The PMHNP has ordered a comprehensive metabolic panel, CBC, TSH, and HgbA1c as part of a new patient screening panel to evaluate very generic complaints of fatigue, decreased motivation, and unplanned weight gain of 15 lbs in the last 6 months, insomnia and increased irritability. The patient believes he is depressed and is asking for an antidepressant, but the NP has concerns that the history provided is not complete and wants to ensure there is not an underlying organic etiology. 

Which of the following abnormal results offers the best explanation for all reported symptoms? 

A. A HgbA1c of 6.8% 

B. An eGFR of 58 mL/min/1.73 m² 

C. A Hgb of 13.1 g/dL 

D. A GGT of 85 IU/L 

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