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According to ShowBizSpy, Lady Gaga is considering going under the knife.

An insider said, “It seems GaGa can barely get through a concert without blacking out during a break or even collapsing on stage. She’s running on empty and not taking proper care of herself at all. She’s desperately unhappy but keeps talking about having thousands of dollars worth of plastic surgery. She really thinks that could fix everything. She’s in a really bad way right now. She puts up such a guard that no one ever really knows what she’s feeling. She thinks she looks too manly and spends hours looking at herself. She’s thinking about a whole host of cosmetic procedures, including a nose job, cheek implants, boob job and thigh and bum lift. She’s completely preoccupied with overhauling her looks.”

The insider added, “Everyone’s worried about her and is begging her to take a break and get some perspective and work on her self-confidence. She could be relaxing, but she won’t slow down. Her amazing work ethic has got her to where she is today, but I don’t think she realizes she can ease her foot off the gas now that she’s such a success.”