Popular DNA tests that are offered direct to consumers (DTC) such as 23andMe and ancestry.com, are not true medical tests. Results from these tests can be easily misconstrued and create false reassurances in patients who may have legitimate health risks. DTC tests can bypass the essential relationship between a doctor and patient. According to the FDA, these tests “should not be used as a substitute for seeing your doctor for cancer screenings or counseling on genetic and lifestyle factors that can increase or decrease cancer risk.” DTC tests can produce false positives or false negatives. The FDA states,“Results obtained from the tests should not be used for diagnosis or to inform treatment decisions. Users should consult a healthcare professional with questions or concerns about results.” DTC tests can not be a replacement for licensed medical advice or screening which can only be obtained with certified genetic health risk (GHR) tests. PROMISE DNA testing is a certified genetic health risk test, is directed by physicians, and includes licensed genetic counseling.