WASHINGTON (AP/CBS SF) — House Speaker Nancy Pelosi said Wednesday that she called President Donald Trump “morbidly obese” because of his past comments and insults directed at women over their weight and looks.

She additionally suggested that the president could stand to lose a few pounds as the coronavirus bears down on the nation’s capital.

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“I gave him a dose of his own medicine. He’s called women one thing or another over time, and I thought he thinks that passes off as humor in certain cultures,” the representative from San Francisco told reporters at her weekly press conference Wednesday. “I was only quoting what doctors had said about him, so I was being factual in a very sympathetic way.”

Her initial comments came Monday night during a CNN interview. Pelosi warned that the President should not be taking the antimalarial drug hydroxychloroquine given his age and because he is “morbidly obese.”

“As far as the president is concerned, he’s our president and I would rather he not be taking something that has not been approved by the scientists, especially in his age group and in his, shall we say, weight group, morbidly obese, they say,” Pelosi said during an interview with CNN on Monday night. “So I think it’s not a good idea.”

For the record, the president is obese, but not morbidly so. Pelosi on Monday called Trump “morbidly obese.” He responded by dismissing her as “a waste of time.”

Pelosi’s level of sympathy is unclear. Even as the virus ravages Americans and the U.S. economy, the two are barely speaking to each other.

They have sparred since the beginning of the Trump presidency and more sharply since Pelosi ascended to the speakership in 2019, for the second time. The topics have ranged from the historic — a government shutdown and Trump’s impeachment — to playground-quality name-calling and who has the last word.

But in reality, the back and forth between Pelosi and Trump always been about who has more power, a commodity never more critical than during a pandemic that has killed more than 92,000 in the U.S. and left more than 36 million people looking for work.

Last month, Pelosi called out the President in a scathing open letter that was harshly critical of the administration’s handling of the coronavirus pandemic and said Americans “must insist on the truth”

The spread of the coronavirus, which poses a greater risk of death for older adults and people with health problems, is still significant in Washington. Trump, 73, and Pelosi, 80, are working from opposite ends of Pennsylvania Avenue on what’s expected to be another multitrillion-dollar rescue package.

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On that, there was little progress Wednesday. Pelosi’s $3 trillion bill, which passed the House along party lines last week, got a chilly reception in the Republican-controlled Senate. Majority Leader Mitch McConnell, R-Ky., dismissed it as “unserious and so far left.” It took on rules, McConnell noted, governing marijuana policy during the pandemic. He’s noted, too, that the House is out of session this week, while the Senate is in Washington.

Pelosi, meanwhile, sent a letter to colleagues Wednesday morning triggering a 45-day period in which members can vote by proxy to limit the spread of the coronavirus.

Asked about Trump on various topics, Pelosi several times referred to Trump’s habit of showing disrespect toward women. The examples predate the 2016 presidential campaign. A 2006 People magazine article, for instance, quoted him as calling comedian Rosie O’Donnell “my nice fat little Rosie.” A decade later, there was the release of the “Access Hollywood” tape, the effort to muzzle Trump’s onetime paramours and his description of porn actress Stormy Daniels as “horseface.”

Despite those details, Trump won the votes of about 39% of women in 2016, compared with about 52% of men, according to the Pew Research Center.

His conflicts with women persist as the November election draws near. Recently, he’s sparred on live television with female journalists who cover the White House. And he referred to Democratic Gov. Gretchen Whitmer as “that woman from Michigan” — a critical presidential battleground state.

In an average of AP-NORC polls released so far in 2020, 39% of women and 46% of men said they approved of how Trump is handling his job as president.

Pelosi returned to those themes several times during her news conference. At one point, she repeated:

“The comments he makes about women. The comments he makes about women. So inappropriate.”

She lamented double standards. On the unfinished rescue package, Pelosi noted that Republicans went first in proposing the previous, massive version, which she said contained only the GOP’s priorities. When she puts forward one with Democratic priorities, her move is cast as “partisan,” she said.

And she resumed her criticisms of Trump. On Wednesday, Pelosi cast him as a child who comes in the house “with doggy doo on his shoes.” And she described him as a “confabulator,” a word that in some contexts means someone who fills in gaps in knowledge or memory with made-up stories.

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“But you know what?” she finished. “Forget about him.”