Lifestyle
This tarot reader wants so badly to tell you your future
Avery, styled as the Priestess, wears Balenciaga dress and shoes, Ashton Michael necklace and cuff.
I want so badly to tell you about your future. I’ve made it clear on my website that I am not a psychic but now that you’ve paid me for a tarot reading and you’re sitting here in front of me, it’s obvious you want me to tell you what is going to happen. Ninety-eight out of 100 times, you specifically want to know the future of your love life or your career. (In the remaining two instances, you want to know where you should live.)
Before we met, I asked you to draft an open-ended yet specific question to bring to the cards. And although you think you’ve found the secret way of predicting your future by asking me what needs to change in your current romantic relationship or how to decide whether you should quit your job, I’m sorry to say you haven’t. I could be didactic with you — sure, quit your job, marry your partner, move to the burbs — and that may feel like a prognostication of sorts. But having an opinion is not the same as having the answer, and so I make it clear before we begin that not only will I not predict your future, I won’t tell you what to do either. I won’t even answer the very question I required you to prepare, not because I don’t want to but because I can’t.
Our present is so uncertain that it’s no great surprise everyone wants me to tell them what happens next.
“It is not the job of a card reader to promise revelations,” Jessica Dore writes in her book “Tarot for Change,” “because that’s not how secrets work.” Dore offers an understanding of the cards as having a “midwifing function, in which they ask questions as part of a birthing process that brings forth new life. Questions that broaden rather than narrow down.” Put simply, a tarot card is a prompt. In the duration of our time together, you will have asked the deck a single question, but every card drawn in response will have offered a different question back to you; you will leave this reading with more questions than you started with. “This is good,” Dore consoles. “Questions are passageways to new life.”
The earliest versions of tarot decks weren’t even used as a form of divination. Tarot was just a trump card game first played by Europeans in the 1400s. But so strong is the human urge to predict the future that late-19th and early 20th century occultists adopted the cards as a tool for their mystical explorations. The tarot deck I use, the instantly recognizable Rider-Waite-Smith deck, is the one as reimagined by a few of those occultists, and dates back only to 1909.
I do wish I could tell you exactly what will happen next. I wish I could tell myself the same. But while I cannot predict your future, or mine, I can tell you a story.
A.E. Waite, the “author” of the modern tarot deck, first met Pamela Colman Smith, the deck’s eventual illustrator, when they were both members of the Hermetic Order of the Golden Dawn, a secret society that essentially practiced magic. It may sound fantastical and even a little silly to imagine a gathering of adults conducting mystical rituals in secret while wearing Egyptian costumes, but when we consider the historical context of rapid social and technological change in which these orders were formed, it’s no wonder their members sought out tools of control and divination. Their world was evolving very quickly and unexpectedly, and they longed for the comfort of a certain future.
Our own cultural context is not so dissimilar. When I use this deck as your tarot reader today, I may not be dressed like Cleopatra, for example, but when you picture a tarot reader here in Los Angeles, are they wearing a flower crown? And are we, as a society, not also grappling with extraordinary sweeping cultural and technological changes? Our present is so uncertain that it’s no great surprise everyone wants me to tell them what happens next.
Besides the one regarding your future, your most looming question of our reading, at least at the start, might be what have you paid me for. As I said before, I do wish I could tell you exactly what will happen next. I wish I could tell myself the same. But while I cannot predict your future, or mine, I can tell you a story.
Here’s one: The first tarot reading I ever received occurred at a famous occult shop and tearoom in New Orleans. I was 17 and all I wanted to know was whether I was going to marry my high school boyfriend. I don’t recall what the cards said, only that the reader refused to give me a definitive answer about my boyfriend in her reading of them. Because of this, I did not engage her further about my spread, or layout of cards, and the tarot reading was over quickly. Still, I had paid for a certain amount of time with the reader, so she offered to look at my right palm. Now this reading I remember almost verbatim because upon noticing that my head and heart lines were merged as one — a Simian line, the ultimate representation of determination — the reader told me that if I were a man, she’d advise me to run for president one day.
I became a writer instead, not because I’m not a man, but because just like you, I was more curious about what my life could possibly amount to, and writing it all down in an attempt at synthesis seemed to be the closest I could get to predicting my own future.
Kitty, styled as the Two of Cups, wears KWK by KAY KWOK bodysuit, Yueqi Qi dress, Grounds shoes, Hugo Kreit earrings, Lillian Shalom ring.
“We tell ourselves stories in order to live.” So goes the now-platitudinous opening quote from Joan Didion’s seminal essay “The White Album.” “We interpret what we see, select the most workable of the multiple choices,” Didion explains. “We live entirely, especially if we are writers, by the imposition of a narrative line upon disparate images, by the ‘ideas’ with which we have learned to freeze the shifting phantasmagoria which is our actual experience.” This excerpt became so cliched amongst writers because it happens to be true.
In another oft-paraphrased standby of writers, the common definition of ‘to essay’ is to try, attempt or undertake. An essay, then, is both a noun and a verb, both an effort of interpretation as well as its result. For writers of essays, myself included, this also happens to be true. When I try to make sense of life, I attempt to turn the flashes of experience in my head into words on a page so that I may read them back to myself and hopefully understand, at least a little bit, where I’ve come from, so that I maybe even see what lies ahead.
Here is another story: The second tarot reading I ever received also took place in a tearoom. This one was in North Carolina and every Tuesday a local tarot reader offered a 30-minute reading for 50 dollars in the back room. On the Tuesday that I added my name to the list for drop-in readings, I had a $50 bill waiting on my desk at work that morning, a gift from my employer on the occasion of my birthday. I figured the reading would be a fun thing to do that evening, something that I would’ve never spent my own money on. I was not disappointed. This tarot reader proved to be far more mystical of a reader than I would ever be — she began our session by telling me that my dead grandfather was there, too. For the half an hour that I sat with her in the tearoom, I was fully entranced, if not fully convinced.
Wendy, styled as the Queen of Wands, wears Loewe wool long cape in red and high-waisted raw denim jeans, vintage ring.
Avery, styled as the Devil, wears BustedBrand latex bonnet, Weiraen bra, Ashton Michael shorts, Balenciaga boots.
I continued to see this woman sporadically for casual readings over the next few years, mostly as an entertaining, lighthearted hour of my life here and there. But when my husband (who was not my high school boyfriend, alas) and I were separating and contemplating a divorce, I booked a conversation with her almost immediately. Because even though my profession insists that I try to make sense of life through writing, I couldn’t understand what was happening in my own life, couldn’t find the narrative to describe how my husband and I had gotten here and, therefore, what would come next. I couldn’t even speak about the state of my marriage, let alone write about it; this language of loss was a foreign one. Tarot, which I had never taken all that seriously, now appeared as viable an option as any as a means of translation.
