A woman in a white lab coat holding a green folder

Brazilian nutritionist, with a white coat, holding a diary to schedule an appointment

(mutation), two faces, ugly eyes, (ugly face), drawing, (deformed iris, deformed pupils, semi-realistic, cgi, 3d, rendering, sketch, cartoon, drawing, anime:1. 4), text, close-up, cropped, out of frame, worst quality, low quality, jpeg artifacts, ugly, duplication, painful, disfigured, extra fingers, mutated hands, poorly drawn hands, poorly drawn face, mutation, deformed, blurred, dehydrated, poor anatomy, poor proportions, extra limbs, cloned face, disfigured, rough proportions, deformed limbs, missing hands, absent legs, extra arms, extra legs, intergrown fingers, too many fingers, long neck, less than five fingers, two hands, more than five fingers, ugly palms, (ugly hands), computer graphics, pichar, watermark, anime, cartoon, (3d), computer games, obesity, fat, ((disfigured)), ((bad art)), ((deformed)), ((poorly drawn)), ((extra limbs)), ((close-up)), (black and white)), weird colors,