A 51-year-old male with HTN, T2DM, obstructive sleep apnea, and CKD stage-2 presented with diffuse myalgia, dry cough, and mild chills. Lab results revealed a peak CK of 464,000, AST/ALT of 715/122, LDH of >2,150, and creatinine of 2.48 with positive blood test in U/A. The patient survived. The gene discussed is GPT; the disease is chronic kidney disease.