Through that charged tarot spread, the reader told me a story about myself that I didn’t realize I already knew. Or even if I did know it — in this case, that my husband and I would end up divorcing — it wasn’t one I could articulate. It’s not that the reader told me my marriage was over. Rather, she read the cards to me as questions that underscored the big one: What will happen to us? In answering those other prompts for myself and, more important, about myself, I came to understand that I already had the answer about my future, too. It was a paradox of sorts; by acknowledging where I had come from, I could see that there was no going back.
A deck of cards can provide the space to tell the stories we already know but haven’t yet read.
We often resist the work of returning to what has already happened or who we’ve already been, especially when we’re tempted by the optimism of the future and the resolution we want it to hold. But as I learned in that pivotal reading about my marriage, when you surrender to the narrative that already exists, when you quite literally accept the cards that life has already dealt you, the story of what may lay ahead practically tells itself.
This is a revelation perhaps more easily arrived at in tarot than in writing. “The externalization of internal experience onto a physical object like a card creates some distance that gives us room to breathe, shifts how we relate to ourselves, and offers a new vantage point to look from,” explains Dore. A deck of cards can provide the space to tell the stories we already know but haven’t yet read.
After you ask that thinly veiled question about what your future holds, we’ll start with a small spread of just six cards. One of those cards represents the recent past, just as there is one for possible outcomes. You, of course, are most interested in the possible outcomes card. I will remind you anyway to pay attention to the card about your past. This is what you’re paying me for: To reorient you again and again toward who you’ve been and where you’ve come from. Through those six cards, you’ll realize you already know the story but didn’t have the words for it. And in my speaking aloud that narrative for you through the questions from the cards, you’ll realize you already know the answers, and you already know what to do next, too.
Kitty, styled as the Queen of Swords, wears Vex Latex set, Ottolinger shoes, Armature necklace, MAM earring cuff, Lillian Shalom rings.
Wendy, styled as the Sun, wears KWK by KAY KWOK top, GCDS skirt, Nodaleto shoes.
Traditionally, an essay begins with a question and so does a tarot reading. Even the vocabulary I’ve been using here — readings and readers, translation, prompts, narratives, stories — speaks to the act of writing. Both are a practice, both are an attempt. And both are an essay, which means they each demand objectivity. I can only read your cards because they are your cards. “And this, of course, is why you should never read [tarot] for yourself,” cautions the writer and former professional tarot reader Alexander Chee in his essay “The Querent.” “You can’t give yourself the impersonal reading you need. It’s much like writing an essay — to succeed, it requires an ability to be coldly impersonal about yourself and your state, so as not to cloud what is there with what you want to see.” This is where writing and tarot diverge for me because while I can pull cards for you, I can only tell my own stories here on the page.
An essay tells a story about what has already happened and in reading that story, you realize something about the future. The same can be said about a tarot reading. But in neither case do you learn the future itself, only who you might be in it, or the direction towards which you should look, or even just the fact that you can’t go back and must keep moving forward at all. So then, tarot and the essay share one last commonality: Both resist conclusion. After all, a conclusion is just another way of describing the future — something ends so something else can begin. We want a tidy prediction at the end of a tarot reading just as we want a bow at the end of an essay. Neither, of course, is possible. This is perhaps the biggest lesson imparted from my tarot practice to my writing one, and the lesson I try to impart to you in a reading.
So please, choose a card, and I’ll tell you a story about yourself. It won’t sound like a story about your future, but I can promise it’s one you’ll want to hear.
Producer: Imani Lindsey
Models: Wendy Pacheco, Avery Jade Richardson, Kitty Umiña
Makeup: Selena Ruiz
Hair: Adrian Arredondo
Prop stylist: Gina Canavan
Styling Assistant: Izzy Huynh
Claire Salinda is a writer and tarot reader from Los Angeles. Her work has appeared in the Missouri Review, Assay, G*Mob, Thrillist and other publications. She holds an MFA from the Bennington Writing Seminars.
“Do you have an extra ticket?” a man shouted outside SoFi Stadium last Thursday.
The World Cup has been drawing fans from around the globe. But for many, getting a seat in the stadium has come at a steep price.
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Some were lucky enough to nab $400 to $500 tickets through official World Cup lotteries, others paid thousands of dollars to catch the action IRL. Tickets for the upcoming USA versus Turkey match were selling for more than $1,400 on resale sites.
The demand has been so high that authorities have been warning fans about how to avoid ticket scams.
As crowds flocked into the stadium, we asked attendees about how much they paid to get into the most-watched sporting event in the world. Here’s what they shared.
Their responses have been lightly edited for length and clarity.
Luis Moreno, Luis Moreno Jr., Angelica Castellano, Diana Moreno and Ramon Aguilera of Orange County
Luis Moreno, Luis Moreno Jr., Angelica Castellanos, Diana Moreno and Ramon Aguilera sport Mexico gear.
How much did you pay for your tickets?
Diana: We don’t want to say because I don’t want our parents to know.
*Whispers* We paid retail. It was like $500 per ticket. For Father’s Day, we wanted to make sure he got to enjoy it.
Why did you want to attend the World Cup?
Castellano: We went in ‘86 in Mexico, ‘94 in Pasadena and now here. We’re excited because I want to enjoy it with my kids. If we didn’t come, I would’ve been sad because they need to see how it is.
Diana: Now, it’s our turn. Even though [today’s match] is not our country, we still had to come and experience it. We’ll watch our team play later on the big screen.
Did you have to give up anything to be here?
Diana: Work, but that doesn’t matter. This is more important. Time with family.
Luis Jr.: Sleep. [Laughs]
Diana: It’s Thursday. We’re out here watching the game, we’re drinking, so there’s no complaints.
Was it worth it?
Diana: Absolutely. No matter what happens today. The fact that we’re here, it’s already a success.
Tell me about your outfit. You’re rocking Paisaboys, an L.A. brand.
Diana: I got the Paisaboys shirt on, repping. I know they have a collaboration with Nike. I got my Nike shoes on and I’m just ready to have a good time. My mom sewed her top last night. She wanted to add a little touch to it.
Angelica: Yes! This is an old, old, old jacket.
Diana: My dad’s outfit is sponsored by me. All Adidas, Father’s Day gift.
Luis Sr.: I got lucky this year.
Adam Chapman and Sarah Harrell of Washington, D.C.
Adam Chapman and Sarah Harrell.
How much did you pay for tickets?
Harrell: We went to two games: USA versus Paraguay [in Los Angeles] and Senegal versus France in New Jersey/New York.
Chapman: The L.A. tickets were way more expensive. We bought them presale for like $1,940, but the [seats] were still very high in the arena and the resale prices are actually cheaper than the ones we bought on presale. It’s horrible. [Laughs]
Why did you want to come to the World Cup?
