Influencer Samantha Milton has lost 260 pounds with the help of GLP-1 - and she's ready to share her story. Milton, who is known on social media as "Smaller Sam PCOS," told People in a Monday, January 5, interview that five years ago, she realized "something had to change" in her life and with her health. The revelation came around the same time her husband, Zach Milton, was struggling with alcohol abuse. Samantha, 29, recalled being diagnosed with polycystic ovarian syndrome (PCOS) at age 12, which jump started her disordered eating cycle and weight gain.