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One or more hemorrhoidal cushions can be ligated at the same time, although increased pain, bleeding and vasomotor reactions have been reported with multiple banding during a single procedure.16,17 Image content: This image is available to view online

Lpez-Cano C, Ciudin A, Snchez E, Tinahones FJ, Barb F, Dalmases M, et al

Among patients receiving the highest dose, 95.7% lost at least 5% of their body weight, and 26.1% achieved weight loss of 30% or more

The most common side effectsnausea, diarrhea, constipationtypically improve after the first 4-8 weeks
