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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

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Vinue A, Navarro J, Herrero-Cervera A, et al

When this happens, your empty stomach sends a hormone called ghrelin to your brain to say, "I'm hungry!"The brain responds by releasing growth hormone into the rest of your body, where it regulates growth and metabolism in your many cells, tissues, and organs