5 Genes That Make It Hard to Lose Weight, and What You Can Do To Combat Them

Do you ever feel like you exercise and eat well, but don’t see positive results? I feel you. I’ve been there! The problem may be with your genes. As scientists look into weight-loss genes, they have found that people with variations of certain genes are more prone to put on weight than others. I know, because I have nearly all of the bad variants! Thankfully, all is not lost: Small tweaks may make your genes work for you, rather than against you.

To date, scientists have discovered seventy-five gene alterations that increase the likelihood of obesity. These genes are usually involved in how the body breaks down food, stores fat, and sends signals to let you know you’re no longer hungry. Variations to these genes are known as polymorphisms.

As a result of genetic variation, two people could eat the same exact diet but put on vastly different amounts of weight. One theory is that people who gain more weight from eating the same amount of calories do so because it was once an evolutionary advantage. Thousands of years ago, food was often scarce, so being able to gain weight from very few calories could have meant the difference between life and death. Now, food is easy to come by. Still, these “thrifty-genes” persist in some people’s genomes.

Lifestyle Effects on Genes

The good news is that even if you have these genetic polymorphism, you can work to combat them with lifestyle practices.  This is because DNA sequences are not the only way that can alter gene expression, rather, epigenetics also plays a role – meaning your lifestyle affects how genes turn on or off.  Here is a list of the five key genes involved with weight gain, and some lifestyle habits that you can implement in order to combat their effects.

1) Food Intake: FTO

One of the most studied obesity genes is FTO (dubbed “Fatso”), which stands for Fat Mass and Obesity Associated. FTO seems to act as a “nutrient sensor,” affecting the amount of food a person wants to eat, and their hunger. Therefore, variations in the gene that encodes for FTO could affect the ability of FTO to regulate food intake and lower satiety. Scientists have found that people with certain variations in this gene have a higher BMI.

What to do?

Increased exercise could counteract the effects of the polymorphism of FTO. For example, the Amish have a high incidence of FTO—yet very few are obese. Why? Because each day, they labor on their farms for two hours or more. The hard physical labor keeps FTO from expressing obesity, making the Amish exemplify how an environmental trigger can modify gene expression. The good news is that you don’t necessarily need four hours of hard physical labor. Many of patients with this gene variant consistently exercise for 30 minutes, five days per week, and it keeps the gene turned off.

2) Fat metabolism: PPARG

Another gene affecting weight gain is the one that encodes for PPARG, a protein involved in fat metabolism. When activated, PPARG creates fat cells and helps with the uptake of dietary fats from your blood. Too much activation of PPARG can cause weight gain and increase the risk for heart disease, diabetes, and stroke. Obese individuals have much higher amounts of this protein in their fat tissue. Individuals with no PPARG have less fat tissue in their limbs and gluteal area.  In addition, studies have shown that post-menopausal women who have a PPARG polymorphism gain more weight than those who don’t.

What to do?
When individuals with the PPARG polymorphism eat more unsaturated fats than saturated fats, they gain more fat tissue and have a higher BMI. By contrast, when they eat more saturated fats than unsaturated fats, the opposite is true—they are leaner. So here again we see how an environmental (meaning non-genetic) factor such as nutrition can trigger a gene and affect people’s weight.

3) Fat breakdown: ADRB2

The adrenergic beta-2 surface receptor gene (ADRB2) codes for a protein that plays an important role in the breakdown of fat. When the hormone epinephrine is released, it can bind to ADRB2 in order to increase energy by breaking down fat molecules. Certain variations are associated with an increased risk of metabolic syndrome in women, a cluster of risk factors that herald a six-fold risk of diabetes mellitus and two-fold risk of cardiovascular disease. Prevalence of metabolic syndrome is higher in middle-aged women than middle-aged men, as well as greater cardiovascular risk. (As a side note, this gene also plays a role in asthma, and response to asthma inhalers.) While more research still needs to be performed to understand its exact mechanism, it seems this gene could be another promising target for understanding the link between genetics and weight gain.

What to do?   

I personally have the polymorphism of this gene, which gives me an increased risk of abdominal obesity. I have about double the difficulty with weight loss compared with people without this polymorphism because my fat mobilization and signal transduction for mobilizing fatty tissue is impaired. All the more reason to eat and exercise efficiently!

