The hardback edition of Profiles of Corruption was published January 21, 2020. The picture would have to have been taken after that.
Look up tyrosine deficiencies. I did the research years ago so I'm going on memory. There was a connection between tyrosine/epinephrine and the inability to produce it.
Basically, there is no fight or flight response if I remember correctly.
There was also a connection to Albinism and porphyria. I posted here but it was years ago. I can try to find my research if you're interested.