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After mounting pressure to lose weight from Trump and other pageant officials, Machado asked Trump to assist her with orienting toward a healthier lifestyle.Trump arranged for 80 reporters to "watch [her] sweat" in a gym, which Machado later called "in very bad taste".During 2004–2005, she pursued a career as a TV commercial model with particular success in promoting a dieting product.In 2005, Machado appeared on a Spanish reality show called La Granja de los famosos ("The Farm").
The show began airing in Mexico in February 2011 and in the United States in October of that same year.
On September 9, 2012, Machado was one of ten competitors on the third season of Mira Quien Baila.
On November 18, 2012, Alicia won 3rd place in the 3rd season of Univision's dance competition Mira Quien Baila.
While preparing for Miss Universe, Machado underwent intense dieting.
Machado said that, when she won, she weighed 116 pounds and was anorexic and bulimic.