(photorealism, highly realistic, intricate detail, vivid colors:1.1), (sfw, clean), (solo feral otter, standing upright:1.2), (wearing closed white lab coat, holding clipboard:1.2), (in doctors office:1.1), (view from far above, looking up at viewer, smile:1.2), (cute, adorable), (best quality, 4k), <lora:fluffyrock-quality-tags-v4.rc11.5:0.6>