As Distractify reported, TLC cameras caught up with Karina in 2019 for an update on her life after the show. During the "Where Are They Now?" episode, it was revealed that she had managed to stick to Dr Now's program and was no longer using a wheelchair. It also became evident that Karina was becoming more independent from her parents, and had goals of undergoing skin removal surgery. 

In April 2019, Karina began dating the husband of a former "My 600-lb Life" contestant, Gilbert Donovan, who appeared in the reality hit during the show's fourth season. Per The Cinemaholic, Karina's social media also suggested that she had moved out of her parents home around this time.

As of 2020, Karina was listed as working as a Bilingual Customer Service Representative at Westcorp and a Customer Service Representative at Neiman Marcus.