The most logical cause would be an infection.
most likely cellulitis
There is no way to get rid of them, you can just take meds to control it
Your answer would be A. Sacrificing energy.
Being demanding of others' time is not an attractive thing. You become too dominant and controlling. Being critical of others is rude, and many people wouldn't want to be your friend. Losing a sense of identity is bad for yourself. It can lower your self esteem, and negatively affect your mental health.
So, with that explanation, the most reasonable answer would be A.
High self esteem i believe it makes the most sense