Chapman: This is my first men’s World Cup. I went to the women’s World Cup in Australia a couple years ago. The last time the U.S. had a men’s World Cup here was like forever ago. We’re probably not going to have another in our lifetime, so I really wanted to make sure we had a chance to go to some games.
Did you have to give up anything to be here?
Harrell: We’re moving the day we get back, so we were packing until the moment we got here. Some of this gear was last-minute purchasing in order to make that work. Also, we took a six-hour plane ride, middle seats. We really committed to get here. We got cat sitters, we both took days off from work, the whole thing.
Was it worth it?
Chapman: Yeah, just for the experience. It’s more money than we would’ve wanted to pay but yeah.
Harrell: We bought the tickets like a year and a half ago, so it’s been on the calendar forever. We ended up getting to bring my brother and his best friend to celebrate his 40th birthday, so it sort just worked out for all of us.
Laila Samimi and Elizabeth Cambage of Los Angeles
Laila Samimi and Elizabeth Cambage.
How much did you pay for your ticket?
Cambage: Nothing. Sorry.
Samimi: We were blessed.
Why did you want to attend the World Cup?
Cambage: This is my first fútbol game ever. I wanted to come cause it’s L.A. Yay sports! It’s a once-in-a-lifetime opportunity. Let’s get out there and get into it.
Samimi: I’m born and raised in L.A. so I’m happy to see the World Cup here.
Tell me about your outfit inspiration.
Samimi: I’m wearing Honor the Gift, Russell Westbrook’s brand, a Nike top, my shorts are from a random boutique in L.A. and Jordan shoes.
Cambage: I just went crazy at the Nike store. I’m not gonna lie. We just came from the Nike store. I’m reppin’ USA today. Yes, I am Australian, but I do live in America and USA is AUS. [Laughs]
Kenan Sahbaz of St. Louis and family
Bosnia and Herzegovina fans cheer on their team.
How much did you pay for your ticket?
I got mine directly through the FIFA website. We paid $500 a piece. I brought my son, my cousins and their kids.
Why did you want to attend the World Cup?
Sahbaz: This is our very first World Cup. It’s a historic event for our very small country, Bosnia and Herzegovina. This is a huge accomplishment in the past 12 years. This is going to be the first time we’ve made it here again. We’ve got a really good squad and I think we can do some amazing things for our country. This is a time when we really need some support and joy in the country, and no better way to do it than at the World Cup.
Who’s your favorite player?
Kids: Džeko.
Did you have to give up anything to be here?
Sahbaz: A lot. Work. Time. We were initially going to go on vacation to the Bahamas, but I asked him either the Bahamas or the World Cup. So when we found out that we made it, it was the World Cup. We canceled everything else. We even went to the qualifiers in Wales and that was a once-in-a-lifetime experience as well. There was just no way we were going to miss it.
Was it worth it?
Sahbaz: 100%. Win or lose, we still win today.
Daniel Henriquez and David Njenga of Seattle
David Njenga, left, sports Kenya gear, while Daniel Henriquez cheers for El Salvador.
How much did you pay for your ticket?
Henriquez: This match was $500 each. We bought it in like October of last year.
Why did you want to attend the World Cup?
Njenga: Because this is the World Cup. You have to go to a World Cup. This is my second one. I was in Qatar for the last World Cup.
Henriquez: The energy! World Cup baby!
Njenga: There’s people from all over the world. We are all assembled here to enjoy this moment.
Henriquez: This is what happens when all the world comes together. This is our utopia. We all love each other. We’re all here for one thing, to support our country.
Did you have to give up anything to be here?
Njenga: My job. I have to be at work right now, but I took the day off. I don’t mind.
Henriquez: I’m a nurse for the fire department. My boss was awesome. She gave me a day off. I love my boss Nancy. Go Nancy!
Was it worth it?
Njenga: It is worth every penny. It’s not even the money. It’s the experience. After this, we head to San Francisco for another game.
Henriquez: Then we’re heading to Vancouver and then we have another game in Seattle.
Njenga: We’re going to six games [in total]. Our Houston tickets were the cheapest. They were about $400.
Cindy Vazquez of Granada Hills
Cindy Vazquez Zavala reps Mexico with her outfit.
How much did you pay for your ticket?
It was free.99. Shh!
Why did you want to come to the World Cup?
This is my first World Cup. The Jordan team invited me to attend this game, so lucky me. That’s why I’m wearing Jordans today. I’m in the industry so they invited a few employees from neighborhood stores to come.
Tell us about your outfit inspiration.
Today there’s a Mexico game, so I still gotta rep even though I’m attending this match [Switzerland versus Bosnia and Herzegovina]. The outfit is a Nike T90 jersey and my lace is from Amazon. I got the little [soccer] ball, the little World Cup and teddy bear from the gas station. I needed it.
Did you have to give up anything to be here?
I actually had to request PTO to attend, but the store is still running without me. Right after this game, I actually have to jet back. I work at Feature, which is a sneaker boutique in Studio City. S/O Feature for allowing me to come here!
Fabian Almiron of Spain
Fabian Almiron, originally from Paraguay but currently living in Spain, rides Metro to the game.
How much did you pay for your ticket?
I paid $1,100 for the first game [June 12], $290 for the Turkey game [June 19] and the last game with Australia was $170 [June 25].
Why did you want to come to the World Cup?
This is my first World Cup. I live in Spain, but I’m rooting for Paraguay. I’m very excited to be seeing them participate after 16 years.
Did you have to give up anything to be here?
I used like 20 to 25 days of vacation time to come see the World Cup.
Was it worth it?
Yes!
Sunny Kwong, Sam Mallari, Antonio Evangelista, Michael Evangelista of San Diego and Los Angeles
Antonio Evangelista, Sam Mallari, Michael Evangelista and Sunny Kwong are decked out in Bosnia and Herzegovina gear.
How much did you pay for your ticket?
Michael: We paid $400 each. We got lucky with the last chance lottery. They released the tickets a few months ago.
Why did you want to attend the World Cup?
Michael: We’re rooting for Bosnia this time. This is our first World Cup.
Antonio: It’s a lifelong dream. I’ve loved the sport ever since I was in the Philippines.
Did you have to give up anything to be here?
Michael: Most of us had the day off. I worked in the morning at like 6 a.m. and then I’m going to work afterward. I really wanted to carve out time to be there.
Mallari: I took time off because this is my first soccer game ever and I wanted to experience the World Cup with true fans.
Was it worth it?
Michael: 100%. It’s honestly a once-in-a-lifetime experience. It’s been awesome to be here with my dad. We watched the last World Cup finals and we were literally in tears. I know he’s been playing soccer ever since he was in the Philippines military.
