President Trump is in “exceptional health,” the physician to the president said in a letter after his semiannual physical.

The president received the physical while at Walter Reed National Military Medical Center on Friday. He also spoke with troops while at the medical center in Bethesda, Maryland.

In a letter to White House press secretary Karoline Leavitt, Dr. Sean Barbabella, physician to the president, said Mr. Trump is in “excellent overall health.”

His “comprehensive laboratory studies performed in conjunction with the visit were exceptional, including stable metabolic, hematologic, and cardiac parameters.”

Mr. Trump, 79, has a cardiac age 14 years younger than his actual age, the letter said. The doctor wrote that the president continues to maintain his “demanding daily schedule without restriction.”

The president also got the flu shot and a COVID booster ahead of his travels to the Middle East next week.

This visit comes after the president was diagnosed with “chronic venous insufficiency in July. He was examined over concerns of swollen lower legs and bruising on his hands.

The White House statement said there was no evidence of deep vein thrombosis or arterial disease, and that the bruising on his hand is “consistent with minor soft tissue irritation from frequent hand shaking” and the use of aspirin, which he takes as part of his cardiovascular prevention regimen.

His last physical was in April, also at Walter Reed.

“President Trump remains in excellent health, exhibiting robust cardiac, pulmonary, neurological, and general physical function,” the doctor wrote at the time. “His active lifestyle continues to contribute significantly to his well-being.”

• Mallory Wilson can be reached at mwilson@washingtontimes.com.