LEPR and obesity due to melanocortin 4 receptor deficiency: The most frequent causes of monogenic obesity are mutations in the genes leptin (LEP), leptin receptor (LEPR), melanocortin 4 receptor (MC4R), proopiomelanocortin (POMC), proprotein convertase subtilisin/kexin type 1 (PCSK1), and neurotrophic receptor tyrosine kinase 2 (NTRK2) [12].