“His demanding daily schedule, including multiple high-level meetings, public engagements, and regular physical activity, continues to support his overall well-being,” Barbabella wrote. Trump also underwent the Montreal Cognitive Assessment, a widely used screening tool for cognitive impairment and dementia. According to his physicians, he scored a perfect 30 out of 30 – matching the results reported during examinations in 2025 and 2018.

Cognitive Performance and Medical Metrics

“Cognitive and physical performance are excellent. He is fully fit to carry out all duties of the Commander-in-Chief and Head of State.” He takes three medications, two for his cholesterol and Aspirin. @townhallcom pic.twitter.com/k9wt7fdCFT – Cameron Arcand (@cameron_arcand) May 30, 2026

The report also highlighted significant improvements in Trump’s cholesterol levels. His total cholesterol measured 143, down dramatically from 223 in 2018. Doctors attributed the improvement in part to medications including rosuvastatin, which helps lower LDL (“bad”) cholesterol while increasing HDL (“good”) cholesterol, and ezetimibe, which further reduces LDL levels.

The examination, which Trump described as a comprehensive physical, marked the fourth publicly disclosed medical evaluation since returning to office for his second term. The release comes as the administration seeks to demonstrate the president’s health and fitness heading into a critical midterm election cycle. Presidential health disclosures have long been a matter of public interest, though there is no legal requirement that presidents release complete medical records.

Presidential Health and Political Context

Trump, who turns 80 next month, was the oldest person ever elected president at the time of his election. His predecessor, President Joe Biden, left office at age 82 after ending his 2024 reelection campaign amid widespread concerns about his age and fitness for another term. Biden failed miserably in his lone debate against Trump in June 2024, showing what many said were obvious signs of mental cognitive decline. He dropped out of his reelection bid not long afterward and endorsed his vice president, Kamala Harris, much to the chagrin of many in the Democrat Party who preferred to have a primary.