The Eucharist is at the center of Orthodox Christianity. In practice, it is the partaking of the Body and Blood of Jesus Christ in the midst of the Divine Liturgy with the rest of the church. The bread and wine are believed to become the genuine Body and Blood of the Christ Jesus through the operation of the Holy Spirit. The Orthodox Church has never described exactly how this occurs, or gone into the detail that the Roman Catholic Church has in the West.
Communion is given only to baptized and chrismated Orthodox Christians who have prepared by fasting, prayer and confession. The priest will administer the Gifts with a spoon, called a "cochlear", directly into the recipient's mouth from the chalice. From baptism young infants and children are carried to the chalice to receive Holy Communion.
Because of the Orthodox understanding of man's fallen nature in general those who wish to commune prepare themselves in a way that reflects man in paradise. First, the individual prepares by having his confession heard and the prayer of repentance read over him by a priest. The person will increase their prayer rule adding the prescribed prayers in preparation for communing. Finally, the person will fast completely from food and drink from the evening of the previous day (usually sunset on Saturday if communing on Sunday).
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