In a candid interview with The Wall Street Journal published on January 1, 2026, former US President Donald Trump, 79, offered a detailed look into his personal health and wellness habits. Deflecting concerns about his age and stamina, Trump asserted, "My health is perfect." However, the most startling revelation was his long-term use of a high-dose aspirin regimen, a practice that has medical experts expressing significant concern and which holds important lessons for health-conscious individuals, particularly in heart disease-prone nations like India.
The 325mg Aspirin Revelation: A 25-Year Habit
Trump disclosed that he has been consuming a full 325 milligram aspirin tablet every single day for the past quarter-century. This dosage is notably double the low-dose (81mg) aspirin commonly recommended by physicians for cardiovascular prevention. He attributed this habit to a personal superstition rooted in witnessing his father struggle with heart problems. The physical side effects are visible: easy bruising on his hands, which he acknowledged are a direct result of the blood-thinning properties of aspirin. He often covers these bruises with makeup for public appearances.
Medical professionals view this self-prescribed, high-dose routine very differently. Low-dose aspirin is sometimes advised to prevent blood clots that can lead to heart attacks or strokes, but only for specific individuals with risk factors like high cholesterol or a family history, and strictly under a doctor's supervision. The American Heart Association emphasizes that such therapy should be personalized based on blood tests and overall health profile.
Medical Risks and the Indian Context
Trump's higher 325mg dose substantially increases potential dangers. The primary risks include stomach irritation, which can develop into ulcers or internal bleeding over time. Research indicates that long-term users of high-dose aspirin can double their risk of major bleeding events. The bruising Trump experiences is a direct result of impaired platelet function, making even minor bumps cause noticeable marks.
This story resonates deeply in India, where, according to WHO data, cardiovascular diseases are responsible for a quarter of all deaths. Aspirin is widely available across the country, from local pharmacies to major hospitals. While it is a lifesaver for many patients who have already suffered a heart attack, the unchecked use of full-strength 325mg tablets—mirroring Trump's self-prescription approach—is a public health concern. In urban centers, doctors are increasingly pairing recommendations with dietary advice (like consuming vitamin K-rich foods such as spinach or methi to help balance clotting) and even genetic testing for personalized dosing. However, in rural areas, generics are often dispensed without adequate discussion of side effects.
Recent Clean Bill of Health and Lifestyle Choices
Despite his unconventional aspirin use, recent medical evaluations have shown positive results for Trump. In October 2025, he underwent a CT scan of his heart and abdomen at Walter Reed medical center. His physician, Navy Capt. Sean Barbabella, reported the scan was clear, stating his cardiovascular health was comparable to that of a 65-year-old. Official notes also confirmed good metabolic scores with no signs of plaque buildup.
When it comes to exercise, Trump is not a fan of structured gym workouts, finding treadmills boring. He prefers golf for physical activity. He also mentioned experiencing leg swelling due to venous issues, for which he tried compression socks but found them too uncomfortable to wear regularly. This contrasts with WHO guidelines recommending at least 150 minutes of moderate-intensity activity weekly to maintain healthy circulation.
The broader takeaway from Trump's health disclosures is a blend of privileged access and universal caution. While advanced scans can provide early detection, medication like aspirin requires careful, professional management. Large-scale studies, such as the ASPREE trial, have shown that healthy adults over 70 gain minimal benefit from routine aspirin intake while facing increased bleeding risks. Trump's choice, driven by personal belief, underscores a critical public health message: prevention is best achieved through science-led, personalized plans that start with low doses and involve regular check-ups, not superstition or one-size-fits-all routines.
