President Donald Trump’s doctor has recommend that he lose some weight, but said that the president is in excellent physical and mental health otherwise.

Speaking in the White House briefing room Tuesday afternoon, White House physician Dr. Ronny Jackson described the results of four hours of physical and mental health testing on Friday.

“The president’s overall health is excellent,” he said, adding “there’s no indication whatsoever that he has any cognitive issue.”

Jackson, who served presidents George W. Bush and Barack Obama as well, said he recommended that Trump lose 10 to 15 pounds over the next year through alterations in diet and exercise. Trump currently weighs 239 pounds, which at 6-foot-3 puts him just under the technical definition of obese under the body mass index, or BMI.

“He would benefit from a diet that is lower in fat and carbohydrates and a routine exercise regimen,” Jackson said, but acknowledged that Trump is famously averse to exercise. “He’s more enthusiastic about the diet part than the exercise part,” he said, joking that he may bring First Lady Melania Trump on board to make sure her husband sticks to a diet and workout plan.

These periodic health evaluations are arguably particularly critical for Trump, who at age 71…