Norway’s Crown Princess Mette-Marit has been placed on the national waiting list for a lung transplant after her health condition worsened, the royal household announced on Friday. The 52-year-old royal, who was diagnosed with pulmonary fibrosis in 2018, is suffering from a chronic lung disease that causes scarring of the lungs and reduces the body’s ability to absorb oxygen.

According to Oslo University Hospital, the progression of the disease has become serious enough that a transplant is now required as soon as possible. Crown Prince Haakon recently cut short an official visit to Japan to return home, while their daughter, Princess Ingrid Alexandra, also travelled back to Norway from Australia following the latest health developments.

The royal family has postponed celebrations marking the couple’s 25th wedding anniversary, which had been scheduled for August. Prime Minister Jonas Gahr Stoere praised Mette-Marit for openly discussing her illness over the years, saying her transparency has helped raise awareness for others living with similar health challenges.

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