Case Presentation: A 50-year-old man with chronic alcohol use (10 beers per week) presented with three months of malaise, lower extremity edema, and 20-pound weight loss. Physical exam revealed jaundice, macroglossia, 2/6 apical systolic murmur, lung crackles, abdominal distension, and bilateral lower extremity pitting edema. Initial labs were notable for hemoglobin of 2.3 g/dL, MCV [...]