Antonio: 20 years.
Becky Clift of Orange County and William Wagner of San Diego
Colleagues William Wagner and Becky Clift sport traditional festival inspired outfits to cheer on Switzerland.
How much did you pay for your ticket?
Clift: They were gifted to us.
Wagner: We’re a fortunate group.
Why did you want to come to the World Cup?
Clift: The World Cup in America is super fun, so we wanted to support it and be a part of it. This was the game that we got tickets for, so we decided to dress up a little bit and have some fun.
Wagner: We’re both soccer people. We both speak the world’s language, so we’re happy to be a part of it here.
Tell me about your outfit inspiration.
Wagner: I have a very close Swiss friend who was equipped for this. One quick phone call and here I am.
Clift: Then I had to get mine so I could support.
Did you have to give up anything to be here?
Wagner: A full day of work. We’re both engineers. We know each other through work.
Was it worth it?
Wagner: We’ll find out.
Clift: Heck yeah!
Jorge Morales of Topanga
Jorge Morales holds out a ball he got at the World Cup opener in Mexico City.
How much did you pay for tickets?
It was between $800 to $900 for my USA versus Paraguay tickets. I bought them through Seat Geek.
Why did you want to come to the World Cup?
I wanted to experience it not just in Los Angeles, but I also wanted to experience it in Mexico. I’m going to three games in Los Angeles and four in Mexico City. Going to my first World Cup in Mexico City was a whole different ballgame. Mexico played in their home country and they won. It was like pandemonium. Even though it was raining over there at the time, it was still a lot of fun. Everyone was hugging each other. I’m looking at you, New York Knicks fans. [Laughs]
Did you have to give up anything to be here?
I’m used to traveling, so I’m like this ain’t nothing. I just wanted to experience a World Cup game and the fact that it’s in three countries, you’re not going to experience that any other time. It’s the one and only World Cup where you’re going to see three countries hosting it.
Alexi Kulik, Marcella Harkness, Luke Kulik and Ian Harkness of San Diego
Switzerland fans Alexi Kulik, Marcella Harkness, Luke Kulik and Ian Harkness.
How much did you pay for your ticket?
Ian: $450 per ticket.
Alexi: We won the ticket lottery. That’s the only way ‘cause the resale is expensive.
Why did you want to attend the World Cup?
Marcella: This is our first World Cup!
Ian: I was at the Switzerland versus Qatar game. Similar outfit. We got it dialed this time. Lots of fun. Tough ending, but what are you going to do?
Luke: We wanted to support Switzerland. Everyone in the family is Swiss. It’s fun to go to a World Cup game. We were just excited to get tickets. I think it’s a great way for the family to spend time together and a good excuse to get out of work.
Did you have to give up anything to be here?
Luke: Time off work. Time to come here. We drove up here. I don’t think we gave up much. We just enjoy being here.
Ian: $450.
Alexi: And we woke up at 5 a.m., so that we could come up here and spend the day together.
Was it worth it?
All: Yes!
Anja Gegic, Dino Gegic, Benjamin Mustafic, Nordin Kapic, Armin Kapic of Los Angeles
Bosnia and Herzegovina fans Anja Gegic, Dino Gegic, Benjamin Mustafic, Nordin Kapic and Armin Kapic.
How much did you pay for your ticket?
Nordin: $3,000. We’re like literally on the field.
Anja: $450. In L.A., we got it like that.
Why did you want to attend the World Cup?
Anja: This is our second time ever qualifying for the World Cup. We are so proud to be here and support our country today.
Nordin: I mean, look around. Why would you not want to be here today?
Armin: We’re hoping for the win!
All: 2-0!
Bendicht Hügli and Lucia Grajales of Mexico City
Lucia Grajales and Bendicht Hugli, both currently living in Mexico City, hold a Swiss flag.
How much did you pay for your ticket?
Hügli: The ticket was $650. That’s stealing. That’s robbery. When I went in ‘86, I think the tickets were 10% of the price I paid for this year.
Why did you want to attend the World Cup?
Hügli: I had some business in San Diego. I saw Switzerland is going to be here, so let’s hit it and break the bank to get tickets. I went to the World Cup in Mexico City in ’86. I saw 12 games. I’m going to one this time.
Was it worth it?
Hügli: We’ll see. If Switzerland plays lousy, then I’m going to be pissed, but I think they’ll do better than in the first game.
Flavia Sacco and Isidoro Garcia of Washington, D.C.
Flavia Sacco and Isidoro Garcia root for Paraguay.
How much did you pay for your ticket?
Isidoro: I think it was around $500 per ticket. Again, we were very lucky because Paraguay was the first game.
Flavia: It was early bird without knowing who was going to play.
Isidoro: We’re also going to the Paraguay versus Turkey game in San Francisco and the third one in Mexico City.
Why did you want to come to the World Cup?
Flavia: We’re rooting for Paraguay. I’m from Paraguay, born and raised.
Isidoro: This is my second World Cup. I went to the one in Qatar. We were very excited about it. Actually, we were very lucky too because we bought Paraguay’s tickets when they were selling them blank. So we just bought the three tickets for Paraguay before knowing the group stage and then it turned out to be in the U.S., so it was awesome.
Flavia: We were hoping it would be on the East Coast because that’s where we live and it ended up being on the other side of the country, but we already had the tickets and we really wanted to go to a game, so we flew. We’re coming straight from the airport. We have our 5-month-old baby who is at the hotel with my mom.
Did you have to give up anything to be here?
Isidoro: I guess time with our daughter. Even though it’s only going to be a few hours, we miss her a lot. She’s very tiny. Every [moment] is precious with her.
Was it worth it?
Isidoro: Yes, even though it’s a few hours and hopefully Paraguay will pull it off.
Jorge Espinosa of Los Angeles
Jorge Espinosa of Los Angeles.
How much did you pay for tickets?
For the USA versus Paraguay ticket, I think I paid like $1,800, and for another match, I think I paid about $1,020, so a little less. I think that’s when the prices started to go down.
Why did you want to come to the World Cup?
I’ve always wanted to go. I missed my chance to go to Brazil in 2014. I really wanted to go, but I had just taken a huge trip to Asia, so I couldn’t really go. I didn’t have any money left and I’ve been thinking about the World Cup being here since it was awarded to the U.S. I was really bummed out when it was awarded to Qatar instead of the U.S. and also instead of Australia. I’m really excited about it. It feels unreal.
What does it mean for the World Cup to be in your hometown?
It means so much. I remember when they had it here in ‘94. I didn’t get a chance to go to any of the games, but the energy that you feel around the city is like next level. The events they’ve been hosting are so awesome. You get to meet more people from other walks of life and other countries.
Did you have to give up anything to be here?
