MAIL IN DNA TESTS

March 6, 2025

Mail-order DNA tests have become incredibly popular, promising insights into ancestry, health risks, and even personal traits. The idea of learning more about where you came from or what diseases you might be prone to sounds exciting, but there are a few things to consider before spitting into a tube and mailing it off. These tests can be informative, but they’re not perfect, and understanding their limitations can help you avoid confusion or unnecessary worry.

One of the main reasons people order DNA tests is to learn about their ancestry. The way this works is that companies compare your DNA to the DNA of other people in their database. This means your results will only be as good as the number and diversity of the people already in the company’s system. Since different companies have different databases, your ancestry results might vary depending on which one you choose. If one company has more samples from European populations and fewer from Asia or Africa, a person with mixed heritage may see an overrepresentation of their European ancestry and an underrepresentation of their non-European background. This can lead to results that look different from what a sibling might get, especially since siblings inherit slightly different DNA from their parents. Just because you and your sister both got half of your DNA from the same parents doesn’t mean you got the same half.

Another reason people turn to DNA tests is to check for their risk of developing certain diseases. Many companies claim they can tell you if you’re more likely to get conditions like Alzheimer’s, cancer, or heart disease based on your genetic makeup. While it’s true that certain genes are linked to these diseases, genetics is only one part of the puzzle. Lifestyle, environment, diet, and other factors play a big role, too. Just because you have a gene associated with a disease does not mean you will develop it, and just because you don’t have a gene doesn’t mean you’re completely safe. Some DNA tests might flag a health risk that sounds alarming, but in reality, it might not mean much. For example, a person might have a genetic variation linked to a slightly increased risk of breast cancer, but if that risk only increases by 2% compared to the general population, it might not be as concerning as it sounds. This is why it’s important to talk to a doctor or genetic counselor before making any major health decisions based on DNA test results.

Some companies take things even further and claim they can give personalized diet and fitness advice based on your genes. They may suggest specific supplements, exercise plans, or foods that supposedly match your genetic profile. However, there is little scientific evidence to support the idea that genetic testing can accurately predict what type of diet or workout is best for you. While some genes are linked to how the body processes certain nutrients, these effects are often small, and there are many other factors that determine how your body responds to food and exercise. Be cautious of companies that try to sell expensive supplements or diet plans based on your DNA results.

One of the less talked-about risks of at-home DNA tests is how they handle your personal data. DNA is the most personal information you have, and once you send your sample to a company, you need to trust them to keep it secure. Some companies allow you to opt out of having your data shared with third parties, but others might use your genetic information for research, sell it to pharmaceutical companies, or provide it to law enforcement agencies in some situations. Reading the fine print before ordering a test is crucial. If privacy is a concern, it’s important to know who has access to your data and what they can do with it.

There is also the potential for unexpected or even upsetting results. Some people have taken DNA tests expecting to learn fun facts about their ancestry, only to discover that their father isn’t their biological father, or that they have half-siblings they never knew about. In other cases, people find out they have a genetic risk for a serious illness, which can cause stress and anxiety. While some might appreciate having this information, others may regret learning it. If you’re considering taking a DNA test, it might be a good idea to think about whether you’re prepared to handle any surprises.

Another thing to keep in mind is how genetic test results might affect your insurance. While there are laws that prevent health insurance companies from using genetic test results to deny coverage or raise rates, those protections don’t apply to life insurance, disability insurance, or long-term care insurance. If a genetic test suggests that you’re at risk for a certain condition, an insurance company could use that information to increase your premiums or deny you coverage. If you’re considering applying for these types of insurance, it may be worth securing a policy before taking a DNA test, just to be safe.

The accuracy and reliability of mail-order DNA tests can also vary. Some companies follow strict guidelines and have high-quality labs that analyze DNA with great precision. Others may not be as rigorous. If you’re looking for a test that provides the most reliable health-related results, checking to see if the company follows Clinical Laboratory Improvement Amendments (CLIA) standards and if their tests are FDA-approved is a good idea. These certifications mean the tests meet certain scientific and quality standards.

For those who are serious about understanding their genetic risks, working with a doctor or genetic counselor is often the best approach. A trained professional can help interpret your results in the right context, explain what they really mean, and guide you on what actions, if any, you should take. Some genetic risks might be significant, while others may not be meaningful at all. A genetic counselor can also help you prepare for any unexpected findings and provide guidance on whether testing makes sense for you in the first place.

Despite the limitations, DNA testing can still be an interesting and sometimes valuable tool. It can help people connect with distant relatives, learn more about their ancestry, and, in some cases, gain insights into their health. But it’s important to go into it with the right expectations. These tests can provide clues, but they are not definitive answers. Whether you’re looking for information about your family history or your health risks, understanding what DNA tests can and cannot do will help you make an informed decision. If you choose to get tested, take the time to research the company, read the fine print, and consider how you’ll handle the results, whatever they may be.

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