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Ok... I don't like to be on Trump's defense (seriously, I really don't) but you can make anyone look... quite so egg shaped... with the right angle and lens (and shadowing in this case). It doesn't have to be a doctored photo, it just has to be an unflattering shot.
Trump is by no means attractive, though, and honestly this is probably more accurate a portrayal of who he really is, haha.
It's more a case of wearing wide shirts and trousers to hide the adult diapers.
If anything, Trump has gotten thinner lately, he has this old-man-wasting-away look about him now.
ozempic, dude
Hm, possibly, but he doesn't strike me as the type. He already thinks he's perfect so why should he change anything about himself?
Iirc Cory Doctorow didn't lay hands on this photo.