I just pretty much had to pick up more debt, but I get points so it’ll help fly somewhere. Also, debt disappears when you die so they can try coming after me for that World Cup money, but they never will. [Laughs]
Was it worth it?
I looked at the price and was like, “It’ll never be this cheap in my life, ever.” It’s only ever going to go up, and, hey, it’s in my backyard.
Additional reporting and translation by Dante Estrada.
Facts by day, fiction by night! At the end of a long day in the newsroom, many of our journalists head home and escape into novels of all types. We asked our NPR colleagues what fiction they’ve enjoyed reading so far this year, and these are the titles they shared. (You can also check out their nonfiction picks here; and sign up for our Books newsletter for weekly recommendations.)
A Bad, Bad Place by Frances Crawford
The opening chapter of A Bad, Bad Place is delivered in a short burst. We are presented with three characters — Janey, her nana, Sid Vicious (the rescue dog) — and one heck of a predicament. As 12-year-old Janey states: “It’s Sid’s fault that I found the dead body.” It becomes her job to unwind the mystery of her discovery in her rough neighborhood in 1979 Glasgow, Scotland. Recalling what she saw (and admitting what she didn’t tell police) is key. Frances Crawford shapes this world with such care and love, even in tough circumstances. Read this book. — Shannon Rhoades, supervising senior editor, Weekend Edition
A Perfect Hand by Ayelet Waldman
The hero of A Perfect Hand is Miss Alice Lockey, lady’s maid to Lady Jemima Alderwick. Alice falls in love with Charlie Wells, who is the valet to the eccentric Lord Wynstowe, but for the two to be together, they must devise a plot to bring about an unlikely romantic union between their employers, who, naturally, hate each other. What starts as a classic marriage plot, though, evolves into a very different, more complex story. Alice, you see, has been reading about the burgeoning women’s rights movement in her 19th-century England. And maybe, just maybe, she has begun to imagine a future for herself that — gasp! — might not involve marriage after all. — Samantha Balaban, senior producer, Weekend Edition
Cherry Baby by Rainbow Rowell
This is the first novel I’ve read that asks: How do you navigate being fat in a GLP-1-crazed world? And on top of unwanted fame and changing marital expectations? Fortunately, Cherry, Rainbow Rowell’s hero, is proudly fat and fierce, which helps when her husband, Tom, creates a semi-autobiographical comic with a character who looks so much like Cherry (double chin and all) that strangers recognize her. It becomes a hit, and Tom goes to Hollywood, leaving Cherry behind with the dog. But she refuses to stay downtrodden — I found Cherry’s spirit irresistible. — Emiko Tamagawa, senior producer, Here & Now
Cry Havoc by Rebecca Wait
There’s a whole genre of books set in quaint British boarding schools (the Harry Potter series, Tom Brown’s School Days, etc.). Cry Havoc is nothing like any of them. Set in a dilapidated, fifth-rate girls school in the 1980s, this dark and hilarious novel follows a teenage student, Ida Campbell, as she eats inedible school dinners, rooms with a hostile and self-destructive roommate and grapples with a bizarre epidemic that causes members of the student body to jerk their arms and legs uncontrollably. The book also contains one of the most brilliant, side-splitting scenes set at a school play ever written. — Chloe Veltman, correspondent, Society & Culture Desk
Dear Monica Lewinsky by Julia Langbein
This is the only novel of the hundreds I have read where I reread the ending three times: It was that satisfying! Julia Langbein’s comic romp takes us through the summer of 1998, when a college student is out of her depth in a study abroad program surveying the iconography of minor medieval French churches. She’s also out of her head with desire for one of her teachers, mirroring a certain political scandal erupting in the U.S. Who’s she gonna call on decades later when the teacher’s retirement sends her into a middle-aged tailspin? Saint Monica Lewinsky, of course! Insightful, hilarious and, in the end, everybody gets exactly what they deserve. — Melissa Gray, senior producer, Weekend Edition
Discipline by Larissa Pham
Discipline follows the story of an artist whose relationship to her work has been ruined by a lecherous older professor. When she writes and publishes a revenge-plot book about a character much like him, he reads it — and the two have an astounding confrontation about what happened between them. I enjoyed the taut style and the meditation on harm, justice and truth — a really great debut. — Liam McBain, producer, It’s Been a Minute
Enemies to Lovers by Alisha Rai
Pick this one up if you’re looking for a gulpable, plotty adventure. Meet the unlikely crime-solving duo: Krish is an upstanding citizen, while Sejal was born into a crime family and makes a living running small cons on bad men. Their worlds collide when Krish’s FBI agent brother disappears while investigating a crime syndicate. Sejal is his only lead in the case, and the two reluctantly team up. Romance and high jinks ensue as they embark on a cross-country road trip filled with car chases and shared hotel rooms. Pairs well with popcorn. — Lauren Migaki, senior producer, Society & Culture Desk
The Fourth Princess: A Gothic Novel of Old Shanghai by Janie Chang
I love a good story that mixes two women who are orphans, a mysterious guardian, a dilapidated gothic mansion with secrets of its own — that throws in a dash of Chinese superstition, romance and, of course, murder. The first woman in the story, Caroline, was born to what she thought were fabulously wealthy parents, but she finds out after they die that they were broke. So she decides to assume the identity of a dead, wealthy friend, marries well and lives a glorious life. The other, Lisan, is found wandering the streets of Shanghai as a child — a wealthy man takes her in. Caroline ends up hiring Lisan — and a tale ensues full of lies, secrets and daring escapes. — Jeanine Herbst, news anchor
Ghost Town by Tom Perrotta
Tom Perrotta’s latest novel is a memory piece set in the summer of 1974. Jay Perry, a once serious writer who has struck it rich with a kids book series-turned-TV show featuring a paranormal crusader called Ghost Teacher, is invited back to his suburban New Jersey hometown, which he left some 50 years earlier. Most of the novel follows the life of young “Jimmy” during the life-changing summer when he lost his mother, experimented with sex and a Ouija board, and learned the consequences of hanging out with the wrong guys. Perrotta’s view of strip mall suburbs as places where banality, goofiness, grace and tragedy converge is singular. — Maureen Corrigan, book critic, Fresh Air
