Which Situation Would Be MOST Likely to Lead to a Diagnosis

Which situation would be MOST likely to lead to a diagnosis of muscle dysmorphia?

A) A man diets excessively, trying to have a body more like a woman's.
B) A man exercises excessively to lose weight and muscle mass.
C) A man who is excessively obese engages in binge eating.
D) A man is muscular but does not see himself as being muscular, so he continues to strive for a perfect body.