19 down
Take
end
from
communion
wafer
–
on
reflection,
an
exaltation!
(7)
Take end from communion wafer – on reflection, an exaltation! (7)
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The definition is at the end of the clue.
How the clue works
An exaltation is the definition. Start with HOST (communion wafer) and take off its end to get HOS, then add AN followed by AN reversed ("on reflection") to give NA, building HOS-AN-NA.