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Made In Chelsea star Sam Vanderpump has revealed he has been diagnosed with end-stage liver disease. The 28-year-old, who is the nephew of Real Housewives of Beverly Hills star Lisa Vanderpump , joined the E4 reality series in 2024. Earlier this year, he announced his engagement to model Alice Yaxley, and the couple are expecting their first child together. However, Sam has now opened up about his devastating diagnosis during a conversation in Monday’s episode, where he spoke to Ollie Locke. He explained how he got an infection due to a genetic liver disease that left him hospitalised over Christmas last year, and his life expectancy could only be a few years without a transplant. He shared: “We had a call from the doctors and I’ve got end stage liver disease. “There is no hope of my liver getting better and he said I wouldn’t be having this call with you if I thought you could make it through the next four or five years. “They’re sending me for liver transplant assessment, so yeah.” He continued: “The way I look at it is I’m healthy now, hopefully I will remain healthy all the way up until I’ll get a call and go in for surgery and then I wake up and I’ll be healthier.” End-stage liver disease is the final stage of liver damage, when your liver is damaged beyond repair due to chronic liver disease or acute liver failure. According to the NHS, patients with end-stage liver disease can also develop kidney failure. Following Sam opening up about his diagnosis, the official account for NHS Organ Donation wrote: “You may have seen in tonight’s episode of #madeinchelsea, that one of the cast members Sam Vanderpump needs an organ transplant. Our thoughts are with Sam and his family as they face this news. We hope that his courage in speaking out will offer inspiration to others. “Sadly, thousands of people are currently waiting for a life-saving transplant because not enough people agree to donate their organs. “If you want to be an organ donor and save lives after your death, please confirm your decision on the NHS Organ Donor Register and ensure your loved ones know and support your decision.” Sam was supported by fans after sharing his health battle, with one writing: “Haven't caught up with the episode yet but seeing this post breaks my heart and makes you put things in perspective. Sam, Alice n Baby Vanderpump - I am thinking of you all.” Another said: “Sending love and prayers to you Sam, hope you get the treatment you need soon xx.” Someone else wrote: “So sorry Sam this really made me cry tonight. Best of luck,” while a fourth added: “So heartbreaking. I’m thinking of you and your family and hoping you get a donor soon.” Earlier this year, Sam revealed he was just 24 hours from death after his vital organs failed following his battle with sepsis. "Over Christmas, we went through a bit of an episode together where I got really, really ill," he shared. "I got an infection due to a genetic disease I’ve got, which led to sepsis and it ended up quite bad. I was in hospital and it was a close call; I could have died." His ordeal began by experiencing severe back pain and dehydration, which he mistook as flu-like symptoms, but his condition rapidly deteriorated, leading his girlfriend to “save his life” by calling an ambulance. Doctors had shared their concerns that if he’d been admitted to hospital just 24 hours later, it may have been too late, and his kidneys and liver could have begun to fail. Made In Chelsea airs Mondays on E4.