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Tuak is a traditional alcoholic beverage in North Sumatera area, especially in Batak Toba, containing 4% alcohol. Tuak made from coconut or palm stem and taken water then mixed with raru. Drinking tuak is part of tradition that has become hereditary in the village of Bukit Selamat and very difficult to remove from the customs of society. Though alcohol can cause serious health effects of drunkenness, weight gain, high blood pressure, decreased immune system, cancer, heart disease, respiratorydoi:10.33087/jiubj.v19i3.725 fatcat:quwwhg6g6raoziilvquoez3k7i