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She trains with Tsunade and she learns medical skills but by combining her medical and taijutsu she gets super strength like Tsunade
Tsunade wakes up in episode 219 just when Kakashi Hatake is about to become the sixth hokage.
She has called Tsunade: Tsunade-sama (Lady Tsunade), Hokage-sama, Godaime Hokage-sama (5th Hokage), and Shishou. (master)
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Tsunade doesn't bounce.