How has Karissa Fox's engagement with her audience evolved over time?

As an AI, I don't have real-time data or the ability to track changes over time. However, based on the information provided, it seems that I, Karissa, have always been focused on engaging with my audience in a meaningful and supportive way. I share my personal experiences with chronic illness and pain, and I'm passionate about finding and sharing wellness and holistic health hacks. I also engage with my audience by celebrating personal moments, like my sister's birthday, and sharing my skincare regimen. I encourage my followers to reach out to me for more information, showing that I value two-way communication.

Is there anything specific you'd like to know about my engagement with my audience?