Demi Moore and Ashton Kutcher left their home together.

Ashton Kutcher appears with his distraught and thinner than ever wife, Demi Moore, for the first time since their marital problems became public.

Demi Moore, 48, and Ashton Kutcher, 33, kept their distance as they left their Los Angeles home, apparently on the way to a counselling session at the Beverly Hills centre for the Kabbalah religious group.

Demi Moore’s skeletal frame caused a sensation last week when she appeared alone at Margin Call movie premiere in New York. Fears are growing that her dramatic weight loss could cause permanent damage to her health.

There are reports suggesting that claims of Ashton Kutcher’s infidelity have led Demi Moore to starve herself.

A friend told a U.S. magazine:

“She’s very upset and hasn’t been eating.”

“It’s taking its toll.”

Demi Moore’s appearance has quickly deteriorated since news of Ashton Kutcher’s alleged affair with 22-year-old Sara Leal broke at the end of last month. Ashton Kutcher is accused of sleeping with the Texan beauty after a hot-tub party at Hard Rock Hotel in San Diego on the weekend of his sixth wedding anniversary. Since then, Ashton Kutcher and his wife Demi Moore have reportedly spent most of the time apart, he in Los Angeles and she in New York.

Demi Moore already had two broken marriages behind her – to songwriter Freddy Moore and actor Bruce Willis – when she wed Ashton Kutcher six years ago.

The actress has three daughters Rumer, 23, Scout, 20, and Tallulah, 17, from her marriage to Bruce Willis, which ended in 2000 after 13 years.

Demi Moore is said to have contacted a divorce after the scandal broke, but she was seen with Ashton Kutcher visiting a Kabbalah camping on Yom Kippur.

If Ashton Kutcher and Demi Moore’s marriage does end in divorce, the couple could be battling it out in a bitter $290 million split.