Serum analyses were notable for metabolic acidosis, elevated transaminases, low serum albumin, low total protein and immunoglobulin G levels, iron deficiency anemia, vitamin D and E deficiencies, low zinc and copper levels, and hypertriglyceridemia with serum TG level 112 mg/dl (normal for age is <75 mg/dl). The gene discussed is ALB; the disease is anemia.