A 36-year-old male presented to the gastroenterology outpatient clinic at a tertiary hospital after referral from his family doctor. He was referred for further investigation of long-standing normocytic anemia, first observed 12 months earlier with a hemoglobin concentration of 115 g/L (reference interval 135–180), a mild increase of serum alanine aminotransferase to 49 U/L (0–45), a raised serum ferritin of 1166 µg/L (25–320), generalized lethargy, unintentional weight loss of 10 kg over the previous 12 months, and symptoms of gastroesophageal reflux.