President Joe Biden is “fit for duty,” his doctor said Thursday after an extensive annual medical check-up that found some relatively minor issues but said he was clear of serious physical and neurological problems.

“President Biden remains a healthy, vigorous, 80-year-old male, who is fit to successfully execute the duties of the Presidency, to include those as Chief Executive, Head of State and Commander in Chief,” Biden’s physician, Kevin O’Connor, said in a letter published by the White House.