Laboratory findings were significant for megaloblastic anemia with a hemoglobin of 10.6 g/dL, hypoalbuminemia of 2.4 g/dL, transaminitis with alanine aminotransferase (ALT) of 60 units/L, and aspartate aminotransferase (AST) of 105 units/L, and deficiencies in niacin and vitamin D at less than 20 ng/mL and 12 ng/mL, respectively. The gene discussed is GPT; the disease is Hypoalbuminemia.