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New York native Alt also shot to fame with a Sports Illustrated cover in 1982. She went on to appear on numerous magazine covers and was dubbed "The Next Million Dollar Face" by Life Magazine. She made appearances as a runway model for Calvin Klein, Perry Ellis, and Ralph Lauren and in advertising campaigns including Lancôme, Cover Girl, Pepsi, and General Motors. Alt was also the first model to produce a line of her own posters, calendars, and workout videos, setting a self-branding precedent.
These days she considers herself a raw food and alternative health expert, having published a book and hosted a Fox News show devoted to wellness and balanced living.