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OMG, is it that her face is swollen? WOW, i hate to c Courtney like this. Without a doubt drugs is dramatically taking it's toll. It's time to quit Courtney, you can do it.We still love you. Anything it takes you can do it. You are a beautiful soul :) DONT GIVE UP!
Plotting your husband's death does take a toll on your appearance.
I love you Courtney!!!!!!!
she IS 44, she looks only slightly worse than most ppl without makeup who are almost in their fifties, which isnt that bad considering what she's put her body through
Looks a bit like Madonna in this pic (Minus the obsessively exercised arms).
OUCH! Chewed up and spit out.
Public Service Announcement to all kids: This is what heroin does to your body.

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Oh my god. Is it Halloween already?