Into the Blue by Emma Brodie
This book is for everyone who loves a rom-com but secretly hungers for the rom-traum — aka the kind of romance that makes you suffer a little (or a lot!). Into the Blue is the perfect blend of sexy, angsty and gut-wrenching. It follows AJ Graves, an aspiring comedy writer, and Noah Drew, the broody scion of an acting family, as they fall in love in the summer of 2000. The duo is doomed to feel the ache of that unforeseen connection for the decade to come. Their journey is twisted over tangled years of yearning and (seemingly) insurmountable external challenges. It’s tragically compelling and deliciously poignant. Angsty lovers, feast away! — Kalyani Saxena, associate producer, Here & Now
The Jellyfish Problem by Tessa Yang
When marine biologist Josephine “Jo” Ness receives a call from an old friend about a massive, glowing jellyfish terrorizing an island off the coast of Maine, she can’t help but see it for herself. Whether it’s Jo’s obsession with jellies, her nostalgia for that particular friendship or an escape from the grief she has been drowning in since the death of her best friend, dive buddy and jellyfish research partner, Aldo, something is pulling her to that island. The scientific discovery of a lifetime awaits. But if Jo gives in to that thing pulling her into the dark waters, will she be able to leave? — Dhanika Pineda, assistant producer, Weekend Edition
John of John by Douglas Stuart
The latest novel from Booker Prize winner Douglas Stuart sweeps you away to the remote islands of the Scottish Hebrides. Cal returns to his conservative small town after textile college. Cal is gay, which he keeps a secret from his family, and you learn very quickly that his father, John, who is a farmer and a weaver, is keeping secrets too. Stuart’s characters are so lovable, even when they’re treating each other poorly. I was particularly taken by Cal’s tender relationship with his sassy grandmother, Ella, who always has her hands in the other characters’ lives. It’s a beautiful novel about duty, faith and the isolation of keeping secrets from the people closest to you. — Anna Bauman, producer, Fresh Air
Lady Tremaine by Rachel Hochhauser
The most familiar iteration of “Cinderella” is full of flat characters like the one-dimensional wicked stepmother. Rachel Hochhauser’s novel, instead, breathes life, dimension and cultural context into her Lady Tremaine. We first meet this stepmother outdoors hunting — possibly poaching — with her falcon, a welcome and heartening echo of Agnes in Maggie O’Farrell’s Hamnet. Tremaine’s story is one about what it means to gain and lose privilege in a world where money and men are the only protections. It’s a triumphant ode to the countless lost histories of women who gave their all to fight for the dignity of other women — stepdaughters included — in predatory patriarchal societies. — Tayla Burney, director, Network Programming and Production
Last Night in Brooklyn by Xochitl Gonzalez
Last Night in Brooklyn is a bittersweet fever dream of a novel — a sticky summer something that sits somewhere between a telenovela and Succession. For 26-year-old Brooklyn native Alicia Canales Forten, observing the life of her glamorous and enigmatic neighbor beats coming to terms with her withering personal relationships. But this neighbor, dubbed La Garza, quickly turns Alicia’s life (and Brooklyn itself, circa 2007) into something she no longer recognizes. Xochitl Gonzalez’s prose is warm enough to seduce but cool enough to rip it all away — lest any of us gets too comfortable looking into the proverbial neighbor’s window. A truly gorgeous read! — Ivy Buck, production assistant, Society & Culture Desk
The Missed Connection by Tia Williams
To start, I must say this is my favorite Tia Williams book. If you know this author, you know she excels at writing dynamic characters in her romances. This time is no different. In this book, Sasha sits next to a dreamy man on a plane, but they miss the chance to exchange contact info. With a connection this strong, she has to find him, right? Well, that’s exactly what she sets out to do with the assistance of a detective who previously helped her during a traumatic time. That search sets Sasha off on an exciting, funny, freeing and even a little bit sexy adventure, which she hasn’t had in a while. — Brittney Melton, Up First newsletter writer
Little, Brown and Company
New Skin by Sarah Wang
New Skin by Sarah Wang opens with Linli Feng at home in Los Angeles, reluctantly taking care of her mom, Fanny, who is recovering from an infection after too many back-alley plastic surgeries. What starts as an obligatory stint at home spirals into chaos, with Fanny competing on a reality TV show to fix her botched face, while Linli navigates their tortured relationship amid the shadowy underworld of bargain-basement beauty. It’s not just dark comedy and body horror — it’s also a compelling meditation on immigration, labor and intergenerational trauma. The writing is beautiful, and I couldn’t put it down. — Neena Pathak, senior editor, It’s Been a Minute
Offseason by Avigayl Sharp
I had no idea what I was in for when I cracked this open. Sure, I got the gist from the jacket copy: A young woman, her personal and professional aspirations a fresh shambles, tries a new tack with a fill-in gig teaching at an all-girls school, in a seasonal tourist town that’s past its annual sell-by date. But this synopsis utterly fails to capture what awaited me. In fairness, I can’t imagine a synopsis that could have. Avigayl Sharp’s slim, mischievous shape-shifter of a debut novel rendered me a bit of a shambles myself, swinging from giggles to cringes, from dread to discomforting recognition, to the occasional thousand-yard stare. More than one passerby interrupted my reading to ask whether I was OK; in truth, I still may not be. — Colin Dwyer, contributor to NPR’s The Book Ahead
On the Calculation of Volume (Book IV) by Solvej Balle, translated by Sophia Hersi Smith and Jennifer Russell
What would you do if you were stuck repeating a single day of your life? Would you learn all the sounds it makes? The changes in air pressure? Would you explain to your partner what has happened every morning, as time creates a division between you? Maybe you would try to move through each day with an objective, with the aim of seeing different places and experiencing changing seasons. Or maybe you would look for a way out of the day, for rifts in the loop. These are the explorations that wash over Tara Selter in On the Calculation of Volume. Now on its fourth installment to be translated into English, each book is a journey through November 18ths that will make you admire the details in your own days. — Lillian King, producer, Wait Wait…Don’t Tell Me!
