The health of both former President Donald Trump and current Democratic President Joe Biden has become a major issue in the 2024 presidential race, as Trump leads in the Republican nominating contest. On Monday, Trump’s physician released a note stating that the former president is in “excellent health” and will continue to enjoy a healthy, active lifestyle for many years.

The note, which was posted on Trump’s Truth Social account, was released on the same day as Biden’s 81st birthday. According to the note, Trump has reduced his weight through an improved diet and daily physical activity while maintaining a rigorous schedule. The note was signed by Bruce Aronwald, an osteopath from New Jersey, but did not provide additional details about Trump’s health.

Trump’s physical exams were reported to be well within the normal range, and his cognitive exams were described as exceptional. This note was released by a different doctor than the one who produced a similar note in 2016. In that case, Trump’s physician Harold Bornstein indicated that Trump had dictated its contents.

In contrast to this recent positive assessment of his health, during the 2016 campaign, Trump had claimed that he weighed only 135 pounds (61 kg) and stood at 7 feet tall (2.13 meters), despite being overweight at the time and struggling with obesity throughout his life. This information was revealed during a wide-ranging criminal case stemming from his attempts to overturn his 2020 election defeat in Georgia.