You are answering a USMLE-style medical question. Question: A 58-year-old man with hypertension and dyslipidemia comes to the physician for a routine health maintenance examination. He says he feels well. He is 180 cm (5 ft 11 in) tall and weighs 103 kg (227 lb); BMI is 32 kg/m2. His BMI last year was 27 kg/m2. When asked about his diet, he says, “Being overweight runs in my family. Rather than fight it, I just try to enjoy myself and eat what I want.” Which of the following defense mechanisms best describes the patient's response to the physician? Options: A) Rationalization B) Fantasy C) Distortion D) Intellectualization Reply with ONLY the letter of the correct answer (A, B, C, or D). No explanation.

A
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