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How you cope is all that matters.
Assuming that you start with mostly average, yes. But if you start with a major genetic fuckup (Prader-Willi Syndrome, Lesch-Nyhan Syndrome, Smith-Lemli-Opitz, cri-du-chat, I could go on for days), you're pretty well screwed.
First day of Genetics 201: EVERYTHING = genes + environment + the interaction between genes and environment
Read TOPOBIOLOGY: An Introduction to Molecular Embryology by Gerald Edelman, and lets talk some more.
Give me the short version. My BS is in genetics, but I can't say I've ever taken a class in Molecular Embryology. Molecular Biology, yes, and also cell and developmental bio, biochem, genomics, you name it. Before I go digging for the text, I'd like to know the gist of it.
Identical twins arent identical.