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EDIT: Turns out it's ~~fake~~ ~~real~~ hard to tell?!
It's Bloomberg Getty Images number 2275322571
But it's "Editorial", which means not necessarily from a trusted news source.
But then again, it's not marked as AI/Synthetic, which Getty is supposed to do.
My opinion -- it's probably fake.
Apparently this image was taken down by a bunch of Western media; only Times of India still had it up when I checked
The source is Bloomberg Getty Images number 2275322571.
I think it's fascinating how the skin of aged humans varies so much depending on whether one takes care of their body or not. Also: This Donald John Trump was good friends with Jeffrey Epstein. I'd love to read all about it but the USA government is still not releasing the Epstein files. Must be really bad. I wonder how many kids he raped that we do not already know of.
Getty Editorial which means could be anything. Getty's AI detector didn't go off so either very high quality AI or old fashioned photoshop are both real likelihoods