score_9_up, score_8_up, score_7_up, <lora:Pony_QualityV4.0:.75>, dynamic pose, upper body, 1girl, glasses, female, anthro, fox, tail, medium hair, Blonde hair, aqua eyes, large breasts, smiling, open mouth, nurse uniform, mouth mask, surgical mask, nurse cap, large syringe, <lora:syringe_pills_ponyXL_V1:1>, girl holding syringe, pills, clipboard
, <lora:artofalva:1>