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Kate Middleton Cancels Another Appearance Because of Severe Morning Sickness, Sends Apology Note

Kate Middleton
Pregnant Duchess of Cambridge Kate Middleton was forced to cancel yet another appearance on Oct. 1 due to her hyperemesis gravidarum

Get well soon, Duchess! Pregnant Kate Middleton was forced to cancel yet another royal engagement on Wednesday, Oct. 1, due to her ongoing struggle with hyperemesis gravidarum, a form of severe morning sickness.

The event in question was for The Art Room, an Oxford-based charity that uses art therapy to help kids and teens with emotional or behavioral problems. The Duchess of Cambridge, 32, was due to launch the organization's ninth center in the U.K., the Clore Art Room at Barlby Primary School in Ladbroke Grove, West London. However, a Palace aide tells Us Weekly she was too ill to attend.

Related: PHOTOS: The Duke and Duchess' tour of Australia and New Zealand

"The Duchess of Cambridge continues to suffer from the effects of hyperemesis gravidarum and was unable to attend this event today in person. The decision to undertake engagements is being kept under review on a case-by-case basis," a Kensington Palace spokesman says.

In her absence, Prince William's wife sent an apology note to the center. "I wanted to share my congratulations with you all for the launch of the new Clore Art Room," she wrote in the letter. "I was looking forward to joining you all for this particularly special day as part of the Clore Duffield Foundation's 50th anniversary year."

Related: PHOTOS: Prince George's baby album

The message continued: "I am truly sorry that I cannot be with you all today as you celebrate this milestone. As patron of The Art Room, I feel great pride to see the work that the charity is doing. Vulnerable children flourish in the safe havens that The Art Room provides; this highlights just how important it is to support children at a time when they most need help and support."

The Duchess — who also suffered severe morning sickness during her pregnancy with Prince George — went on to thank the Clore Duffield Foundation, a U.K.-based grant-making charity, for supporting a cause "so close to [her] heart."

Related: PHOTOS: Kate as a kid

"It really is hugely exciting to look to a future with even more Art Rooms, where the lives of many more challenging and vulnerable children will be transformed," she concluded her note. "I hope that you have a wonderful afternoon. My sincere apologies for not being able to join you, but I hope that I will have an opportunity to visit Barlby and see the Clore Art Room soon."

Related: PHOTOS: The Duchess' style evolution

This is not the first event Middleton has had to miss because of her condition. The day she announced her second pregnancy, Sept. 8, she bowed out of an engagement in Oxford; later that same week, she had to skip brother-in-law Prince Harry's Invictus Games launch. She was also forced to cancel her first solo royal tour to Malta last month.

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