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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.
Ground water is often pumped from deep wells by diesel engines to irrigate the crops, or brought in by water trucks.
Khat has been grown for use as a stimulant for centuries in the Horn of Africa and the Arabian Peninsula.However, the attribution was disputed by reports showing the plant extracts from fresh leaves contained another substance more behaviourally active than cathine.