updated 01/25/2012 AT 7:05 AM ET
•originally published 01/25/2012 AT 4:30 PM ET
Long before the reported paramedics visit and late-night 911 call, before she sought professional help to treat her health issues, the people who knew Demi Moore best were desperately concerned about what had become of their friend.
The vibrant, life-loving woman they had known had been replaced with someone who was stressed out, tired and clearly not taking proper care of herself.
“Really, it was over the last year her friends saw a change,” a source recently told PEOPLE as Moore endured the breakup of her marriage to Ashton Kutcher. “She wasn’t sleeping as well, didn’t seem to be eating and looked really gaunt.”
As another source put it bluntly: “Demi is a mess.”