I say this picture is for real. Why? Because the picture says he has thermoregulatory problems. And his face looks visibly aged. I am now convinced that he did have a stroke, and that it shows. You may ask, don’t the North Koreans know how to photoshop the Dear Leader? Of course they do.
My guess is, the North Korean regime is preparing its subjects for the inevitable by uploading images of the beginning of the end of Kim Jong I