Labs revealed a low hemoglobin of 10.6 g/dL, an elevated mean corpuscular volume (MCV) of 99.7 fL, increased red cell distribution width (RDW) of 14.6 fL (Table 1), hypocalcemia of 7.7 mmol/L, hypoalbuminemia of 2.4 g/dL, hypoproteinemia of 5.7 g/dL, elevated alanine aminotransferase (ALT) of 60 units/L, elevated aspartate aminotransferase (AST) of 105 units/L, and hyperbilirubinemia of 1.4 mg/dL (Table 2). The gene discussed is GOT1; the disease is Hypoalbuminemia.