Tiger King star Joe Exotic says he’s had to be taken to the hospital 43 times since he’s been in prison.

The star has cancer.

“I’m losing weight real bad and the sores in my mouth are unbearable to live with all the time. But you know, in the three-and-a-half years that I’ve been in custody, I’ve been taken to the hospital 43 times,” he said on Nightline. “I have little to no immune system and then they have to give me blood infusions every four weeks. Juju, I don’t see me walking out of here alive.”