Waco, Texas ? President Bush’s doctors pronounced him in excellent health after his annual physical examination Saturday and said a calf strain that had slowed his running regimen had healed.

The summary of the physical declared Bush “in excellent health and fit for duty.”

“All data suggests that he will remain so for the duration of his presidency,” said the doctors’ report released just as Bush arrived in Texas for a monthlong stay at his Crawford ranch.

The president has resumed his running routine after recovering from a muscle tear in his right calf in April that forced him to give up his seven-minute-mile runs for several weeks. He has gained 5 pounds since his last physical, to 194. But doctors said his body fat was unchanged at 14.5 percent and that the additional weight was muscle.

The doctors called the calf injury “resolved,” but urged him to continue a stretching and cross-training program. Bush spokesman Scott McClellan said Bush was “doing a lot of stretching.”

A fitness buff, the 57-year-old Bush ran between two and three miles on a treadmill as part of his physical Saturday. McClellan said the president’s time was about 7 1/2-minutes per mile.

Bush runs three days a week and supplements that with a “water jog” once a week in the White House pool. He also uses an elliptical trainer for 25 minutes, three times weekly, and exercises his upper body by lifting free weights twice a week.

Presiding over the medical exam were White House physician Dr. Richard Tubb and Dr. Kenneth Cooper, president of the Cooper Aerobics Center. They also oversaw Bush’s previous two physicals.

The president had several small skin growths treated as a preventive measure, the doctors said after examining Bush for about 3 1/2 hours at the National Naval Medical Center in Bethesda, Md. Those included vascular lesions, also known as nasal telangiectasias. The condition is common in people with sun damage and appear on the surface of the skin. Bush had them around his nose.

Bush also had four small lesions removed from his cheeks and arm with liquid nitrogen. The potentially cancer-causing skin lesions, a common condition known as actinic keratoses, are caused by exposure to the sun.

Bush is using his ranch as a base of operations for the month of August. He planned a series of day trips to attend political fund-raisers around the country.

President Bush and First Lady Laura Bush board Air Force One at Andrews Air Force Base, Maryland, as they depart for their vacation in Crawford, Texas. Bush left for the monthlong trip Saturday after receiving a clean bill of health from his doctors at his annual checkup.