<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 44-year-old woman presents to the emergency department with confusion starting this morning. Her husband states that she initially complained of abdominal pain, diarrhea, and fatigue after eating. She has vomited 3 times and progressively became more confused. Her past medical history is notable for morbid obesity, diabetes, hypertension, dyslipidemia, a sleeve gastrectomy 1 month ago, and depression with multiple suicide attempts. Her temperature is 98.0F 36.7C, blood pressure is 10454 mmHg, pulse is 120min, respirations are 15min, and oxygen saturation is 98 on room air. Her physical exam is notable for generalized confusion. Laboratory values are ordered as seen below.Serum:Na: 139 mEqLCl-: 100 mEqLK: 3.9 mEqLHCO3-: 24 mEqLBUN: 22 mgdLGlucose: 41 mgdLCreatinine: 1.1 mgdLCa2: 10.2 mgdLC-peptide level: normalWhich of the following is the most likely diagnosis?? A: Dumping syndrome, B: Glipizide overdose, C: Insulin overdose, D: Malnutrition, E: Propranolol overdose,  <response>: Based on the information provided, the most relevant details are:- 44-year-old woman with history of morbid obesity and recent sleeve gastrectomy - Presenting with abdominal pain, diarrhea, fatigue, vomiting and confusion after eating- Normal glucose level of 41 mgdL- Normal C-peptide levelThis presentation is most consistent with dumping syndrome, which can occur after gastric surgery like sleeve gastrectomy. The rapid emptying of stomach contents into the small intestine causes both gastrointestinal symptoms like abdominal pain, diarrhea, and vomiting as well as vasomotor symptoms like fatigue and neuroglycopenia leading to confusion. The normal glucose and C-peptide make insulin overdose unlikely. Glipizide and propranolol overdose are also not supported by the history. Malnutrition could cause confusion but would not explain the postprandial symptoms.A: Dumping syndrome 