Woozy Madonna looks bleary-eyed after a night out in London

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Either way, the 48-year-old Queen of Pop looked woozy and unsteady after a night out with husband Guy Ritchie at Claridge's restaurant in central London.

Guy had to lead her by the arm to their 4x4 where she appeared to slump bleary-eyed in the passenger's seat before being driven away.

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The Queen of Pop looks distinctly bleary-eyed as husband Guy Ritchie leads her to their car

An onlooker said: "She didn't seem totally with it. I don't know if she'd been drinking or if she was just tired, but she wasn't all there."

Madonna is renowned and admired for her rigorous fitness programme of pilates, yoga and up to 400 sit-ups a day.

It is also believed she uses a £7,000 vibrating platform called the "Power Plate" which offers the same benefits of an hour-long gym work-out in 15 minutes.

Last month Madonna was pictured in New York showing off her bulging biceps in a vest top.

It was thought she had been working out especially hard to make sure she was in peak condition for her performance at Live Earth, which turned out to be one of the event's highlights.

Perhaps she was just really, really - really - tired. With her punishing exercise regime, who wouldn't be?

But if Madonna had been letting her hair down it would be a welcome respite from the ongoing process of adopting Malawian baby David Banda.

The star is reportedly "dreading" the visit from African welfare inspectors next month who will decide if the star can formally adopt the 22-month-old child.

The row has been rumbling on since October last year when Madonna was granted an interim adoption order on the child, whom she hand-picked from an orphanage, and flew him to England.

There he joined film-maker Ritchie, 38, their son Rocco, seven, and her daughter Lourdes, ten, by her former personal trainer.

What with all that and constant speculation she is to collaborate with pop star Justin Timberlake on her new album, who can blame her for cutting loose?