<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 35-year-old man comes to the physician because of a 4-month history of intermittent headaches. They have been getting progressively worse and no longer respond to ibuprofen. He also complains of weight gain and excessive sweating. Physical examination shows prominent supraorbital ridges, prognathism, macroglossia with thick lips, and disproportionately broad hands and feet. There is decreased peripheral vision bilaterally on visual field testing. An MRI of the brain shows a mass in the sella turcica. Genetic analysis of a biopsy specimen from the mass shows cells that overexpress adenylyl cyclase. Which of the following is the most appropriate pharmacotherapy for this condition?? A: Methimazole, B: Octreotide, C: Leuprolide, D: Risperidone, E: Metyrapone,  <response>: This is a clinical vignette describing a patient with symptoms and exam findings consistent with acromegaly, including headaches, weight gain, excessive sweating, coarse facial features, macroglossia, enlarged hands and feet, visual field deficits, and an MRI showing a pituitary mass. The description of cells overexpressing adenylyl cyclase confirms a growth hormone-secreting pituitary adenoma. Therefore, the most appropriate treatment would be a somatostatin analog such as octreotide to suppress growth hormone production. Methimazole is used for hyperthyroidism, not acromegaly. Leuprolide suppresses gonadotropins and would not treat acromegaly. Risperidone is an antipsychotic medication. Metyrapone blocks cortisol synthesis and would not be appropriate.B: Octreotide 