Obesity induces a profound metabolic rewiring in EAT, with downregulation of genes associated with glucose metabolism (e.g., SLC24A, CS, GPT, OGDH, ACO2, GPI, LDHD) and lipid metabolism (e.g., GYS2, GPAT3, CRAT, FASN, ACADVL, DGAT1, DGAT2, NAT8L, SCD) as well as changes in genes related to adipogenesis (HES1, MXD3, NR4A2, RGS2, PPP1R15B, ADAMTS1, CEBPD, KDM7A). This evidence concerns the gene LDHD and obesity due to melanocortin 4 receptor deficiency.