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In inclusion, we identified unusual heterozygous missense variants in ADCY3 (p.G1110R), MYT1L (p.R807Q), ISL1 (p.I347F), LRP2 (p.R2479I, and p.N3315S) and a hemizygous missense variation in GRPR (p.L87M) (each in a single patient), perhaps contributing to the obesity phenotype in these patients. Entirely 8 percent (7/92) regarding the subjects had rare pathogenic/likely pathogenic variants into the studied genetics. Conclusions Rare genetic variants within the hypothalamic circuit ar