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A report in the New York Post claims that Playboy founder and pop culture icon Hugh Hefner is very ill and that his loved ones are preparing for the worst.

Hefner, who is rarely seen in public these days and who recently completed a sale of the Playboy Mansion (which allows him to remain living on the grounds), has allegedly lost a considerable amount of weight in the past several weeks.

“He looks like he is down to around 90 pounds and supersick. His people are really trying to keep this under wraps,” Page Six reports. “You even have to sign a confidentiality agreement to go up to see him.”

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In recent years, reports had circulated that Hefner is constantly joined by a team of nurses and that he rarely leaves his room at the mansion.

Despite these allegations, representatives for Hefner refuted the claim when contacted by the New York Post.

“Hugh Hefner is fine. It is no secret that over the past few years he has suffered with back pain that has made it a bit more challenging for him to get around, but at 90 years of age he is enjoying his life and still very involved in the day-to-day activities of editing the magazine,” a spokesman said.

Hefner’s once active social media accounts have slowed down as well.

His Twitter page posted only three things in almost four months — a remembrance of Muhammad Ali after his death, an op-ed ostensibly written by Hefner, and then a photo of the Playboy creator in August.