President Joe Biden was deemed “fit for his duties” after he underwent his annual physical Friday morning at Walter Reed Medical Center.

After the physical was complete, his physician Dr. Kevin O’Connor wrote in a memo the president “remains fit for duty, and fully executes all of his responsibilities without any exemptions or accommodations.”

O’Connor singled out two areas for a detailed investigation an “increasing frequency and severity of “throat clearing and coughing during speaking engagements” and Biden’s abnormal walking.

Both have been noticeable since he has taken office and in a six-page summary, O’Connor said Biden has arthritis in his spine and normal wear and tear damage his someone his age. O’Connor said it was not severe enough to warrant any treatment.

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His neurological exam showed no signs of stroke, multiple sclerosis or Parkinson’s. Biden also received a colonoscopy which required him to be put under anesthesia, which meant that power was temporally transferred to Vice President Kamala Harris, making her the first woman to assume presidential power for 85 minutes.

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