Randy Jackson has been dealing with significant health issues primarily related to type 2 diabetes, which he was diagnosed with in 2002. At the time, he weighed around 350 pounds. To manage his condition and improve his health, he underwent gastric bypass surgery in 2003, which helped him lose about 100 pounds

. Despite his weight loss and efforts to manage diabetes through diet and exercise, fans have recently expressed concern about his appearance, noting that he looks much thinner and sometimes less energetic than before. Some observers have even worried that he might be ill due to his dramatic weight loss and changes in demeanor

. In addition to diabetes, Randy Jackson has had other health challenges, including spinal surgery in 2019, and he has been seen using a cane at times while recovering

. He has been open about his health struggles and has worked to help others through his company Unify Health Labs, which supports people in their health journeys

. In summary, the main health issues affecting Randy Jackson are his long-term battle with type 2 diabetes, significant weight loss following gastric bypass surgery, and spinal problems requiring surgery. These have contributed to changes in his physical appearance and mobility, which have caused concern among fans