<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 34-year-old man comes to the physician because of foul-smelling diarrhea, fatigue, and bloating for 6 months. During this time, he has had a 5-kg 11-lb weight loss without a change in diet. He has type 1 diabetes mellitus that is well-controlled with insulin. Examination shows conjunctival pallor and inflammation of the corners of the mouth. The abdomen is soft, and there is diffuse tenderness to palpation with no guarding or rebound. His hemoglobin concentration is 10.4 gdL. The patient undergoes upper endoscopy. A photomicrograph of tissue from an intestinal biopsy is shown. Which of the following is most likely to improve this patients symptoms?? A: Treatment with ceftriaxone, B: Avoidance of certain types of cereal grains, C: Surgical resection of the colon, D: Reduced intake of milk proteins, E: Supplemention of pancreatic enzymesn,  <response>: This is a patient with chronic diarrhea, weight loss, fatigue, and abdominal symptoms concerning for malabsorption. The history of type 1 diabetes mellitus provides important context. The physical exam shows signs of anemia and oral inflammation concerning for nutrient deficiencies. The hemoglobin is low, also indicating anemia. The biopsy shows blunting of intestinal villi, which is consistent with celiac disease. Celiac disease is an autoimmune condition often associated with type 1 diabetes in which gluten triggers an immune reaction leading to damage of the small intestinal mucosa. This results in malabsorption and diarrhea. The treatment is avoidance of gluten containing foods, typically from wheat, barley, and rye. B: Avoidance of certain types of cereal grains 