LEP and obesity due to melanocortin 4 receptor deficiency: Hence, they proposed an immunometabolic depression model – including chronic low-grade inflammation, oxidative stress, disruption of neuroendocrine regulators (leptin and insulin resistance) and biomolecules (dyslipidemia) involved in energy metabolism – predominantly present in patients with atypical behavioral symptoms which could explain the considerable comorbidity between depression and cardiometabolic conditions (e.g. obesity, metabolic syndrome and diabetes) (Milaneschi et al., 2020).