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As he grew, Jace had a difficult time eating due to a laryngeal cleft

Drug and Alcohol Dependence 2017 , 177 , 228236, doi:10.1016/j.drugalcdep.2017.04.012

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The order of consumption is usually: ambil (causing mouth to salivate), then mambe powder (absorbing saliva and placed in cheek pocket) and finally coca leaves (dried, chewed and added to mambe ball)