Products

23andMe Personal Genome Service (PGS) Genetic Health Risk Test for Hereditary Thrombophilia
23andMe
Clinical Decision Support & Reference
The 23andMe Personal Genome Service (PGS) Genetic Health Risk Test for Hereditary Thrombophilia is an FDA-cleared direct-to-consumer genetic test that identifies specific genetic variants (Factor V Leiden and Prothrombin G20210A) associated with an increased risk of developing harmful blood clots. It provides personal genetic insights for proactive health discussions with healthcare professionals.

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About 23andMe

23andMe, founded in 2006, has transitioned from a pioneering direct-to-consumer (DTC) genetic testing company into a multifaceted genomics and biotechnology entity. Initially, it gained prominence for offering individuals insights into their ancestry and genetic predispositions through its Personal Genome Service (PGS). This service provides reports on ancestral origins, health risks, carrier conditions, and pharmacogenetic insights, with many of these reports meeting FDA requirements. The company has built an extensive research database, leveraging genetic and phenotypic data from millions of consented customers. This database has been a significant contributor to numerous peer-reviewed publications across various disease areas, including Parkinson’s disease, depression, COVID-19, and autoimmune diseases, and continues to support drug discovery efforts.

In a strategic move to expand its healthcare offerings, 23andMe acquired Lemonaid Health in late 2021, thereby integrating telehealth services and genetics-informed clinical care into its portfolio. This expansion included services like exome sequencing and comprehensive blood testing as part of its “Total Health” membership. However, the company faced significant financial challenges, leading to a Chapter 11 bankruptcy filing in March 2025. Following a contested auction, TTAM Research Institute, a nonprofit public benefit corporation founded by 23andMe co-founder Anne Wojcicki, acquired substantially all of 23andMe’s assets for $305 million on July 14, 2025.

Under the ownership of TTAM Research Institute, 23andMe continues to operate as a nonprofit. Its ongoing mission focuses on enabling individuals to access, understand, and benefit from the human genome, while also actively contributing to medical research and therapeutic development. The company’s offerings are designed to empower consumers to take a more active role in their health by providing genetic information that can inform discussions with healthcare providers regarding prevention, treatment, and healthy living.

Focus Areas

Direct-to-consumer genetic testing ancestry health predispositions pharmacogenetics drug discovery telehealth AI for personalized health insights genomic research clinical genomics

Business Intelligence

Key InvestorsGV (Google Ventures), NEA, Sequoia Capital, Founders Fund, Morningside, Fidelity Investments, Patrick Soon-Shiong
PartnershipsMirador Therapeutics, Lifebit, California Northstate University
AcquisitionsLemonaid Health (2021), CureTogether (2012)
TechnologySNP genotyping (Illumina Global Screening Array), AI/Machine Learning for disease prediction and health insights (DaNA AI assistant, Health Summary), multi-omics studies, cloud-native trusted research environment (with Lifebit)
FDA Clearancesmultiple cleared products (estimated)

What Physicians Need to Know

Direct-to-Consumer Genetic Testing
23andMe offers personal genetic testing services where customers submit a saliva sample for laboratory analysis. Reports cover ancestry, genetic predispositions to health conditions, carrier status, wellness, and traits. They are notable for being the first and only direct-to-consumer DNA service with multiple FDA-cleared health reports.
Ancestry Analysis
The ancestry service provides precise ancestry percentages from over 78 global reference populations and can pinpoint ancestry to specific communities or regions with over 4,500 detailed regions. Features include a DNA Relative Finder, an automatically built Family Tree, and tracing of deep maternal and paternal lineages through mitochondrial (mtDNA) and Y-chromosome (Y-DNA) haplogroups.
Health Predispositions
23andMe provides reports on genetic predispositions to various health conditions, including FDA-approved genetic health risk reports for conditions like late-onset Alzheimer's disease, Parkinson's disease, and celiac disease. They also offer reports powered by 23andMe research. It's crucial to note these reports are for risk assessment and not diagnostic.
Pharmacogenetics
The company offers pharmacogenetic reports that detail how an individual's DNA variants may influence their body's ability to process certain medications, such as those for depression, acid reflux, heart disease, and cancer. These reports have received FDA clearance and are intended to inform discussions with healthcare professionals.
Drug Discovery
23andMe leverages one of the world's largest genetic databases (over 14 million genotyped individuals, with ~80% consenting to research) to identify potential drug targets and accelerate therapeutic development. They have a dedicated therapeutics group and engage in strategic partnerships with pharmaceutical companies, such as GSK, for novel drug discovery programs.
Telehealth Services
Through its acquisition of Lemonaid Health, 23andMe integrates telehealth services, allowing customers to access online consultations with licensed healthcare providers for diagnosis, treatment, and prescription delivery. This aims to bridge the gap between genetic insights and personalized clinical care.
AI for Personalized Health Insights
23andMe utilizes an AI assistant named DaNA, available to Premium and Total Health members. DaNA integrates genetic tendencies with lifestyle and biomarker data to provide personalized, evidence-based health insights and actionable recommendations. This proprietary AI framework is designed and monitored by scientific and clinical experts.
Genomic Research
With millions of customers opting into research, 23andMe has built a vast genotyped and phenotyped participant database. This enables large-scale genetic research, contributing to hundreds of peer-reviewed publications across various diseases and traits, and fostering collaborations with academic, government, and pharmaceutical partners.
Clinical Genomics (23andMe+ Total Health)
The 23andMe+ Total Health membership offers advanced genetic screening, including clinician-ordered exome sequencing and clinical interpretation of over 100 high-impact genes associated with more than 55 health conditions. It also includes biannual comprehensive blood tests and dedicated consultations with clinicians trained in genetics-based care.
Physician Tip

