism and insulin sensitivity
• Increased cardiometabolic risk

That’s why the answer isn’t simply “eat less and exercise more.”

Understanding what’s actually changing allows us to be much more strategic about nutrition, strength training, metabolic health, hormones, and—when appropriate—medication.

You have options, and they don’t have to involve extreme diets or spending your life hungry.

➡️ **Follow me for Part 2, where I’ll explain what I actually recommend to my patients to help manage weight and protect muscle during perimenopause and menopause.**

And send this to a woman who keeps wondering, **“Why is everything that used to work suddenly not working anymore?”**

Patiently waiting for all the women struggling with the hormonal chaos of perimenopause and stubborn weight gain to find my page. 👋

If you’re in your 40s or 50s and feel like your body swapped out the rulebook without telling you — you’re not imagining it.

It’s not just the weight. It’s the brain fog that makes you lose your train of thought mid-sentence. The anxiety that shows up out of nowhere. The insomnia that leaves you wired at 3am and exhausted by noon. These are real perimenopausal symptoms, and they’re all connected to the same shifting hormones.

The strategies that used to work (eat a little less, move a little more) stop working in perimenopause. Shifting estrogen changes where you store fat, how hungry you feel, how well you sleep, and how your body handles insulin. It’s not a willpower problem. It’s a physiology problem — and it deserves a real medical answer, not another crash diet.

Here’s what I want you to know: this is treatable. With the right evaluation — hormones, thyroid, metabolic labs — and a plan built for your body, you can feel like yourself again.

That’s what I do. I’m a triple board-certified endocrinologist, obesity medicine, and menopause specialist, and I help midlife women untangle exactly this.

If you need somebody with the expertise to cut through the noise and give you evidence-based advice and care — I’m here for you. 💛

Follow along, and when you’re ready for a real plan, the link’s on my page.