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99; 95% confidence interval, 0.56-1.76; P= .97). TDF use was not associated with reduced bone mineral density or increased rates of fractures in LT recipients compared to controls in this study. TDF use was not associated with reduced bone mineral density or increased rates of fractures in LT recipients compared to controls in this study. The relationship between nutrition and liver disease is relevant for the outcome after surgery. Patients with liver cirrhosis characteristically show protein-energy malnutrition with decreased levels of