a female with age 75 years came to your clinic with mid thoracic and mid scapular pain with 3 days pain worsen. she is diabetic and hypersensitive .She is living sedentary lifestyle and no physical routine. you found mid thoracic tenderness.

Which of the following best describes the expensive tissue hypothesis? brains require more energy, so the gut had to be reduced, and larger brains and tool use led to higher quality diets. increasing body size means that homo neanderthalensis had to include more fat in its diet. brains require more energy, so the gut had to be reduced as brains got bigger. brains require more fat, so the gastrointestinal viscera (gut) had to expand, and hands were needed to acquire more food.