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The doctor uses a device known as a ligator inside the rectum (above the border of sensitive anal canal skin) to suction the loose tissue at the base of the hemorrhoid into a small cup around which a tiny rubber band is placed, leaving a small firm ball of tissue about the size of a blueberry

Each patient receives a customized titration schedule: most users begin at a low dose and increase gradually over weeks to minimize gastrointestinal side effects while maximizing weight loss

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Every time you puncture the rubber stopper to draw a dose, you introduce a microscopic pathway for potential contamination

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Time your injections consistently same day, same time each week helps maintain steady-state levels