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I think it's his back, most likely the back and will be getting some sort of surgery like how Chris Weidman got that's my best bet.
In the past he said he had problems sleeping and finding a good position and the pain being to much and stuff like that he did fuck around with some surgeries but nothing to intrusive but I think he needs one hence why he is booked right after the fight to handle it and hopefully be as close as possible to the Stipe date if not I'm sure Dana and the new brass will skip his ass in no time.
I think Stipe will be looking for a fight in April or May hopefully it will be against Cain.
Then I'm not sure how bad it it's for Cain in the fight. Not sure how much it will take from him.