<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 42-year-old male with a history significant for IV drug use comes to the emergency department complaining of persistent fatigue and malaise for the past three weeks. On physical exam, you observe a lethargic male with icteric sclera and hepatomegaly. AST and ALT are elevated at 600 and 750, respectively. HCV RNA is positive. Albumin is 3.8 gdL and PT is 12. A liver biopsy shows significant inflammation with bridging fibrosis. What is the most appropriate treatment at this time?? A: Interferon, B: Ribavirin, C: Lamivudine, D: Combined interferon and ribavirin, E: Combined interferon and lamivudine,  <response>: This is a patient with chronic hepatitis C infection based on the history of IV drug use, fatigue, jaundice, elevated liver enzymes, positive HCV RNA, and liver biopsy findings. The choices given are different antiviral medications. Interferon and ribavirin together are considered first-line treatment for chronic hepatitis C. Lamivudine treats hepatitis B, not C. Therefore, the correct choice is D, combined interferon and ribavirin.D: Combined interferon and ribavirin 