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Empress Emerita Michiko has been in poor health since mid-September, vomiting multiple times and losing weight, with stress seen as one of the possible causes, the Imperial Household Agency said Friday.

The 85-year-old former empress underwent breast cancer surgery in early September and has since been receiving hormonal treatment. The agency said post-surgery treatment is not suspected to be behind her vomiting, which included a small amount of blood.

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