This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endocrinology, Subject name: Medicine
[{'content': 'All of the following are associated with insulin resistance except - \nSelect and explain. \nA. Acanthosis nigricans, B. Lipodystrophy, C. Gout, D. Calcific aoic valve disease', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Ref - semantischolar.org', 'role': 'assistant'}]