They use many routes, some that come across the border(that 'camp' in Arizona a few years ago...) are used for this but they are the minority by far, these people have captive 'breeding-stock' and programs for their adrenochrome production.

Think about it(as horrendous as it may be to think about), how many times do you think a kid will survive the torture and blood-letting, how often do adrenochrome addicts have to get a fix, how many of them are there likely to be....

It's likely that just one of these fuckers go through one or more kids every year just for adrenochrome alone................

The 'natural' kids that they procure are more than likely for sex and sacrifice(because they have experienced life and freedom so there is more there to take from them and sacrifice...)

It's an unfortunate(or perhaps fortunate..) reality that most people even here are incapable of wrapping their heads around the actual realities involved in this...