House Speaker Nancy Pelosi accused Donald Trump of appearing “a little bit sedated” during his State of the Union address earlier this week when she extended her hand to shake.

“It was also an act of kindness, because he looked to me like he was a little bit sedated,” Pelosi said at her weekly press conference Thursday morning.

“He looked that way last year, too. But that was that. He didn’t want to shake hands? That meant nothing to me.”

The image of Trump appearing to decline to shake Pelosi’s hand before his speech Tuesday quickly went viral online. After his speech, Pelosi immediately tore up her copy of his prepared remarks, which she called a “manifesto of mistruths” during the press conference.

Pelosi on Trump rebuffing her attempt to shake hands before SOTU: "It was also an act of kindness, because he looked to me like he was a little bit sedated." pic.twitter.com/iP9x28oMh2

— Aaron Rupar (@atrupar) February 6, 2020

Pelosi tweeted out the image of her extending her hand Tuesday night, adding, “Democrats will never stop extending the hand of friendship to get the job done #ForThePeople. We will work to find common ground where we can, but will stand our ground where we cannot.”

Democrats will never stop extending the hand of friendship to get the job done #ForThePeople. We will work to find common ground where we can, but will stand our ground where we cannot. #SOTU pic.twitter.com/ELJqR9q4xD

— Nancy Pelosi (@SpeakerPelosi) February 5, 2020

Obviously it’s been rumored for years that Trump takes some kind of medication. Sometimes he appears hyped on on Adderall, other times it seems he took an extra Xanax.

Twitter quickly agreed:

LITTLE BIT?? In two speeches I have seen Trump slur words and then his left arm goes numb why aren't people taking this to a serious level the man is in trouble.☠☠☠🙄🇺🇸

— Harry B (@Harry42355) February 6, 2020

Omg she just said it!! She said it!!! Will ppl finally start being vocal about the fact that something is wrong with him?

— S.A.N.E (@Sane_chic) February 6, 2020

MSM will have more difficulty dodging the issue of his drug use and downward slide into dementia the more she and others bring it up.

— John Kreutzberger (@Jkrump1969) February 6, 2020

I’ll keep saying it. She knows things that we don’t. (ie his health issues, mental state, additional crimes, etc)

— Brenda 🍑 (@bcarlson0906) February 6, 2020

Trump is a raging drug addict. Always has been.

— Bob (@Bob28532263) February 7, 2020