Thus, a further evaluation of 122 elephants from 15 elephant camps using physical assessments of body condition, foot, and wound scores found that high energy foods (banana and sugar cane) were associated with obesity and alterations in total cholesterol (TC), low density lipoproteins (LDL), high density lipoproteins (HDL), triglycerides (TG), insulin, glucose, fructosamine and the ratio of glucose to insulin, while fecal glucocorticoid metabolite (fGCM) concentrations were lower in riding elephants, perhaps related to more exercise and better body condition (24, 25). The gene discussed is INS; the disease is obesity due to melanocortin 4 receptor deficiency.