They have humans growing up on Mars, the asteroid belt, moons. Anyone who doesn’t grow up on earth cannot go there without extreme gravity training.
But IMHO, series have done a really good job overall. Given how nearly impossible it is to simulate micro-gravity, or other advanced technology.
Shohreh Aghdashloo performance was a real treat though!
But fwiw, it turns out it is possible to get that level of rocket performance, if ToughSF got their numbers right:
https://toughsf.blogspot.com/2019/10/the-expanses-epstein-dr...
It wouldn't look the same and the power level would be higher than what all of civilization uses today, but the amount of fusion fuel isn't all that remarkable. The design uses helium-3, which could be collected in large quantity from Uranus and Neptune.