Medscape August 6, 2025
Erica Lamberg

Some patients may share their concerns or worries that “family history” or “genes” prevent them from meeting their wellness goals and weight-loss goals. Some may even use that reasoning as a crutch.

As a primary care doctor, it’s important to sympathize with the concerns of patients while also explaining that genetic factors aren’t always the case for body composition. A succinct yet factual discussion on how genetics, medications, metabolism, and lifestyle choices can help your patients embark on a healthier path.

What Does Science Say?

As with many medical conditions, genes influence individual traits including our weight, said Eva Tseng, MD, MPH, associate professor of medicine at Johns Hopkins School of Medicine in Baltimore.

“Some people...

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