President Donald Trump has been declared in “excellent health” by the White House physician following his third known checkup since he returned to office last year. 

Trump, the oldest President to take the oath of office, was also advised to increase physical activity and lose weight after gaining 14 pounds in just over a year. 

The three-page report, authored by White House physician Dr. Sean Barbabella, detailed the results of Trump’s physical exam at Walter Reed National Military Medical Center earlier this week, as the President approaches his 80th birthday next month.

Trump has "strong cardiac, pulmonary, neurological, and overall physical function" and is "fully fit to carry out all duties of the Commander-in-Chief and Head of State," the report reads.

He underwent extensive physical and mental tests, according to the report, including an echocardiogram, an ultrasound of the carotid arteries, examination of the lungs and eyes, screenings for anxiety and depression, and blood tests.

The report says Trump stands 75 inches tall and weighs 238 pounds, up 14 pounds from his April 2025 medical exam. That puts his body mass index at 29.7, at the very top of the overweight range and just below the obese category, which begins at 30. Dr. Barbabella said the President had been given guidance on diet, physical activity, and continued weight loss.

Trump's cardiac age was also estimated to be 14 years younger than his chronological age.

"His demanding daily schedule, including multiple high-level meetings, public engagements, and regular physical activity, continues to support his overall well-being," Dr. Barbabella wrote.

The President’s current medications

Trump takes two medications, rosuvastatin and ezetimibe, to treat his history of high cholesterol, as well as daily aspirin to lower the risk of heart attacks and strokes. Dr. Barbabella said the aspirin helps explain Trump’s noticeable bruises on his hands, which the report describes as "consistent with minor soft tissue irritation related to frequent handshaking" and “a common and benign effect” of the medication. The usual daily preventive aspirin dose is around 80 milligrams. President Trump previously took about four times that amount, or 325 milligrams, daily. 

“They say aspirin is good for thinning out the blood, and I don’t want thick blood pouring through my heart,” Trump told the Wall Street Journal in an interview in January.

The report also said that “slight lower leg swelling was noted, with improvement from last year,” after the White House revealed last summer that such swelling was a result of a chronic venous insufficiency diagnosis. The condition occurs when the valves in the legs don’t function properly, causing blood to pool in the veins.

Concern over Trump’s mental acuity

President Trump’s cognitive health has been under increasing scrutiny as he approaches his 80th birthday—especially after former President Joe Biden faced widespread speculation about age-related decline while in office. 

A Washington Post-ABC News-Ipsos poll released earlier this month found that about 59% of Americans said they don’t think Trump has the mental acuity to serve in office effectively, and 55% said they don’t believe that his physical health is strong enough, a slight increase from a similar survey in February.

A separate Economist/YouGov poll released in April found that 48% of U.S. respondents believe that Trump is too old to be in the White House, and a Reuters/Ipsos poll in February found that 61% of Americans view Trump as growing erratic with age—including 30% of Republicans and 64% of independents.

As in previous years, the report says Trump scored 30 out of 30 on the Montreal Cognitive Assessment, a test used to detect memory issues or cognitive impairment.

Despite Trump's agreeing to release his medical records after rejecting the calls while on the campaign trail in 2024, the President has remained relatively tight-lipped about his health. 

Moreover, when he does agree to share information, many Americans might have trouble believing him. According to an Axios-Ipsos poll released in 2025_, more than 70% of Americans believe that most politicians aren’t honest about their health.

Presidents are not legally required to release their medical records and their medical care is always protected by the Health Insurance Portability and Accountability Act (HIPAA). But it has been a modern practice for presidents to release such information to the public, including the last six of Trump’s predecessors. The same Axios-Ipsos poll last year found that nearly three-quarters of Americans support a legal requirement for the sitting President to release their medical records.