WWE Universal Champion Roman Reigns broke the news tonight on Monday Night Raw that his battle against leukemia has returned. The “Big Dog” has struggled with the blood-based cancer before, but was given a clean bill of health in 2008 when doctors officially confirmed that the disease was in remission.

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Reigns announced that he will be taking an indefinite leave of absence from WWE, and therefor will have to relinquish the WWE Universal Championship.

WWE has issued the following statement:

STAMFORD, Conn., October 22, 2018 – Tonight on Monday Night Raw, Roman Reigns (aka Joe Anoa’i) announced that he is relinquishing the WWE Universal Championship and taking a leave of absence from WWE as he once again fights leukemia, which had been in remission since late 2008. Reigns is taking his battle with leukemia public in an effort to raise awareness and funds for research in order to advance cures for the disease.