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A 50-year old male patient presents recurring blurred vision, slurred and hesitant speech, and tingling sensations. As part of periodic testing, a lumbar puncture reveals elevated gamma globulin and normal CSF protein levels. Given just this information, which is the most likely diagnosis:

A) multiple sclerosis
B) Parkinson's disease
C) amyotrophic lateral sclerosis
D) myasthenia gravis
E) Alzheimer's disease