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As such, these data indicate a dispensable role for ghrelin in the regulation of feeding and bodyweight, and that the role of ghrelin in increasing feeding drive may be limited to fasting conditions

In total, 98.0% of the patients completed the trial and the vital status was known at the end of the trial for 99.6%

The short answer is: maybe

A large bruise on the abdomen without any known trauma, repeated bruises in multiple areas, or bruises that appear after minimal contact should prompt a closer look