The White House has confirmed that President Donald Trump was taken to Walter Reed National Military Medical Center early Friday morning for what officials describe as a “routine yearly checkup.” The visit, however, has stirred fresh speculation about the 79-year-old leader’s health after months of public concern and mixed messaging from his administration.

White House Press Secretary Karoline Leavitt told reporters that the president’s hospital trip was “part of a scheduled visit” that also included a meeting with troops and remarks to military personnel. “While there, President Trump will complete his annual medical evaluation,” Leavitt said. “He will then return to the White House later in the afternoon.”

The statement was intended to sound routine. But few in Washington believe it is. Trump’s last full physical examination was conducted only six months ago, raising questions about why another “yearly” checkup was suddenly necessary. Sources close to the administration described this week’s trip as “precautionary,” though they acknowledged that the president’s doctors have been monitoring “circulatory and fatigue-related issues” for several months.