I know she is younger than I am but this photo makes her look older than I am. I think she is way too thin and it is not helping her at all. I hope she can put some weight on so she can look normal again. I think if she stays like this she is going to go to a early grave.
Is that really how she looks now or was that photoshopped? If its real this might be because she is taking it rough after the divorce.
The photo has not been edited, she is just getting old and together with a heavy exercise regime that's how you look. Probably it may look like she is unhealthy but it may be all the opposite. Here is another one from the Inquisitor (maybe she is pushing herself too much):
Madonna what are you thinking? (Hover)