<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 73-year-old man with a 50-year history of type 2 diabetes and stage 3 chronic kidney disease presents to his primary care doctor for a scheduled follow-up and routine labs. He states that he has had no real change in his health except that he feels like he has had bouts of lightheadedness and almost passing out, which resolve with sitting down. The patient does not have a history of syncope or arrhythmia. On his labs, he is found to have a hemoglobin of 11.0 gdL. His estimated glomerular filtration rate is determined to be 45 mlmin1.73m2. Testing of his stool is negative for blood. Additionally, a peripheral blood smear demonstrates normochromic cells. As a result, the patient is started on erythropoietin. Which of the following likely describes the anemia?? A: Macrocytic anemia with megaloblasts, B: Macrocytic anemia without megaloblasts, C: Microcytic anemia, D: Normocytic anemia with decreased reticulocyte count, E: Normocytic anemia with increased reticulocyte count,  <response>: This is a question about diagnosing the type of anemia in a patient with chronic kidney disease and diabetes. The key findings are:- 73-year-old man with longstanding type 2 diabetes and stage 3 chronic kidney disease- Hemoglobin 11 gdL low- eGFR 45 mLmin1.73m2 moderately decreased kidney function - Normochromic cells on peripheral smear normal color- No blood in stool- Symptoms of lightheadedness and near-syncopeBased on the normal MCV normochromic and lack of gastrointestinal bleeding, microcytic and macrocytic anemias are less likely. The anemia is likely due to decreased erythropoietin production from chronic kidney disease. This would cause a normocytic anemia with low reticulocyte count.D: Normocytic anemia with decreased reticulocyte count 