While research consistently suggests siblings matter for individual outcomes, it remains unclear why. At the same time, studies of genetic effects on health typically correlate genotype with the average level of a particular phenotype, ignoring more complicated genetic dynamics. Using National Longitudinal Study of Adolescent Health data, we investigate whether sibling genotype moderates individual genetic expression. We compare twin variation in health-related absences and self-rated health by genotype at three locations in the dopamine system -DRD2, DRD4, and DAT1 -to test sibship-level cross-person gene-gene interactions. Results suggest effects of allelic variation at these loci are moderated by the meta-genomic environment of the sibship unit.Evidence of frequency dependent selection suggests much genetic research may violate the stable unit treatment value assumption.