<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 48-year-old woman presents to her primary care physician for a wellness visit. She states she is generally healthy and currently has no complaints. She drinks 1 alcoholic beverage daily and is currently sexually active. Her last menstrual period was 1 week ago and it is regular. She smokes 1 pack of cigarettes per day and would like to quit. She describes her mood as being a bit down in the winter months but otherwise feels well. Her family history is notable for diabetes in all of her uncles and colon cancer in her mother and father at age 72 and 81, respectively. She has been trying to lose weight and requests help with this as well. Her diet consists of mostly packaged foods. His temperature is 98.0F 36.7C, blood pressure is 12282 mmHg, pulse is 80min, respirations are 12min, and oxygen saturation is 98 on room air. Her BMI is 23 kgm2. Physical exam reveals a healthy woman with no abnormal findings. Which of the following is the most appropriate initial intervention for this patient?? A: Alcohol cessation, B: Bupropion, C: Colonoscopy, D: Varenicline and nicotine gum, E: Weight loss, exercise, and nutrition consultation,  <response>: This is a question about determining the most appropriate initial intervention for a 48-year-old woman presenting for a wellness visit. She has several health risk factors including alcohol use, smoking, poor diet, and family history of colon cancer and diabetes. The key considerations are her smoking, as this is a major modifiable risk factor, and her family history of colon cancer, which warrants screening. Her alcohol use and weight are also factors to address.D: Varenicline and nicotine gum 