<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 35-year-old lactose intolerant man presents to the outpatient clinic with complaints of numbness and tingling in his fingers and toes for the past month. He also complains of pain in his calf muscles while sleeping; the pain is severe enough to wake him up in the middle of the night. He is a software engineer and spends most of his time indoors. He has been smoking a pack of cigarettes daily for the past 10 years and occasionally drinks wine with dinner. His current medication regimen includes as needed ibuprofen and calcium supplementation. He does not take any other multivitamins. On examination, his pulse rate is 74min, blood pressure is 12867 mm Hg, respiratory rate is 16min, and temperature is 37.6C 99.7F. He has tenderness in the proximal muscles of his upper and lower limbs. Sensory examination is normal. The rest of the physical examination is normal. X-ray imaging of his lower limbs shows features of demineralization. Which of the following sets of abnormalities are most likely occurring in this patient?? A: Low serum 25-OH D with low serum calcium levels, B: High serum 25-OH D levels with high serum parathyroid hormone PTH levels, C: Low alkaline phosphatase levels with low serum PTH levels, D: Low serum 25-OH D with high serum calcium levels, E: High serum 25-OH D with high phosphate levels,  <response>: This is a multi-choice question asking about the likely biochemical abnormalities in a 35-year-old man with symptoms and signs of vitamin D deficiency. The key findings in the stem are:- Numbness, tingling, and muscle pains suggestive of neuropathy and myopathy- Calf pain at night suggestive of muscle cramps- Indoor lifestyle and lack of sun exposure - X-ray evidence of demineralization These findings point towards vitamin D deficiency. The choices describe different combinations of vitamin D levels and other biochemical markers.The correct answer should show low vitamin D levels along with the expected corresponding abnormalities in calcium, PTH, and alkaline phosphatase.A: Low serum 25-OH D with low serum calcium levels 