Muscle mass: SMI at L3 (by CT scan) did not change after IMD-HWP intervention.Nutritional parameters: No difference between the groups in BCAA, total lymphocyte count and zinc except for the level of prealbumin at the third week of intervention.Infections: The incidence of bacteremia was significantly lower in the IMD-HWP group than in the control group.Rejection: The incidence of ACR did not differ between the groups. Here, TTR is linked to infection.