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NotSoLittleMermaid
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See this link.. Basically, Ghrelin is lessed when stomach pouch is tight. Sleeve or Sleev Plication (GPS) achieves that for most people. Read this link http://verticalsleevetalk.com/total-gastric-vertical-plication-sleeve-surgery/7105-calling-all-tgvp-people-new-procedure.html Also if you search under Ghrelin in WEB MD I think they have a video about the hormone. I might have put it one of my posts.