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An 18-year-old female athlete reports easy fatigability and weakness. Physical examination shows no abnormalities. Laboratory studies are above. Which of the following is the most likely diagnosis?

a. Aldosterone deficiency

b. Anxiety reaction with hyperventilation

c. Diabetic ketoacidosis

d. Ingestion of anabolic steroids

e. Surreptitious use of diuretics

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e. Surreptitious use of diuretics