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In the past few decades, kava has become known throughout the world for its calming and relaxing properties. But before that, it was extensively used in the Pacific in most islands of Polynesia and Melanesia and significant parts of Micronesia, at least until the full impact of contact with Europeans in the form of colonization and missionization was felt by the inhabitants. Just as the potential therapeutic benefits of this herb in the treatment of stress, anxiety, insomnia, and restlessness began to be recognized, reports of its alleged involvement in cases of liver toxicity started appearing in the West. Consequently, the demand for commercial preparations of kava has been severely curtailed. However, its consumption in the traditional beverage form has continued unabated, both in the South Pacific and other parts of the world, as its use has never been associated with any organ dysfunction except for a scaly skin condition, called kava dermopathy, which appears in habitual consumers of excessive quantities of the drink.
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