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Khat users describe the effects of Khat to include: Euphoria or feelings of well-being Increased alertness and arousal followed by loss of energy and/or insomnia Loss of appetite Mood swings aggressiveness or anxiety Manic behaviour, in some cases paranoia or psychosis Lack of concentration Increased blood pressure and breathing rate Increased heart rate Prolonged use of Khat can lead to physical problems such as chronic migraines, dry mouth, heart problems, bronchitis, tooth or gum disease, anorexia, and liver problems

For many studies they completely ignored measuring drinking patterns." Another issue is that most alcohol-related studies are observational that is, they can show an association, but not cause and effect

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