4) Efficient Functioning with Methylation (2 Genes): PGC1-alpha and Tfam

Methylation is a chemical process that helps your body to work optimally. Without a healthy rate of methylation, you are at risk for lower metabolism. Methylation is another example of an epigenetic effect in that it doesn’t alter its DNA sequence. Instead, it adds chemical groups to the genes PGC1-alpha and Tfam. In doing so, it changes the rate at which these genes are converted into protein and are involved in creating mitochondria, the powerhouse, energy-creating center of your cells. In these genes, methylation correlates with increased rates of obesity. 

What to do?

Environmental factors such as age, sex, race, exercise, and diet can all produce epigenetic effects and change the amount of methylation in your body. While you obviously don’t have control over your age, race, and gender, here again you can make sure to live a lifestyle of optimal eating and exercise in order to try to combat suboptimal methylation in your body.

You Have the Power

Your genes can make losing weight more difficult—but not impossible. While researchers are still working on understanding the relationship between nutrition and genetics, much is currently known about how other factors like hormones and the microbiome affect weight loss. By living a lifestyle which triggers your body to work best, you can make up for a less-than-ideal genotype.



6 nutrients that help keep your brain young

Diet plays an enormous role in preventing dementia and keeping your brain young. Scientists have pinpointed certain nutrients that are associated with improved cognition. Here are 6 nutrients that can help keep your brain young:

Cocoa: The flavanols found naturally in cocoa and dark chocolate (not milk chocolate) are very beneficial. These flavanols can stimulate the dentate gyrus in brain—a region involved in memory function.

Omega-3 fatty acids: Plant-based foods rich in omega-3’s, such as flax seeds and walnuts, are not only good for your heart, they’re also good for your brain. They help with object recognition memory, spatial and localized memory, and aversion response retention.

Magnesium: Getting insufficient magnesium can lead to cognitive decline, accelerated brain aging, and ultimately dementia. Foods high in magnesium include pumpkins seeds, chard, spinach, almonds, black beans, avocados, figs, and dark chocolate.

Blueberries: Blueberries contain anthocyanins which are naturally occurring compounds with potent antioxidant and anti-inflammatory effects. Anthocyanins can increase neuronal signaling in the brain’s memory areas.

Cruciferous vegetables: Eating a lot of vegetables can help prevent a whole host of chronic degenerative disease. Cruciferous vegetables in particular have been shown to reduce the rate of cognitive decline. Such vegetables include arugula, broccoli, brussels sprouts, cabbage, cauliflower, kale, radishes, and turnips.

Green tea: Green tea is good for so many things. With regards to brain health, green tea has been found to enhance your thinking process and working memory. Green tea also enhances the connectivity between the parietal and frontal cortexes of the brain.


Published March 19, 2018 by 

Exercise: Myths vs. Facts

America doesn’t have an “over-fat” problem. America has an “under-muscled” problem. You can be overweight, but if you carry enough muscle, you can still be healthy. Over the past several decades, mainstream health experts have sold us a bill of goods by vigorously promoting aerobic exercise as the best activity. Despite that, we are a nation of fat and physically weak people. Aerobic exercise not only has a dismal track record at producing fat loss, it has been shown to cause fat gain, muscle loss, and hardening of the arteries (arteriosclerosis).

Strength training—also known as weightlifting or resistance training—has distinct advantages over aerobic exercise when it comes to improving health. Strength training has a much greater ability to burn fat, build muscle mass, and improve strength. Studies have shown that strength is a far more accurate predictor of longevity and quality of life as you age compared to aerobic capacity (cardiopulmonary fitness). Furthermore, strength training, done correctly, dramatically increases aerobic capacity.

Besides a smaller waist and less body fat, greater muscle mass and strength translates to less cancer, heart disease, and diabetes. And while aerobic exercise increases aerobic capacity, it does almost nothing to combat two hallmarks of aging: sarcopenia (loss of muscle) and osteoporosis (loss of bone density). Strength training can halt and reverse sarcopenia and osteoporosis, and can stop older adults from becoming frail and can keep them independent and out of nursing homes. Furthermore, recent studies have shown that strength training promotes cognitive and functional brain plasticity, improves memory, and reduces the risk of dementia.

Everyone should exercise with strength in mind. Whether you are young or old, strength training has far more to offer than any other exercise. There’s simply no better way to fight obesity, diabetes, cancer, dementia, and frailty, and to impart self-confidence and get an attractive physique. If you’re not getting the results you want from your aerobic exercise, you should take up strength training instead.


Published October 13, 2017 by Dr. Daniel Thomas, DO, MS