<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 49-year-old male complains of heartburn, epigastric pain, and diarrhea. He has a past medical history significant for heartburn that is nonresponsive to omeprazole. He denies any alcohol intake, and has not been taking any nonsteroidal anti-inflammatory drugs. An endoscopy is performed, which shows two ulcers in the proximal duodenum, and one in the distal third of the duodenum. Which of the following is most likely true about this patients current condition?? A: Secretin administration would suppress the release of the suspected hormone in this patient, B: Increasing omeprazole dose will likely decrease the suspected hormone level, C: Chronic atrophic gastritis would decrease the suspected hormone level, D: Parietal cell hypertrophy is likely present, E: The suspected hormone acts via a receptor tyrosine kinase signaling pathway,  <response>: This is a clinical vignette describing a 49-year-old male with a history of heartburn and epigastric pain that is not responsive to omeprazole treatment. He now presents with heartburn, epigastric pain, and diarrhea. Endoscopy shows ulcers in the duodenum. The key findings are:- Middle aged male with chronic heartburn not responsive to PPI therapy - New onset diarrhea- Endoscopic evidence of duodenal ulcersThis presentation is most consistent with Zollinger-Ellison syndrome caused by increased gastrin production from a gastrinoma tumor. The increased gastrin leads to excessive acid production and peptic ulcer disease. Of the choices given, parietal cell hypertrophy would be expected as a result of the trophic effects of gastrin on parietal cells. This makes option D the most likely correct answer.Options A, B, and C all describe ways to decrease gastrin levels, but do not represent what is currently occurring in this patient. Option E describes gastrin receptor signaling, but the other choices are more directly relevant to the patients presentation.D: Parietal cell hypertrophy is likely present 