<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 6-day-old female newborn is brought to the physician because of yellowish discoloration of her eyes and body, vomiting, and poor feeding for 3 days. She has had diarrhea for the past 2 days. She was born at 38 weeks gestation and the antenatal period was uncomplicated. She appears lethargic. Vital signs are within normal limits. Examination shows jaundice of the skin and conjunctivae. Bilateral cataracts are present. The abdomen is soft and nontender. The liver is palpated 4-cm below the right costal margin; there is no splenomegaly. Muscle tone is decreased in all extremities. Serum glucose concentration is 37 mgdL. Which of the following is the most appropriate recommendation to prevent long-term complications of this illness?? A: Phototherapy, B: Frequent glucose feeds, C: Stop milk feeds, D: Thiamine therapy, E: Levothyroxine therapy,  <response>: This appears to be a case of neonatal jaundice with hypoglycemia in a 6-day-old female newborn. The key findings are jaundice, vomiting, diarrhea, lethargy, cataracts, hepatomegaly, decreased muscle tone, and hypoglycemia. The hypoglycemia and presence of cataracts make me think of galactosemia. This is a metabolic disorder caused by deficiency of enzymes needed for galactose metabolism. It can present with neonatal jaundice, vomiting, diarrhea, hepatomegaly, cataracts, and hypoglycemia. The goal is to prevent long-term complications. For galactosemia, this involves removing galactose from the diet to prevent further buildup of toxic metabolites. Phototherapy treats the jaundice but does not address the underlying cause. Frequent glucose feeds can help manage the hypoglycemia but do not treat the galactosemia. Levothyroxine is used for hypothyroidism which is not described here. Thiamine deficiency is unlikely based on the clinical picture.C: Stop milk feeds 