A September 2015 email from Clinton campaign Chairman John Podesta to Communications Director Jennifer Palmieri released by WikiLeaks Monday morning suggests that Hillary Clinton’s health issues may have been a regular topic in internal discussions and more extensive than her campaign admits.

“How bad is her head?” Podesta asked Palmieri in an email with the subject line “Any sense of whether and when she wants to talk?”

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“Don’t know,” Palmieri replied. “Huma left here about an hour ago. I just pinged again to ask about prep, haven’t heard back.”

The email appears to suggest concerns about Clinton’s health status were regular in emails between top aides, and could be more evidence that Clinton’s 2012 head injury may have been far worse that her campaign has maintained — either that or she injured her head again sometime in 2015.

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In another email released by WikiLeaks, Clinton aide Huma Abedin suggested one of Clinton’s speeches be shortened “because it’s a bank of Mics and no podium,” indicating the absence of a lectern may be a serous problem for Clinton.

In a 2013 email released as part of a Freedom of Information request from Judicial Watch, Abedin revealed that Clinton is prone to confusion. In that conversation, Clinton aide Monic Hanley tells Abedin that Clinton “was in bed for a nap by the time I heard that she had an 8am call. Will go over with her.”

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“Very imp [sic] to do that,” Abedin responded. “She’s often confused.” Some doctors have proposed that Clinton could be suffering from a traumatic brain injury (TBI) as a result of her 2012 concussion — and Clinton’s evident head issues, her confusion, and her apparent need to brace herself with a podium while on stage could certainly be evidence of such an injury.

According to the Mayo Clinic website, symptoms of TBI include headache, fatigue or drowsiness, sleeping more than usual, memory or concentration problems, mood changes or mood swings and “a state of being dazed, confused or disoriented.”