Over the last year, President Donald Trump gained four pounds, according to an assessment by his doctor. This makes him technically obese. However, his doctor, Sean Conley, insists that the President “remains in very good overall health” according to a memo released by the White House this week. Trump critics pouring over the numbers find very little to indicate his “very good overall health.”

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Trump stands at 6-foot-3. Last year his doctor found that he weighed in at 239 pounds. Now he’s currently at 243 pounds. According to the Center for Disease Control and Prevention, a body mass index over 30.0 qualifies as obese. Based on his reported weight and height, Trump falls into this category with a BMI of 30.4. This puts the president at an increased risk of diabetes, stroke and heart disease.

Doctors last year recommended that the President lose 10 to 15 pounds and put him on a diet plan. The oldest president in U.S. history is a stark contrast from his predecessor. Barack Obama exercised regularly and helped his wife Michelle promote healthy eating habits. Trump is known for drinking diet cokes and consuming steak and fried food when possible. He also avoids exercise.

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Still, physicians declared the 72-year-old to be in “very good health” following a four-hour physical examination at Walter Reed National Military Medical Center. 11 specialists took part in the exam. However, the White House did not release any results aside from what Conley detailed in his memo.

Going off of those stats, Trump seems to be on the unhealthy side. His “bad” cholesterol clocked in at 122 milligrams per deciliter. The CDC recommends for that number to be under 100. Trump has struggled with high cholesterol and is on medication for it. His blood pressure is normal, at 118/80 mmHg but that’s also at the high end of the CDC’s recommendations.

Conley added that Trump’s, liver, kidney and thyroid functions, as well as his electrolytes and blood counts, were all normal.

Previous White House physician, Dr. Ronny Jackson was mocked for saying the president was in “excellent health.” Trump later nominated Jackson to be Veteran’s Administration Secretary, but was forced to withdraw the nomination after allegations of misconduct by Jackson were publicized.

During the 2016 campaign, the personal physician of the president released a statement on his health which was heavily scrutinized. Dr. Harold Bornstein wrote, “If elected, Mr. Trump, I can state unequivocally, will be the healthiest individual ever elected to the presidency.”