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MADONNA's representative has denied reports the pop superstar is suffering from ill health, despite shocking pictures showing the singer looking gaunt and frail.
The 49-year-old was snapped leaving the Kabbalah Center in New York on Friday night looking worryingly thin with visibly sunken cheeks.
But Madonna's spokeswoman, Liz Rosenberg, has put the weightloss down to the gruelling rehearsals for her upcoming world tour - and insists the Holiday hitmaker is perfectly healthy.
She says: "I just think the photographer got a bad shot of her or it was touched up to make her look bad.
"I saw Madonna two days before... and she looked amazing - glowing skin and working really hard on her show.
"She may look a little thinner than usual but she was dancing and singing better than ever and ate a nice healthy meal."