Premarin uses estrogens derived from pregnant mare urine (hence the name).

Premarin isn't really used now a days since estradiol (the blue one) is bioidentical to what is in humans and generally a better choice.

Well, the prefered way is to do both, since screen readers work better with the alt text way.

We usually put it in the square brackets of the image and then copy the text into the body of the post too.

I’m the Blorp dev. I need to add support for adding alt text. My bad. Would also be cool to allow users that aren’t on a screenreader to view alt text. But I would have to think of the best way to make that work.

That assumes all clients people will use do, which sadly isn't the case. So until all clients can see the alt text attached to a picture, we'll continue doing both as we believe in accessibility for all.

As realistically a lot of people will not switch clients for one feature.