<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 66-year-old woman comes to the physician for a routine health maintenance examination. She has no history of serious medical illness and takes no medications. A screening DEXA scan shows a T-score of -1.5 at the femur. Which of the following is the strongest predisposing factor for osteopenia?? A: Hypoparathyroidism, B: NSAID use, C: Obesity, D: Smoking, E: Type 2 diabetes mellitus,  <response>: This is a question asking about the strongest predisposing factor for osteopenia in a 66-year-old woman. Osteopenia is low bone mineral density. The key factors that predispose to osteopenia include older age, female gender, smoking, low body weight, and certain medical conditions or medications that affect bone health. Based on the information provided, the patient is an older woman with no major medical issues and not on any concerning medications. Of the answer choices, smoking would be the strongest predisposing factor for osteopenia in her situation. The other answers do not seem as relevant for this patient.D: Smoking 