<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 55-year-old male is hospitalized for acute heart failure. The patient has a 20-year history of alcoholism and was diagnosed with diabetes mellitus type 2 DM2 5 years ago. Physical examination reveals ascites and engorged paraumbilical veins as well as 3 pitting edema around both ankles. Liver function tests show elevations in gamma glutamyl transferase and aspartate transaminase AST. Of the following medication, which most likely contributed to this patients presentation?? A: Glargine, B: Glipizide, C: Metformin, D: Pioglitazone, E: Pramlintide,  <response>: This is a question about a patient with a history of alcoholism and diabetes who is hospitalized for acute heart failure and has signs of liver dysfunction. The question is asking which medication the patient is most likely taking that contributed to his current presentation. Based on the history and physical exam findings, the patient likely has alcoholic cirrhosis leading to ascites and varices. The elevated liver enzymes also indicate liver injury. Of the medication choices, pioglitazone is a thiazolidinedione that can cause fluid retention and worsen heart failure. Metformin can rarely cause lactic acidosis but is not likely to contribute to heart failure. The other choices are not known to cause the patients presentation.D: Pioglitazone 