she gave him a necklace that her boyfriend (maybe fiance`) died wearing. It is shaped like a crystal
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because technically she is kined to Naruto because Mito Uzumaki is Tsunade's grandmother
because tsunade sent jiraiya on mission
She has called Tsunade: Tsunade-sama (Lady Tsunade), Hokage-sama, Godaime Hokage-sama (5th Hokage), and Shishou. (master)
=No, but naruto calls her grandma tsunade just to annoy her.=
She becomes the fifth hokage.