The Paris Match by Kate Clayborn
I’ve long admired Kate Clayborn for her crystalline prose and deeply heartfelt stories. Here, she delivers one of my favorite recent romances with the introduction of practical-minded Layla Bailey, who’s in Paris for the wedding of her former husband’s sister. She’s determined to be the dutiful, amicable ex. But Griffin Testa — the frustrating, broody best man — sees through her carefully constructed defenses. Layla and Griffin have their swoony moments, but they also have real, grown-up conversations about the pain they’re harboring and how to be together. These are adults who are putting in the work, and the emotional payoff is well worth it. — Wailin Wong, co-host, The Indicator from Planet Money
Railsong by Rahul Bhattacharya
Railsong is a sweeping novel set in 20th-century India. Charu is a young girl growing up in government housing. Her father, a railway employee, fights against convention and gives her the made-up, caste-less surname of Chitol — setting her up for an extraordinary life. The novel follows her journey from modern-day West Bengal to Mumbai, as she tries to find her own place in the world amid personal and political upheaval. This book made me nostalgic for a life and time I’ve never known. — Anandita Bhalerao, associate producer, Digital Platforms
Rebel English Academy by Mohammed Hanif
This tale is made up of quite a cast of characters: a lusty, drunk intelligence officer, men who seem to spontaneously combust, a runner who can’t escape the rape she experienced, and a gay man living in a mosque who only wants to teach revolution in English and, maybe, fumble about in a darkened movie theater with a stranger. Author Mohammed Hanif, always droll, takes a headline from Pakistan from the 1970s — the hanging of a populist leader, who was also a feudal lord — and turns it into a saturated, layered snapshot of a time and place. You don’t need to be interested in Pakistan or South Asia to read Hanif. Just bring your curiosity and your willingness to see the multitudes contained in one person, and one place. — Diaa Hadid, correspondent, International Desk
The Shampoo Effect by Jenny Jackson
Told from multiple perspectives, The Shampoo Effect is the story of a writer infiltrating (or dating into) a tight-knit group of adults who have been friends since childhood. The plot — which is mostly about domestic life, parenthood, relationships and its entanglements — has lots of twists and turns. A surprise pregnancy! A scandalous past! It’s a quick read, but delightfully satisfying. — Elissa Nadworny, correspondent and guest host
She Waits Where Shadows Gather by Michelle Tang
Mostly happily married, Carlos and Avery move from Canada to their native Philippines, dreams in tow. He wants to sell his childhood home; she hopes to expand their family. But Carlos’ parents just want him to figure out why his grandfather, who died 10 years ago, has returned to the house. Tragedy strikes before anyone gets what they want, trapping the family in the horrors of their superstitions, secrets and sacrifices. Michelle Tang’s debut novel introduces the unfamiliar reader to Filipino folklore in a page-turner where faith, love, skepticism — and ghosts — must play nice to survive. This cozy gothic horror is the perfect book for readers who can’t abide an unsolved mystery, or for those who will stay up all night entrusting their nightmare’s doom to the dawn. — Nikki Birch, video producer
Son of Nobody by Yann Martel
Academia noir, as a subgenre, tends toward the fantastical. Yann Martel’s latest novel, Son of Nobody, set at a major research university, is dark, but it’s also entirely realistic in its portrayal of shattered scholarly aspirations and shattered families. No vampires or mystical portals to other realms. Harlow Donne is a grad student, husband and father who heads off to the U.K. on a classics fellowship, leaving behind his wife and young daughter. Whether he does or does not make an important discovery while there is a major plot point. Regardless, Harlow learns the price of abandonment. — Jason DeRose, religion correspondent, National Desk
This House Will Feed by Maria Tureaud
Meshing gothic horror and history, this book challenges everything you thought you knew about the Irish potato famine, also known as the Great Hunger. The story follows Maggie O’Shaughnessy, a famine survivor who agrees to pose as an eccentric aristocrat’s dead daughter for food and shelter, only to find herself trapped in a haunted estate. The author brilliantly incorporates real historical documents and invokes the supernatural and Irish folklore to open readers’ eyes to the devastating reality of this period of mass starvation. — Julie Rogers, senior manager, Research, Archives & Data strategy
This Kingdom Will Not Kill Me by Ilona Andrews
This is a fun read for anyone who has ever imagined themselves inside a beloved book (and let’s be honest, my fellow Hufflepuffs, who hasn’t?). Modern-day normie Maggie wakes up to find she has been magically transported into the world of her favorite fiction series. But unlike other literary protagonists stuck in this common plot device, Maggie lands in fantasyland with no transferable skills, allure or, even, clothing. Gambling her extensive fangirl knowledge of the original series’ timeline, which changes with every butterfly she steps on, Maggie has to save the kingdom she knows is doomed without becoming a main character herself. Be warned that this is Part 1 of a series in progress. — Liz Baker, producer, National Desk
This Story Might Save Your Life by Tiffany Crum
When podcast hosts Benny and Joy start a survival-story-themed podcast, they have no idea it will become a massive hit. Their lives are busy with tours, captivated audiences and new episodes when one day, Joy and her husband, Xander, go missing. Benny is the main suspect, and he’ll do anything to prove his innocence. He begins a whirlwind investigation to find out what happened to his best friend. This Story Might Save Your Life has the standard trappings of a thriller, but it’s also a surprisingly warm treatise on friendship and found family. — Hafsa Fathima, assistant producer, Pop Culture Happy Hour
Vigil by George Saunders
Vigil is about ghosts and regrets. It’s also about climate change! In it, a parade of restless spirits comes to visit a dying oil company CEO. Some want him to repent for his many lies. Others reinforce his feeling that he has nothing to apologize for. The plot moves through time and space (ghosts aren’t bound by the same rules as the living). This book left me disturbed in a good way. It demands that the reader confront big questions: What does it mean to lie? What do we owe each other? At what point is it too late to apologize? — Rebecca Hersher, climate correspondent, National Desk
Villa Coco by Andrew Sean Greer
Before I read Andrew Sean Greer, I’d never stopped to ponder the rich relationship between humor and honesty. As he did in his Pulitzer Prize-winning book, Less, Greer uses an American abroad to explore how many years, and sometimes miles, you must put behind you before your confusion, despair and grief can become funny stories. And believe me, this sunny book is packed with hysterical stories from some of the most vivid and entertaining characters: You’ll wish you could pull them from the pages and plop them around a dinner table. But the line that stayed with me the longest was this: “The price for seeing things as they really are. It is our youth.” As honest, hilarious and heartbreaking as life itself. — Elena Burnett, producer, All Things Considered
We Will See You Bleed by Ron Currie
Rather than a sequel to his celebrated Canuck-noir novel, The Savage, Noble Death of Babs Dionne, Ron Currie goes back in time to paint Waterville, Maine, in the summer of 1984. It’s a mill-town revolt in the early days of globalization — the death of an industry and of a way of life for local Franco-Americans — and the birth of Babs’ not-quite-benevolent crime syndicate. It’s a brilliant Maine thriller, unfolding 40 miles and an entire world away from the state’s much chronicled rocky coast. — Graham Smith, senior producer, Investigations Desk
Yesteryear by Caro Claire Burke
A hugely popular tradwife influencer — think Ballerina Farm’s Hannah Neeleman — awakens one morning, in what appears to be 1855, and must actually live the life she has been cosplaying on Instagram. This premise couldn’t feel more perfectly targeted to skewer today’s cultural and political moment if it were designed in a lab. It’s a thriller that keeps you guessing to the final twist, but it’s also an unexpectedly complex meditation on power, control, ambition, motherhood — and the fundamentally contradictory demands placed on women, whether or not they wake before dawn each day to bake sourdough. — Shannon Bond, correspondent
It doesn’t take much these days to fall down a GLP-1 rabbit hole on the internet. TikTok, Instagram, Facebook and Reddit all feature streams of testimonials from people touting the miracle — and warning of the risks — of GLP-1 drugs like Ozempic and Wegovy.