For physicians, 23andMe offers a unique patient-driven entry point into genetic insights. Patients may present with 23andMe reports on health predispositions, carrier status, or pharmacogenetics, which can serve as a valuable starting point for discussions about personalized health. The FDA-cleared reports provide a level of validation, but it's crucial to remember that 23andMe's tests are not diagnostic and do not cover all possible genetic variants. Physicians should use these reports to inform further clinical evaluation, confirmatory testing, or to guide preventative strategies and treatment discussions, especially concerning drug metabolism. The integration with telehealth services and the 'Total Health' offering with exome sequencing and clinician guidance can facilitate a more comprehensive, genetics-informed approach to patient care, allowing for deeper insights beyond standard genotyping.

23andMe's platform allows for the integration of genetic data with lifestyle and biomarker data, particularly through its AI assistant, DaNA, and partnerships like the one with Lark for AI-powered coaching programs. The acquisition of Lemonaid Health signifies a direct integration into telehealth and prescription services. For consumers, 23andMe also offers the ability to connect health records via Apple Health. The company's research arm actively collaborates with academic and pharmaceutical partners, providing access to its large de-identified genetic and phenotypic dataset for drug discovery and clinical trial recruitment.

Products by 23andMe

1 product in the directory

23andMe Personal Genome Service (PGS) Genetic Health Risk Test for Hereditary Thrombophilia
23andMe
Clinical Decision Support & Reference
The 23andMe Personal Genome Service (PGS) Genetic Health Risk Test for Hereditary Thrombophilia is an FDA-cleared direct-to-consumer genetic test that identifies specific genetic variants (Factor V Leiden and Prothrombin G20210A) associated with an increased risk of developing harmful blood clots. It provides personal genetic insights for proactive health discussions with healthcare professionals.

What the Web Says

23andMe generally receives positive reviews for its ancestry and health reports, with many users finding the information insightful and easy to understand. However, there are recurring concerns about the accuracy of some ancestry breakdowns, particularly for non-European ethnicities, and the company's pricing model, which often involves additional subscriptions for comprehensive health insights. Employer reviews indicate a mixed bag, with appreciation for the brilliant minds and positive culture, but also criticisms regarding management, job security, and work-life balance.

Overall: Mixed

Strengths

  • Detailed ancestry composition and haplogroups.
  • Extensive health predisposition and carrier status reports.
  • User-friendly app and website with regular updates.
  • Ability to connect with DNA relatives.
  • Commitment to scientific rigor and FDA authorization for many health reports.
  • Good pay and benefits for employees, with some positions offering remote work flexibility.

Limitations

  • Inconsistent accuracy in ancestry breakdowns, especially for non-European heritage.
  • Additional subscriptions required for full health insights and advanced features.
  • Health reports are informational and not suitable for clinical diagnosis.
  • Concerns about data privacy, including data selling and breaches.
  • Lack of robust family tree building tools compared to competitors.
  • Mixed employee sentiment regarding management, job security, and work-life balance.

