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No need for the MTV staffers to load up on band-aids and antibiotic ointment, as Amy Winehouse has pulled out of performing at this year's MTV VMAs. After canceling her North American tour, a representative for Amy tells Us Weekly:

"In a continued effort to support Amy Winehouse's well being, in addition to the postponement of her U.S. tour, all other U.S. appearances have been canceled."

Amy has been on the crazy train for weeks now. The most recent nuttiness? Pictures were published of the singer and her hubby, Blake Fielder-Civil, cut and bloodied, after some sort of domestic dispute. According to sources, Amy and Blake are currently vacationing in the Caribbean.

They really should try vacationing, um, I don't know, say, IN REHAB?

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