Puffy-faced Vladimir Putin is facing more health issues after he was spotted struggling to stay awake.
The deranged dictator could barely hold his head up during a meeting with his Defence Minister Sergei Shoigu on Tuesday.
He is rumoured to have thyroid cancer and health experts say that drugs used to treat the condition could explain the despot’s puffy face.
READ MORE: Putin's descent from strongman to 'feeble cancer victim' took just 3 years, pics show
The 69-year-old is known for working hard to maintain a masculine, hardman appearance – but his steady decline has unfolded in front of the world’s media.
He mumbled a half-hearted congratulations to his soldiers before making the deluded claim they had “liberated” the eastern region of Luhansk in Ukraine.
The former KGB man added: "Other military units, including the East group and the West group, must carry out their tasks according to previously approved plans."
Professor Angus Dalgleish of St George's, University of London, previously told The Mirror that Putin appears to be taking steroids.
He explained: "We hear all the things that people say about him such as him losing his temper quickly and he's very frustrated so I think that he's clearly been on anabolic steroids."
The medical expert claimed behaviour such as posing bare-chested on horses is a sign of narcissism, after the famous photo of the Russian President on a ride was mocked by Western leaders.
He added: "Those sorts of people are likely to be taking anabolic steroids.
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"He's had that really bad back pain so he's likely to be taking opiates, they can also make you dumb and aggressive."
It’s not the first time questions have been raised over Putin’s health.
Clips from earlier this year showedhim resting his arms on a table and shaking as he speaks, which led to suggestions that Putin himself is aware of his deteriorating health and that this is one of the reasons for his brutal invasion ofUkraine.
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