<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 47-year-old man comes to the physician for a follow-up examination. He feels well. He was diagnosed with hypertension 3 months ago. He has smoked one pack of cigarettes daily for 20 years but quit 4 years ago. He occasionally drinks alcohol on the weekends. He walks for 45 minutes daily and eats three meals per day. His current diet consists mostly of canned tuna and cured meats. He started eating whole-wheat bread after he was diagnosed with hypertension. He drinks 1 to 2 cups of coffee daily. His mother has a history of hyperthyroidism. Current medications include hydrochlorothiazide and a multivitamin pill every night before sleeping. His wife told him that he sometimes snores at night, but he reports that he usually sleeps well and feels refreshed in the mornings. His pulse is 80min, respirations are 18min, and blood pressure is 14886 mm Hg. Physical examination shows no abnormalities. Which of the following is the most appropriate next step in the management of this patient?? A: Add metoprolol, B: Measure thyroid-stimulating hormone levels, C: Start a structured exercise program, D: Counsel on dietary modification, E: Conduct a sleep studyn,  <response>: This is a follow-up visit for a 47-year-old man with hypertension. Important history includes smoking 1 pack per day for 20 years quit 4 years ago, occasional alcohol use, family history of hyperthyroidism, diet high in processed meats, and possible sleep apnea symptoms snoring, reported by wife. His BP is elevated at 14886 mm Hg despite being on hydrochlorothiazide. The choices include adding a beta blocker metoprolol, checking TSH levels, starting exercise, dietary changes, and a sleep study.His diet is concerning for high sodium intake. Cured meats and canned tuna are very high in sodium, which likely contributes to his uncontrolled hypertension. Dietary modification to reduce sodium intake would be the most appropriate next step. Sleep apnea is also a possibility given his snoring and hypertension. A sleep study could be considered, but dietary changes should come first. TSH levels could be checked given the family history, but there are no symptoms or exam findings suggestive of hyperthyroidism currently. Exercise and a beta blocker could also help lower his BP, but dietary changes are the most appropriate initial step.D: Counsel on dietary modification 