Twitter users savagely mocked Republican presidential candidate Donald Trump this week after he released a letter from his doctor claiming he weighed 236 pounds.

After taping an appearance on The Dr. Oz Show on Wednesday to discuss his health, Trump provided the media with a one-page letter from Dr. Harold N. Bornstein, which suggests that the candidate’s health was nearly perfect for his age.

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In 1996, Trump had fat-shamed Alicia Machado after she won the Miss Universe pageant and gained weight, allegedly calling her “Miss Piggy” and staging a photo op where she was forced to exercise.

Those remarks came back to bite him this week as Twitter users ripped the assertion in Trump’s medical report that he is “6’3″ tall and weighs 236 pounds.”

Here's the funniest joke I've heard this year: "I weigh 236 pounds." -Donald Trump — Krister Johnson (@KristerJohnson) September 14, 2016

@IsaacDovere I'm 6'4-6'5" former athlete, weigh myself daily, w/ range og 215-233 past 4 years. No way in hell Trump is 236. None. — Robbie Evans (@therobbieevans) September 14, 2016

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Donald Trump claims to only be 236 pounds. His pot belly, turkey neck and jowls plead the fifth. — Warren Holstein (@WarrenHolstein) September 14, 2016

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Seriously Trump says that he weighs 236 pounds? That’s total BS. Even 267 was light like he didn’t eat for two days. — Michael Salfino (@MichaelSalfino) September 14, 2016

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#CNN literally just said trump weighs 236 lbs. Bull fucking shit — MH (@WannaBeLikMike) September 14, 2016

@SopanDeb Trump is NOT 236. No way in absolute Hell. He's built like a potato. 267 at minimum — Deacon Blues (@mork1215) September 15, 2016

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Trump weighs 236 lbs. Dr. Oz says he should lose 15. I say he should lose 236. — Tessa Miller (@TessaJeanMiller) September 15, 2016

Trump's medical numbers are a farce…impossible to have a PSA of .15, he weighs more than 236 lbs…need independent tests

#NeverTrump — jremi149 (@jremi149) September 15, 2016

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@juliemason I'd believe the birther claim before believing that Trump is only 236 lbs. — Frederick K Fiddmont (@Fiddmont) September 15, 2016

@mmurraypolitics If Trump weighs 236 pounds the test was conducted on the moon. — blue aardvark (@AardvarkBlue) September 15, 2016