Madonna has canceled another show on her “Madame X” tour, as she continues to battle an undisclosed medical condition.

The tour which started in September has had numerous setbacks, delays, and cancellations. The latest setback happened in Lisbon, where she canceled her January 19th & 22nd concerts there. The 61-year old superstar told fans on Instagram that she was forced to cancel the show for medical reasons.

“Sorry I had to cancel tonight,” she told her 14.7 million followers Sunday night. “But I must listen to my body and rest!”

In total, the tour has had nine canceled dates so far. Previously canceled dates include shows in New York City, Los Angeles, Boston, Miami, and Paris, citing production issues, injuries, and scheduling limitations as the reason.

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-Intern Brandon