California Gov. Gavin Newsom’s office responded to the White House’s comments regarding President Donald Trump’s MRI results by publishing its own. This latest disagreement with Trump, which has seen the Californian Democrat mirror the MAGA playbook by adopting the President’s social media style, involved Newsom’s office promoting a supposed summary of Newsom’s “advanced imaging results.”

The fabricated medical letter, penned by “Dr. Dolittle,” mimicked—and exaggerated—some of the assertions made by Trump’s physician. Newsom’s cardiovascular scans were proclaimed the “best” ever documented, and his arteries were described as “shimmering.” The letter then appeared to allude to suggestions that Trump is showing signs of fatigue, stating that Newsom “completes full work days without falling asleep in meetings.” In conclusion, the mock medical report, endorsed by the “California Department of Peak Excellence,” declared that Newsom remains “the healthiest person alive and ever to live.”

Newsom’s post followed a letter from Trump’s physician, Capt. Sean P. Barbabella, detailing the President’s own “advanced imaging results.” The note indicated that Trump’s cardiovascular system “shows excellent health” and confirmed that the 79-year-old “remains in excellent overall health.”

Trump, who is the oldest U.S. President sworn into office, had undergone his annual physical—the results of which saw his doctor determine he is “fully fit” to be Commander-in-Chief. But Trump prompted renewed questions about his health when he revealed he had undergone an MRI in October during a semi-annual check-up at the Walter Reed Hospital.

When questioned by a reporter aboard Air Force One last month about why he underwent the MRI, Trump said it was part of his “standard” checks and that it was “the best result he [had] ever seen.” He further stated he had “no idea” what was analyzed during the scans.

Within Monday’s White House memorandum, which was released amidst calls for more information on Trump’s MRI, Dr. Barbabella stated the President had undergone the advanced imaging because “men in his age group benefit from a thorough evaluation of cardiovascular and abdominal health.”

Earlier this year, it was announced—amid online speculation about swelling around Trump’s ankles and bruises on his hands—that the President has “chronic venous insufficiency.” Dr. Ali Azizzadeh, professor and director of vascular surgery at Cedars-Sinai Medical Center, clarified that the condition is “a very common diagnosis” and is “not dangerous.”

However, Trump’s health was a subject of discussion long before he returned to the White House for a second term.

The topic of age and health dominated throughout the early presidential campaign between Trump and former President Joe Biden, now 83. Trump’s age became more of a focal point after Biden’s 2024 announcement, amid reports members of his party were concerned over his fitness. (Trump has since accused Biden’s former aides of improper conduct and abusing the power of Presidential signatures—claims Biden has referred to as “ridiculous and false.”)

Trump faced renewed public calls to release his medical records in 2024, after he had repeatedly vowed to do so. At that point, he had failed to deliver more than a 2023 statement that shared a screenshot of a letter from Dr. Bruce Aronwald, sharing little detail other than saying Trump was in “excellent health.” Calls for transparency from Trump’s team intensified after former Vice President Kamala Harris, after replacing Biden in the presidential race, released her own health records and urged Trump to do the same.

Since returning to the White House, Trump has shared the results of his medical examinations and has continued to boast of his great health. But he has, at times, been unable to shake lingering doubts.

Meanwhile, Trump and Newsom continue to be online sparring partners.

Newsom has notably upped the ante when it comes to trolling Trump. Earlier this year he released his own line of merchandise, a counterpart to Trump’s MAGA merchandise.

When discussing his own social media activity, which somewhat replicates the MAGA playbook, Newsom told reporters in August that he hopes it serves as a “wake-up call to the President of the United States, following his example.”

“If you have issues with what I’m putting out, you sure as hell should have concerns about what he’s putting out as President. To the extent it’s gotten attention, I’m pleased,” said Newsom, before going on to question “how have we allowed the normalization of his [Trump’s] tweets, Truth Social posts over the course of the last many years to go without similar scrutiny and notice?”