Happy birthday Mette-Marit! On Monday, the Norwegian princess marked her 51st birthday, however while she and her family will no doubt be celebrating, it's unlikely there will be any wild partying.
This is because in October 2018,the royal was diagnosed with pulmonary fibrosis, a condition which has forced her to take a step back from royal life.
Mette-Marit married into the royal family in 2001, and quickly won the hearts of the nation with her commitment to Norway. She has two children with Crown Prince Haakon, Princess Ingrid and Prince Sverre, and a son, Marius Borg Høiby, from a previous relationship.
Health condition
Pulmonary fibrosis is a rare lung disease that causes scarring and thickening of lung tissue, which makes it harder for oxygen to get into the bloodstream, causing breathing difficulties.
Prior to her diagnosis, Mette-Marit admitted to having "health challenges on a regular basis". She was forced to cancel an engagement the previous year due to vertigo, telling a Norwegian radio station: "I turned my head quickly, and it was like the whole world began to move. I began to sweat and felt nauseous – I thought I'd started early menopause."
The disease is incurable and progressively worsens over time, but the royal's doctor, Professor Kristian Bjøro at the National Hospital, has been monitoring the progression of the disease over the years and says: "The development of the disease over this period has been slow." He is also confident that collaboration with medical teams abroad and the crown princess's participation in treatment trials will help with the disease.
What Mette-Marit has said about the diagnosis
At the time, Mette-Marit said: "Although such a diagnosis will at times put limitations on my life, I am glad that the disease was discovered so early. My goal is still to work and participate in official programs as much as possible."
Since then, she has admitted the toll the condition takes on her: "I am exhausted faster than before, so today I have to take more care of myself than I did before." The mother-of-three has also said she finds it difficult to talk about her diagnosis.
How the Crown Princess is managing the disease
Mette-Marit takes medication to manage the symptoms of the disease. The Norwegian Royal Court also revealed that she is being continually monitored by medical professionals.
For Mette-Marit, listening to her body and acknowledging its needs has helped: "I am now allowed to decide my everyday life in a completely different way, and it feels very good for me. Being able to let my days be guided by how I feel is one of the things I find good about being sick."
The pace of her life has now dramatically changed from royal life: "I can take a walk, spend time reading and live much slower."
What about her royal duties?
In September 2023, Crown Princess Mette-Marit was forced to postpone royal engagements for a period of sick leave. This follows a similar pattern since diagnosis, where the royal has been notably absent from many royal events while she manages the disease.
The crown princess was notably absent from the traditional family portrait last Christmas.
The impact on Norway's royal family
Prior to Mette-Marit's diagnosis in 2018, the crown prince and princess were preparing to take on further responsibilities from her father-in-law King Harald V. He is the oldest ruling monarch in Europe aged 86 and likely holding out on passing more royal responsibilities to the couple due to his daughter-in-law's ill health.