<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 25-year-old woman comes to the physician because of a 4-month history of anxiety and weight loss. She also reports an inability to tolerate heat and intermittent heart racing for 2 months. She appears anxious. Her pulse is 108min and blood pressure is 14587 mm Hg. Examination shows a fine tremor of her outstretched hands. After confirmation of the diagnosis, the patient is scheduled for radioactive iodine ablation. At a follow-up visit 2 months after the procedure, she reports improved symptoms but new-onset double vision. Examination shows conjunctival injections, proptosis, and a lid lag. Slit-lamp examination shows mild corneal ulcerations. The patient is given an additional medication that improves her diplopia and proptosis. Which of the following mechanisms is most likely responsible for the improvement in this patients ocular symptoms?? A: Inhibition of iodide oxidation, B: Elimination of excess fluid, C: Decreased uptake of iodine, D: Replacement of thyroid hormones, E: Decreased production of proinflammatory cytokines,  <response>: This is a clinical vignette describing a patient with hyperthyroidism who underwent radioactive iodine ablation for treatment. After the procedure, she developed symptoms of thyroid eye disease including proptosis, conjunctival injection, lid lag, and corneal ulceration. The question asks about the mechanism of action of the additional medication that improved her eye symptoms.Based on the information provided, the patient likely has Graves disease, an autoimmune condition characterized by hyperthyroidism and thyroid eye disease. Radioactive iodine ablation successfully treated her hyperthyroidism but she developed subsequent inflammation around the eyes due to the autoimmune process. The additional medication given after the procedure that improved her eye symptoms likely works by decreasing inflammation and the production of proinflammatory cytokines around the eyes.E: Decreased production of proinflammatory cytokines 