> At a Glance
> – Andy Cohen, 57, shut down plastic-surgery rumors on Threads after his CNN New Year’s Eve appearance
> – He credits a tiny dose of Botox, 20-pound weight loss, and heavy makeup for his refreshed look
> – Cohen has been open about micro-dosing a GLP-1 drug to drop the pounds and curb cravings
> – Why it matters: The TV host’s candid reply highlights how public scrutiny of celebrity bodies sparks quick-and often inaccurate-speculation
A single Threads comment questioning Andy Cohen’s “new face” after CNN’s New Year’s Eve broadcast turned into a teachable moment on body-talk, weight-loss drugs, and the power of good lighting.
The Social-Media Exchange
On Jan. 1, a viewer posted:
> “I just saw the new clips of Andy Cohen on NYE and WTF did he do to his face?!? Is he trying to find a new husband at Mar-a-Lago?”
Cohen answered the next day:
> “Did the smallest amount of Botox and lost 20 pounds! And had a lot of makeup on.”
Inside the Weight-Loss Journey
During a Sept. 9, 2025 broadcast of Radio Andy, Cohen revealed he had “micro-dosed” a GLP-1 medication, though he didn’t name the specific drug. The host said the choice came after conversations with his doctor about:
- Persistent weight concerns
- Plaque in his arteries
- High blood pressure
- Unmanageable food cravings
**Cohen told listeners:
> “It really helped me with cravings, which I was having a very hard time with, and really forcing myself to be more disciplined with my diet and with working out.”
He has since stopped the micro-dose but credits the experience with reframing his relationship with food.

Transparency Promise
The Watch What Happens Live host said hiding the regimen would clash with two decades of grilling Housewives about their own diet and cosmetic tweaks.
> “I feel so strongly that I can’t be the one asking all the personal questions… and then be the guy who’s suddenly lost 25 lbs. but isn’t mentioning it,” he explained.
Cohen called the drug “revolutionary” and believes coverage should be universal:
> “Everybody should [have access] through insurance.”
Key Takeaways
- Cohen’s slimmer face is the result of a 20-pound loss, minimal Botox, and stage makeup-not surgery
- He openly used a small, monitored dose of a GLP-1 to reach his health goals
- The host frames transparency as part of his on-brand honesty after years of celebrity interviews
His direct reply underscores how quickly appearance chatter snowballs-and how simply the facts can deflate it.

