President Donald Trump is in “excellent health,” the White House physician said Friday in a memo the administration released after Trump’s visit to Walter Reed National Military Medical Center — his third in-person medical checkup in 13 months.

“He is fully fit to carry out all duties of the Commander-in-Chief,” Dr. Sean Barbabella, the president’s physician, wrote in the memo.

The memo came out three days after his Tuesday exam.

The memo said that Trump took a series of exams testing cardiac function, eye health and pulmonary function, among other areas. Barbabella reported Trump’s weight as 238 pounds — 14 pounds higher than at his April 2025 visit — with a resting heart rate of 73 beats per minute. Trump also took a neurological exam that included screening for cognitive function, which was within normal limits with a score of 30 out of 30, Barbabella said.

Trump is taking medication for cholesterol control and cardiac prevention, Barbabella said.

“The President remains up to date on all appropriate preventive screenings and immunizations,” Barbabella said. “Routine cancer screenings, cardiovascular risk assessment, and metabolic evaluations are current and within recommended intervals. Preventive counseling was provided, including guidance on diet, recommendation to take a low-dose aspirin, increased physical activity, and continued weight loss.”

The report also addressed two issues that have drawn public attention in recent months: bruising on the hands and swelling in the legs. Barbabella attributed the hand bruising to frequent handshaking combined with aspirin use, noting that a coagulation profile was normal (this is a blood panel that can point towards a bleeding disorder). They also did not specify the aspirin dose (they previously stated he takes a high dose of 325 mg as opposed to a more common lower dose of 81 mg.)

The leg swelling, which has been attributed to chronic venous insufficiency, a common condition in older adults in which leg veins have difficulty returning blood to the heart, was noted to have improved. Importantly, his ultrasound of the heart showed preserved heart function (having a weak heart can also sometimes cause leg swelling).

Trump went to Walter Reed twice last year — in April and October — and had two dental appointments in Florida this year: one in January and one in May.

Trump, who will turn 80 in June, is the oldest person to assume the presidency. He regularly insists he is in excellent health, most recently on Tuesday following his visit to Walter Reed in Bethesda, Maryland.

“Just finished my 6 month physical at Walter Reed Military Medical Center. Everything checked out PERFECTLY. Thank you to the great Doctors and Staff!” Trump posted on Truth Social.

He also regularly says he has aced cognitive exams.

Still, speculation about Trump’s health has been fueled by moments of apparent drowsiness and a noticeably bruised right hand. The White House has blamed the bruising on Trump’s frequent handshaking and said he takes aspirin as a blood thinner — more than is recommended by his doctors.

Last year, the White House revealed that Trump had chronic venous insufficiency, a non-life-threatening condition that causes poor circulation and led to swelling in his legs.

In October, following his visit to Walter Reed, which the White House had described as a “routine yearly check up” even though it was his second visit in six months, Trump revealed to reporters that he had undergone an MRI. His doctor later clarified that the exam was a CT scan of his heart and abdomen “to definitively rule out any cardiovascular issues.”

Barbabella said that Trump had the scan “to make the most of the President’s time at the hospital” and that his doctors had asked Trump whether he would undergo advanced imaging.

“As we revealed in the post-examination report, the advanced imaging was perfectly normal and revealed absolutely no abnormalities,” Barbabella said in a statement to NBC News at the time.

Barbabella struck a similar tone during Trump’s April 2025 visit, saying he “remains in excellent health, exhibiting robust cardiac, pulmonary, neurological and general physical function.”