President Donald Trump is in “exceptional health,” his physician said Friday following a checkup at Walter Reed National Military Medical Center that included lab tests and preventive assessments.

Trump spent about three hours at the Bethesda, Maryland, hospital for a “scheduled follow-up evaluation” as part of his ongoing health maintenance, according to Navy Capt. Sean Barbabella. During the visit, Trump also received his annual flu shot and a COVID-19 booster.

In a one-page memo released by the White House, Barbabella said Trump shows strong cardiovascular, pulmonary, neurological, and physical performance. The evaluation, which included advanced imaging and lab testing, was partly in preparation for the president’s upcoming trips to the Middle East this weekend and Asia later this month.

The physician noted that Trump’s cardiac age was approximately 14 years younger than his chronological age of 79. Trump, the oldest U.S. president at his inauguration, previously had his annual physical in April, which found him “fully fit” to serve and documented a 20-pound weight loss since 2020.

Earlier in July, Trump was diagnosed with chronic venous insufficiency, a condition common in older adults where blood pools in the veins, after noticing mild swelling in his lower legs. Trump also passed a cognitive screening test at his April physical.

White House officials said they are releasing details of the checkup to dispel rumors about Trump’s health, which he has frequently highlighted politically while questioning the fitness of his predecessor, President Joe Biden.