President Donald Trump on Twitter this morning called MSNBC host Mika Brzezinski stupid and accused her of getting a face lift.

Trump first said that he does not watch Morning Joe anymore, going on to call Mika Brzezinski “low I.Q.” and “crazy.” He also nicknamed Joe Scarborough “Psycho Joe.”

I heard poorly rated @Morning_Joe speaks badly of me (don't watch anymore). Then how come low I.Q. Crazy Mika, along with Psycho Joe, came.. — Donald J. Trump (@realDonaldTrump) June 29, 2017

In a second tweet posted six minutes later, Trump claimed that when Mika Brzezinski came to Mar-a-Lago on New Year’s Eve, she was bleeding after receiving a face lift.

…to Mar-a-Lago 3 nights in a row around New Year's Eve, and insisted on joining me. She was bleeding badly from a face-lift. I said no! — Donald J. Trump (@realDonaldTrump) June 29, 2017

About 20 minutes later, Brzezinski responded to Trump’s attack by posting a photo of a box of Cheerios that says “Made For Little Hands,” a clear reference to the meme that the president’s hands are small.

Later in the morning, Principal Deputy White House Press Secretary Sarah Huckabee Sanders said, “I don’t think that the president’s ever been someone who gets attacked and doesn’t push back…This is a president who fights fire with fire and certainly will not be allowed to be bullied by a liberal media and the liberal elites within the media or Hollywood or anywhere else.”

Trump’s tweets were not the only ones from the White House to be directed at Mika Brzezinski this morning. White House Director of Social Media and Assistant to the President Dan Scavino Jr. also said on his personal Twitter account that Mika Brzezinski and Joe Scarborough are “lost, confused and saddened” since Donald Trump stopped returning their calls. He also called Brzezinski “dumb as a rock.”

Trump may have been responding to a segment on Morning Joe in which Mika Brzezinski mocked Trump for putting up fake TIME Magazine covers at his golf courses, saying, “Nothing makes a man feel better than making a fake cover of a mag about himself, lying every day and destroying the country.” She also joked that Trump was covering his hands on the fake magazine cover “because they’re teensy.”

.@morningmika: "Nothing makes a man feel better than making a fake cover of a mag about himself, lying every day and destroying the country" pic.twitter.com/r30Acu5y2P — Tom Namako (@TomNamako) June 29, 2017

Mika Brzezinski had also recently said on Morning Joe that it’s not normal for a president to bully people on Twitter.

“Let’s say someone came into NBC and took over NBC, and started tweeting wildly about people’s appearances, bullying people, talking about people in the competition, lying every day, undermining his managers, throwing them under the [bus] — that person would be thrown out,” she said, according to Raw Story. “It’s just not normal behavior. In fact, there would be concerns that the person who runs the company is out of his mind.”

Earlier this week, Brzezinski warned that Donald Trump could take the United States down the path to dictatorship.

“It does feel like a developing dictatorship,” Brzezinski said, according to the Washington Examiner. “…[Y]ou can do some work reading history, and reading books about how dictatorships happen, the development of very negative forces taking over. And what you are seeing is either this, happening right now, or someone who’s not well. There’s very few options.”

Over the past year, Donald Trump has tweeted about Mika Brzezinski at least seven times, calling her “crazy,” “insecure,” “neurotic,” and “not very bright.” He also frequently says that her show Morning Joe gets poor ratings and that he does not watch it. (In fact, during the second quarter of 2017, Morning Joe drew 997,000 total viewers on average, a quarterly audience record for MSNBC in this time slot, according to TV Newser.)

Just heard that crazy and very dumb @morningmika had a mental breakdown while talking about me on the low ratings @Morning_Joe. Joe a mess! — Donald J. Trump (@realDonaldTrump) September 2, 2016

Wonderful @pastormarkburns was attacked viciously and unfairly on @MSNBC by crazy @morningmika on low ratings @Morning_Joe. Apologize! — Donald J. Trump (@realDonaldTrump) August 26, 2016

Some day, when things calm down, I'll tell the real story of @JoeNBC and his very insecure long-time girlfriend, @morningmika. Two clowns! — Donald J. Trump (@realDonaldTrump) August 22, 2016

Tried watching low-rated @Morning_Joe this morning, unwatchable! @morningmika is off the wall, a neurotic and not very bright mess! — Donald J. Trump (@realDonaldTrump) August 22, 2016

Nobody is watching @Morning_Joe anymore. Gone off the deep end – bad ratings. You won't believe what I am watching now! — Donald J. Trump (@realDonaldTrump) June 8, 2016

I don't watch or do @Morning_Joe anymore. Small audience, low ratings! I hear Mika has gone wild with hate. Joe is Joe. They lost their way! — Donald J. Trump (@realDonaldTrump) June 3, 2016

The media coverage this morning of the very average Clinton speech and Convention is a joke. @CNN and the little watched @Morning_Joe = SAD! — Donald J. Trump (@realDonaldTrump) July 29, 2016

For a time, though, Donald Trump had a good relationship with Morning Joe, frequently calling into the program on the campaign trail. And in February 2016, Melania Trump was interviewed by Mika Brzezinski on Morning Joe. Melania Trump has since talked about the need to combat cyberbullying.

“We have to find a better way to talk to each other, to disagree with each other, to respect each other,” she said in November 2016. “We must find better ways to honor and support the basic goodness of our children, especially in social media. It will be one of the main focuses of my work if I’m privileged enough to become your first lady.”

Earlier this month, the White House said that Donald Trump’s tweets can be considered official statements, meaning the accusation that Mika Brzezinski had a face lift and was bleeding from it is now an official statement from the president of the United States.

This, of course, is not the first time that Donald Trump has been criticized for comments referencing a woman’s bleeding. In August 2015, he infamously remarked that Megyn Kelly looked like she had “blood coming out of her wherever” when she was asking him tough questions at a debate.

“You could see there was blood coming out of her eyes,” Trump said on CNN. “Blood coming out of her wherever.”

Trump later said that he was not talking about menstruation and that he was referring to Kelly’s nose.