That is the minimum threshold. This study found that peak was at p < 1e-37 or so. But that is where the biological analysis begins. Unlike social scientists, we don't stop with the statistical correlation, we then go on to look at what we know about that gene, the type of mutation, if it's a loss or gain of function, what role that gene has in various tissues, etc. And mendelian randomization is another way to unpick the causal direction of effect.
Not to say this is the truth or causal, but it's a lot closer to causal than what you are implying.