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"If elected, Mr. Trump, I can state unequivocally, will be the healthiest individual ever elected to the presidency," Bornstein wrote.
Asked how he could justify the hyperbole, Bornstein said, "I like that sentence to be quite honest with you."
The doctor said he would not normally use such over-the-top language in a letter for a patient but he made an exception for Trump.
"I think I picked up his kind of language and then just interpreted it to my own," he said.
Bornstein didn't talk politics but said he's a fan of his patient.
"I like Donald Trump because I think he likes me," he said.