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Trump Dictatorship and All Things Politics

Any context here of how or why "this" might be "serious"?
Is it his fat ankles that are supposed to be alarming?

"Swollen ankles, or edema, are a common issue in older adults, often due to age-related changes in circulation and other health conditions. While sometimes a minor concern, swollen ankles can also indicate a more serious underlying health issue like heart, kidney, or liver problems."
 
"Swollen ankles, or edema, are a common issue in older adults, often due to age-related changes in circulation and other health conditions. While sometimes a minor concern, swollen ankles can also indicate a more serious underlying health issue like heart, kidney, or liver problems."
Honestly, I have no idea how he’s lived so long without major issues. Think about the people In your life who have diabetes or have had a heart attack or mobility issues and they haven’t lived his hard life lifestyle. He never sleeps, must always be stressed out, and is well north of 300 lbs. The stress his ankles, knees, and hips bear is insane not to mention arteries and vital organs. Larry H Miller’s body fell apart and I don’t recall him being as big of a fat *** as Trump or living it up with porn stars or staying up all night talking **** on social media.
 
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