TNF and nutritional deficiency disease: Based on assessed malnutrition scores (SGA scores), a significant increase in the levels of AST, ALT, TNF-α, AFP, bilirubin, and INR and a decline in the values of BMI, WHtR, albumin, and platelet counts were reported in CHC patients with moderate (B) and severe (C) SGA scores compared to those who had normal diets (Table 2).