It's most likely the only feasible explanation because he proved how much blood he can lose without going unconscious back in Thriller Bark. Basically the reason why he fell unconsciously has to be mostly related to his hunger and hunger probably didn't kick in immediately but was a process.
It most likely didn't kick in right after, it was kicking in the entire time logically. But the injury overall played a small part most likely and I explained you why by highlighting the TB example once again.
That's clearly outright wrong.
Just looking at how massive his blood loss was on Thriller Bark, way more massive than his loss against Kamazo. And Kamazo's didn't even seem to hit an area particularly critical guts wise.
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