Natural coca leaf can still be bad for you if you use it enough.
Cocaine is just the highly concentrated active part of the Coca leaf, so it’s easier to consume more of it, which increases your risk of things like overdose or addiction and other associated health issues. (You still get those risks with natural coca leaf, it’s just harder to consume enough to get that effect). Additionally with cocaine, it’s processed with chemicals that can be harmful and almost always cut with other things that are bad for you.
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