Which of the Following Is Not a Sign and Symptom

Which of the following is not a sign and symptom of muscle dysmorphia?

A) Person gives up important social, occupational, or recreational activities to maintain their exercise regimen
B) Person avoids situations in which their body is exposed to others, such as at a beach or swimming pool
C) Person stops exercising, dieting, and using supplements when they become aware of the adverse physical and psychological consequences of their behavior
D) Person experiences significant distress or impairment in important areas of life