In recent years, microdosing — taking smaller doses than what’s generally prescribed for obesity and diabetes — has also cultivated a cult-like following online. Microdosing advocates claim it can help with weight loss by reducing cravings, better metabolic health, reduce inflammation, enhance mood and cognitive function, and even potentially improve longevity, all while coming with less side effects and being more affordable than larger doses.
Microdosing GLP-1s began emerging as a trend after Wegovy, an Ozempic competitor, was approved by the FDA for obesity in 2021. (Previously, Ozempic was being used for weight loss, but had only been approved for diabetes.) In the years following approval, a growing number of household names from Oprah to Elon Musk spoke publicly about their positive experiences using GLP-1s for weight loss. This fueled an exponential growth in interest among the public, but not everyone qualifies for GLP-1s through their insurance or can afford them, even if they do.
All of the major brand-name medications people currently use for weight loss are based on one of two molecules: semaglutide or tirzepatide, and most are self-injected weekly. Ozempic and Wegovy contain semaglutide, which works by mimicking a hormone called GLP-1 that helps regulate appetite and blood sugar. Mounjaro and Zepbound contain tirzepatide, which targets that hormone plus another one involved in metabolism.
The price of weight loss
Brand name GLP-1s cost around $10,000 per year or more if paid for out of pocket, and around $300 to $1,200 per year if covered by insurance. Many insurance plans, however, will only pay for GLP-1s if a person has a diagnosis of diabetes, not obesity. On top of that, one of the biggest complaints about GLP-1s, when taken according to the standard doses approved by the FDA — is that they cause side effects such as nausea, diarrhea and fatigue. Influencers, everyday people and even some medical professionals online now recommend microdosing as a potential solution.
“In three weeks, I have lost 7 pounds and [have] very few side effects. Before now I was terrified of them. They put my husband on [a] standard dose for diabetes and he was just so sick,” reads a Reddit post by MenloShark25, who says they’re receiving their prescription through telehealth provider Midi.
“I’m microdosing. I’m on week 4 of [semaglutide] and my mind is blown,” reads another Reddit post by palenesslitethesky. “I feel so much better than I expected to. The microdosing is great for me because I was super scared about getting constipated. I am down 9 pounds and my tastes changed. I was addicted to sugar!! Addicted. Now I hardly want sugar.”
The DIY injections boom
In 2025, following the surge of anecdotal reports online about microdosing, a number of telehealth companies such as Fridays, Noom and Found Health started offering GLP-1 protocols at lower doses and lower costs. Previously, people who were taking smaller doses of GLP-1s were either getting them “off label” from a physician — which means they were prescribed, but not based on the protocols approved by the FDA — or getting them illegally online and figuring out how to take them on their own. One controversial aspect of microdosing GLP-1s is that, when they’re taken in smaller doses, they often come from compounding pharmacies that make their own versions of FDA-approved drugs. This allows for dose customization but isn’t subject to the same reviews for safety, efficacy or consistency, and may carry added risks related to quality control, potency variation or contamination.
For people like Monika Awadalla, however, they feel they have no choice but to find GLP-1s on their own, unable to afford the cost of treatment through a physician. Awadalla, a 31-year-old caretaker living in Huntington Beach, has been buying a compounded tirzepatide from an illegal manufacturer in China that she connected with through a Facebook group about a year and a half ago. In that time, she’s gone from 245 pounds to 140 pounds.
“I’m extremely happy now,” she says. “I don’t need to stay home, I’m not embarrassed, I’m already looking forward to summer. Everything is just in its right place.” The manufacturer, who communicates on encrypted messaging boards such as Telegram and Signal, charges $290 for 10 vials of compounded tirzepatide, which will last Awadalla about a year.
Based on stories like Awadalla’s, it’s no wonder so many people are curious about microdosing GLP-1s through their doctor, telehealth companies and illegal suppliers. But do we have enough information yet on the benefits and risks? Here’s the deal.
A doctor’s take
For now, there’s no scientific studies looking at the efficacy and safety of microdosing GLP-1s. Dr. Shauna Levy, medical director for the Tulane Weight Loss Center, says that doesn’t mean it doesn’t work, but that the medical community just doesn’t know. Even if it does cause weight loss or a reduction in inflammation, she says, it’s unclear whether those results will persist long-term or whether the practice causes harm.
One of the biggest problems with the term “microdosing,” as it pertains to GLP-1s, Levy says, is that it’s “vague,” and there’s no consensus on what it’s referring to. “Microdosing GLP-1s is almost becoming this buzz word that carries inconsistent meaning. I think there are many people who are using it as a marketing tool because they want people to think you’re not on a full dose of a GLP-1,” she says. “But if we’re really talking about treating obesity, those microdosing doses are not going to be effective for most people, and so I worry people are going to pay for it cause it’s cheaper and then it’s not going to work for them and they’re going to think ‘here’s one more thing that’s not working for me.’”
Levy says GLP-1s, when prescribed correctly, are “fantastic” for treating obesity. In her patients, gastrointestinal effects are common but generally tolerable. She also believes that it’s important to expand the criteria for obesity so that more people qualify for these drugs through the proper channels, but says it’s crucial that patients receive ongoing care from a medical professional who has been licensed by the American Board of Obesity Medicine. “A lot of GLP-1s are being prescribed by untrained in obesity professionals,” Levy says. “My No. 1 issue is who is prescribing it.”
Dr. Sara Siavoshi, a board-certified obesity, neurology and headache specialist, treats about 5,000 patients in her practice. She estimates 30 to 40% of them are microdosing either tirzepatide or semaglutide. Siavoshi defines a microdose as “the lowest dose of a GLP-1 that lowers food noise without causing any significant weight loss.” Food noise, a term used in obesity medicine, refers to chronic unwanted thoughts that make healthful choices (both about how much to eat and what to eat) difficult. If the GLP-1 dosage leads to more weight loss than 3 or 4 pounds, she says, then she doesn’t define it as a microdose. She says most people seem to think a microdose means an amount that’s lower than what’s commercially available, but in her practice, she hasn’t seen it benefit most of her patients when doing that. Generally, she’s found success in putting people on the lowest commercially available dose of a GLP-1. “I’ll tell you the patient satisfaction rate is extremely high and patients are very, very happy on these meds,” Siavoshi says. In addition to reducing food noise, her primary goal is to lower inflammation in patients with autoimmune conditions.
Recommended: continuous, certified care
Siavoshi emphasizes the importance of working with someone who has been trained in obesity medicine, pointing to the American Board of Obesity Medicine’s website, where patients can look up their providers and make sure that they’re certified. She’s not opposed, she said, to all online platforms providing care, but says it’s essential to be getting consistent support from someone who can put together a treatment plan and be there throughout the process.
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