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This woman worked her way along the beach all day. When the waves came in, the sand would loosen and she'd fish around for these thumbnail-sized clams which she then popped into her mouth. She'd get about two or three clams per wave. I think they went into her mouth so the clams would open up and spit out any sand they were carrying and then wouldn't be gritty to eat. After a few minutes in her mouth, she'd spit them into that green bag she's carrying around her neck. I helped her out for a while in exchange for the photo. Phu Quoc, Gulf of Thailand - Vietnam