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As President Joe Biden marked his 81st birthday amid concerns about his age and fitness, former President Donald Trump released a doctor’s note emphasizing his excellent health. Signed by Bruce Aronwald from the Morristown Medical Group, the note, received in mid-September, lauded Trump’s “overall health” but was notably brief, lacking specific details as pointed out by various journalists.

The note highlighted Trump’s potential improvement in vital signs due to weight loss, attributed to a better diet and daily physical activity amid his “rigorous schedule.” It noted his exceptional scores on cognitive tests, normal ranges for physical and cardiovascular tests, and negative results in cancer screenings. The physician opined that Trump would maintain a healthy lifestyle for years to come, credited to his interest in preventive health monitoring and maintenance.

Shared on Trump’s Truth Social platform, the note surfaced amidst Biden’s 81st birthday, overshadowed by queries regarding his fitness for the presidency. Despite questions about Biden’s age and health impacting his electability, White House Press Secretary Karine Jean-Pierre downplayed concerns, stating there was no alarm regarding these issues behind the scenes.

Both Biden and Trump are candidates in the 2024 election, with GOP primary polls positioning Trump as the frontrunner, potentially setting the stage for a rematch of the 2020 general election. However, Trump faces several criminal and civil cases in court.

Concerns about Biden’s ability to effectively lead have arisen due to instances of losing his train of thought while speaking, as well as recorded moments where he stumbled or fell. As the oldest president, Biden would be 86 at the end of a potential second term, while Trump, at 77, does not face as much age-related concern in polls as Biden does.

The White House previously released a health summary from Biden’s physician in February, stating the president was “healthy,” “vigorous,” and “fit” for presidential duties. Biden’s physician, Kevin O’Connor, mentioned treatments for various conditions including non-valvular atrial fibrillation, hyperlipidemia, gastroesophageal reflux, allergies, peripheral neuropathy of feet, and a stiffened gait.

Some Republicans have urged Biden to take a cognitive test or withdraw from the 2024 race, noting the absence of indications that he underwent such an evaluation during his presidency.