Routine laboratory investigations showed a serum total bilirubin (T-Bil) of 4.6 mg/dL, aspartate aminotransferase (AST) of 50 IU/L, alanine aminotransferase (ALT) of 35 IU/L, albumin of 3.3 g/dL, a prothrombin time-international normalized ratio (PT-INR) of 1.36, and platelet count of 3.7 × 104/μL and her initial Child-Pugh and model for end-stage liver disease scores were 11 and 16, respectively. The gene discussed is GPT; the disease is End Stage Liver Disease.