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Fans of Missy Elliot have been waiting six years for a brand new album, and now they know why. On Thursday, the rapper and producer unveiled that she is enduring Graves’ Illness, a disease that affects the autoimmune system and thyroid gland.

Elliott told Men and women magazine the sickness had made even straightforward, day-to-day tasks hard for her. “I couldn’t write because my nervous system was so poor - I couldn’t even use a pen,” she stated.