Thus, thyroid receptor was ruled out by normal thyroid function test, PPAR g by normal fasting blood glucose and Hemoglobin A1c, corticosteroid receptors by normal 8 AM cortisol and adrenocorticotropic hormone (ACTH) levels, retinoid receptors by direct examination of the retina by an ophthalmologist, and dilated cardiomyopathy due to abnormal myogenesis by echocardiography and a cardiological examination. Here, POMC is linked to dilated cardiomyopathy.