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Long-term use can precipitate permanent tooth darkening (of a greenish tinge), susceptibility to ulcers, and diminished sex drive.It is unclear if the consumption of khat directly affects the mental health of the user or not.However, it can reach heights of up to 10 m (33 ft) in equatorial areas.The plant usually grows in arid environments, at a temperature range of 5–35 °C (41–95 °F).A good khat plant can be harvested four times a year, providing a year-long source of income for the farmer.Addiction experts in psychiatry, chemistry, pharmacology, forensic science, epidemiology, and the police and legal services engaged in delphic analysis regarding 20 popular recreational drugs.

Khat has been grown for use as a stimulant for centuries in the Horn of Africa and the Arabian Peninsula.

The stimulant effect of the plant was originally attributed to "katin", cathine, a phenethylamine-type substance isolated from the plant.

However, the attribution was disputed by reports showing the plant extracts from fresh leaves contained another substance more behaviourally active than cathine.

Its fresh leaves and tops are chewed or, less frequently, dried and consumed as tea, to achieve a state of euphoria and stimulation; it also has anorectic (appetite-reducing) side effects.

The leaves or the soft part of the stem can be chewed with either chewing gum or fried peanuts to make it easier to chew.

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