FTO (Fat Mass and Obesity-associated) is a well-studied gene whose variants (especially rs9939609) are associated with a slightly increased risk of obesity and higher appetite. However, the effect size is small: carriers of the risk variant average about 1.5–3 kg more body weight, but individual variation is large. DNA tests can detect this variant, but they do not provide personalized dietary recommendations at the individual level. Evidence comes from GWAS and mechanistic studies, not from randomized controlled trials proving a specific diet for FTO carriers. Lifestyle factors are more important: a high-protein, high-fiber diet and regular physical activity can partially offset the genetic disadvantage. A genetic test alone does not replace medical advice. Many commercial tests overstate clinical relevance. The answer to 'What should I eat?' remains: balanced, calorie-conscious, and sustainable – regardless of FTO status.
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