Based on reviews from: Reddit, Genomelink, Gene Food, YouTube, Indeed.com, Comparably, Thingtesting, Quora, Trustpilot, Live Science, Better Business Bureau

Last updated: 2026-07-17

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Press & Coverage

WGRZ
Genetic testing firm 23andMe settles for $18M over data breach; NY to get $705K
23andMe has reached an $18 million settlement over a 2023 data breach that exposed the personal and genetic information of millions of customers, with New York receiving $705,000. The settlement also mandates stronger data security measures for the company.
2026-07
23andMe Press Releases
23andMe Partners with HealthEx to Connect Medical Records with Your DNA for the Future of Personalized Medicine
23andMe Research Institute announced a partnership with HealthEx to integrate medical records with genetic profiles, aiming to provide personalized health insights through an AI Health Summary. This initiative allows for a 360-degree view of an individual's health by combining DNA and medical data.
2026-05
23andMe Press Releases
New 23andMe Research Institute Study Identifies Genetic Predictors for GLP-1 Weight Loss Efficacy and Side Effects
A new study by the 23andMe Research Institute has identified genetic predictors that influence the effectiveness of GLP-1 medications for weight loss and the likelihood of experiencing side effects. This research could lead to more personalized approaches in weight management.
2026-04
23andMe Press Releases
23andMe Introduces Reconstructed Ancestors a First-of-Its-Kind DNA Discovery Tool
23andMe has launched 'Reconstructed Ancestors,' an innovative DNA discovery tool that allows users to connect with historical DNA and potentially identify millions of living relatives. This tool aims to provide deeper insights into ancestral connections.
2026-03
23andMe Press Releases
Study Finds That Learning of Genetic Health Risks Drives Preventive Action
A study by 23andMe indicates that individuals who learn about their genetic health risks are more likely to take preventive actions and engage in discussions with their healthcare providers. This highlights the value of direct-to-consumer genetic testing in promoting proactive health management.
2026-02
medRxiv
The impact on clinical success from the 23andMe cohort
A preprint study leveraging the 23andMe cohort suggests that drug targets with human genetic evidence are 2-3 times more likely to achieve clinical success. The research, which has not yet been peer-reviewed, indicates that genetic support from rare, large-effect associations increases the likelihood of success in clinical trials.
2024-06
23andMe Press Releases
23andMe announces further expansion of 23ME-00610 Phase 1/2a clinical trial in advanced neuroendocrine and ovarian cancer patient cohorts.
23andMe announced the expansion of its 23ME-00610 Phase 1/2a clinical trial to include advanced neuroendocrine and ovarian cancer patient cohorts. This expands the scope of their therapeutic development efforts.
2023-12
New York State Attorney General
Attorney General James Secures $18 Million From 23andMe for Failing to Protect Customers' Genetic Data
New York Attorney General Letitia James, along with a coalition of 42 other attorneys general, secured an $18 million settlement from 23andMe for its failure to protect customers' private genetic data during a 2023 data breach. The settlement includes new data protection requirements for the company.
2026-07

Frequently Asked Questions

23andMe's health reports provide insights into genetic predispositions and carrier status, but they are not diagnostic tools. Physicians should use these reports as supplementary information, encouraging confirmatory clinical testing and genetic counseling when results suggest a potential health concern to ensure accurate interpretation and appropriate medical management.
Yes, 23andMe offers reports on certain pharmacogenomic markers, indicating how a patient might metabolize specific medications. While these insights can be informative, they should not solely guide prescribing decisions; clinicians should consider them alongside other clinical factors and potentially order clinical-grade PGx testing for definitive guidance.
23andMe employs robust security measures and strict privacy protocols, including de-identification and aggregation of data, for research purposes. User consent is paramount, and individuals explicitly opt-in to participate in research, maintaining control over their genetic information's use in drug discovery and broader genomic studies.
23andMe's health reports are regulated by the FDA as medical devices, requiring analytical and clinical validity for certain conditions. While FDA authorization indicates a level of accuracy for the specific variants tested, these reports are not equivalent to clinical diagnostic tests and should be interpreted with caution in a clinical context.
23andMe offers educational resources for healthcare providers, including information on interpreting reports and guidance on integrating genetic insights into patient care. They aim to facilitate informed discussions between patients and their physicians, though direct clinical support or consultation services are typically not provided.
23andMe has faced financial challenges, leading to strategic adjustments, but remains committed to its mission of leveraging genetic insights for health and drug discovery. Its long-term vision involves expanding its therapeutics pipeline and continuing to provide personalized health information, aiming for sustainable growth through diversified revenue streams.
23andMe uses AI and machine learning to analyze vast datasets, identify genetic patterns, and generate personalized health insights and risk assessments. While these AI-driven insights enhance the user experience, they are intended for informational purposes and should always be validated and integrated into clinical decision-making by a qualified healthcare professional.

Investors

Who's funded 23andMe.

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