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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.Ground water is often pumped from deep wells by diesel engines to irrigate the crops, or brought in by water trucks.The plants are watered heavily starting around a month before they are harvested to make the leaves and stems soft and moist.It is unclear if the consumption of khat directly affects the mental health of the user or not.The stimulant effect of the plant was originally attributed to "katin", cathine, a phenethylamine-type substance isolated from the plant.

One reason for khat being cultivated in Yemen so widely is the high income it provides for farmers.Khat is an effective anorectic (causes loss of appetite).