() President Donald Trump’s physical results have been released after a check-up at Walter Reed National Military Medical Center Friday.

In a letter to White House Press Secretary Karoline Leavitt, Trump’s doctor said the president is in “excellent overall health … exhibiting strong cardiovascular, pulmonary, neurological, and physical performance.”

Trump, 79, got flu and Covid shots at his evaluation, which comes ahead of a visit to the Middle East Monday. His cardiac age was found to be 14 years younger than his actual age, the doctor said, and the president continues to maintain his demanding daily schedule without issue.

Friday’s visit was the second time Trump has had an exam at Walter Reed so far this year. He last underwent a routine exam in April, after which his physician said he was in “excellent health.”

The latest physical comes after Trump was diagnosed with chronic venous insufficiency in July, a common condition when veins in the arms or legs get damaged.

This makes it harder for blood to travel back to your heart and it instead collects in the arm or leg veins, according to UC Davis.

The press secretary said at the time that doctors attributed bruising on Trump’s hands to “minor soft tissue damage” that is common with frequent handshaking and regular aspirin use.