A 44-year-old Asian man comes to the office for a health maintenance examination. He does not take any medications routinely and has no diagnosed medical problems. He does not smoke or drink alcohol on regular basis. On several occasions, he has tried diet and exercise to shed some weight without success. He is an obese male with hyperhidrosis. There is hyperpigmentation with a velvety appearance on the nape and bilateral axillae. He has similar lesions in the groin area. Oral mucosa and palmoplantar surfaces are unremarkable. The abnormal laboratory test result that is most likely correlated with these findings is an elevated
A. chorionic embryo antigen
B. hemoglobin A1C
C. testosterone
D. total cholesterol
E. triglyceride
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