The White House physician confirms President Trump is in “excellent health,” with strong physical and neurological results from his April 2025 exam. At 78, Trump remains physically fit, abstains from alcohol and tobacco, and has lost weight since his last term.

However, Republican advisor Rick Wilson warns of possible mental decline, citing Trump’s recent incoherence and behaviors resembling early dementia. Wilson doubts Trump can serve a full future term despite medical clearances.

Veteran journalist Timothy L. O’Brien shares concerns, noting Trump’s cognitive decline mirrors that of his father and doubts Trump will actually run for a third term.

Trump’s medical disclosures have shifted from vague updates in past campaigns to more detailed, yet still incomplete, reports in 2024-25. Supporters highlight his busy campaign schedule and past cognitive test results from 2018, but no recent tests have been shared.

While doctors see no major issues, some experts and critics believe the tests don’t capture Trump’s true mental state, suggesting a decline is evident in his public behavior.