President Donald Trump attacked Morning Joe co-hosts Joe Scarborough and Mika Brzezinski on Twitter on Thursday morning, blasting the show’s ratings and specifically targeting Brzezinski’s appearance.

“I heard poorly rated @Morning_Joe speaks badly of me (don’t watch anymore),” Trump said in a pair of tweets. “Then how come low I.Q. Crazy Mika, along with Psycho Joe, came 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!”

Trump has made a habit of attacking media outlets and singling out female reporters, often for their appearance.

Brzezinski issued a subtle response on Twitter, tweeting an image that referenced a long-running joke about the size of Trump’s hands — something Trump himself infamously and crudely weighed in on during a Republican presidential debate last year.

“Never imagined a day when I would think to myself, ‘it is beneath my dignity to respond to the President of the United States,’” Mark Kornblau, spokesperson for NBCUniversal News Group, said in a tweet. MSNBC called it a “sad day for America when the president spends his time bullying.”

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Write to Katie Reilly at Katie.Reilly@time.com.