On Wednesday morning, the President maintained his ongoing series of criticisms towards female journalists, describing a New York Times reporter as “a third rate reporter who is ugly, both inside and out.” This remark followed her co-authorship of a piece suggesting the 79-year-old President had displayed “signs of fatigue” since resuming office in January.

Trump communicated on Truth Social, stating, “The Radical Left Lunatics in the soon to fold New York Times did a hit piece on me that I am perhaps losing my Energy, despite facts that show the exact opposite.” He further added, “The writer of the story, Katie Rogers, who is assigned to write only bad things about me, is a third rate reporter who is ugly, both inside and out.”

This condemnation arrived a day following the Times’ report, which indicated that the President has decreased his public engagements and domestic travel significantly this year compared to his initial year in office in 2017. The article also highlighted an instance earlier in the month where the President seemed to “doze on and off for several seconds.” Trump’s post made no reference to Dylan Freeman, the co-author of the article.

The President’s critique of Rogers is consistent with other recent public broadsides he has directed at female journalists. Earlier this month, while aboard Air Force One, Trump instructed Catherine Lucey of Bloomberg News to be “Quiet, piggy” after she inquired about documents linked to the late sex offender Jeffrey Epstein’s case. Subsequently, in November, he reprimanded Mary Bruce of ABC News regarding a question she posed to Saudi Arabia’s Crown Prince Mohammed bin Salman during Trump’s recent meeting with the Saudi leader.

Bruce questioned bin Salman on the basis for American trust in him, given the CIA’s conclusion that the 2018 assassination of Washington Post columnist Jamal Khashoggi was by bin Salman and executed by a team of operatives reporting directly to him. (In response, Salman stated, “it’s painful and it’s a huge mistake—and we are doing our best that this doesn’t happen again.”)

Notwithstanding the CIA’s assessment, Trump maintained that bin Salman “knew nothing about it, and we can leave it at that. You don’t have to embarrass our guest by asking a question like that.” The President characterized Bruce’s inquiry as “horrible, insubordinate, and just a terrible question.”

Trump possesses an extensive record of denouncing the press. The President coined and frequently utilized the phrase “fake news” to describe critical reporting by mainstream media. Within the last year, he has initiated several legal actions against news organizations such as CBS News, ABC News, and various entities connected to the ; his lawsuits against and have since reached settlements. Trump has also initiated lawsuits against the Times on multiple occasions. Two of his prior lawsuits were dismissed. In October, he refiled another, a $15 billion defamation lawsuit targeting the newspaper and several of its reporters, after it had previously been rejected by a federal judge.

Following the Times’ report concerning his health, Trump, in his post on Wednesday, denounced the publication as a “cheap ‘rag’” and asserted that he has “never worked so hard” in his life.

A Times spokesperson defended the article in a statement to TIME, characterizing it as “accurate and built on “first hand reporting of the facts.” The spokesperson added, “Name-calling and personal insults don’t change that, nor will our journalists hesitate to cover this administration in the face of intimidation tactics like this. Expert and thorough reporters like Katie Rogers exemplify how an independent and free press helps the American people better understand their government and its leaders.”

A White House spokeswoman informed TIME that “President Trump has never been politically correct, never holds back, and in large part, the American people re-elected him for his transparency.”

Jackson declared in a statement, “This has nothing to do with gender. It has everything to do with the fact that the President’s and the public’s trust in the media is at all time lows.”