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An 11-year-old girl is presented at the clinic with reports of frequent fainting and lethargy. The girl is 5 ft tall and weighs 80 lb. Skin fold tests show an abnormally low percentage of body fat mass. Which of the following hormones is likely to be severely diminished in this patient?

A. Cortisol

B. Epinephrine

C. Glucagon

D. Insulin

E. Thyroid

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