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23andMe Health + Ancestry Service: Personal Genetic DNA Test Including Health Predispositions, Carrier Status, Wellness, and Trait Reports (Before You Buy See Important Test Info Below)
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- IMPORTANT: There is a lot to consider with genetic testing. Please review important information about Carrier Status* and Genetic Health Risk* reports. Before purchasing, review important information at 23andme. com/test-info.
- WHAT YOU GET: At-home DNA test kit. Access to Health + Ancestry Service that can help give you a more complete picture of your health with insights from your genetic data. Personalized genetic insights and tools that can help make it easier for you to take action on your health. Includes FDA-authorized reports and full access to our Ancestry + Traits Service.
- HEALTH FEATURES: Our personalized health reports use science-backed data to show how your DNA can affect your likelihood of developing certain health conditions.* Wellness reports show how your DNA relates to your lifestyle. Carrier Status* reports can show if you're a carrier for genetic variants linked to certain inherited health conditions. Use insights from these genetic reports to help you make informed decisions to fuel your health journey.
- SIMPLE & EASY: Genetic testing in 3 simple steps. No blood, no needles. Our home-based saliva collection kit is all you need. We have made the process as simple as possible. Spit in the provided tube, register your kit using the barcode, and return the saliva sample back to our lab in the pre-paid package. Get results back in 5-6 weeks. Your Health + Ancestry kit already includes access to the basic 23andMe Ancestry + Traits Service, and is upgradeable to our premium 23andMe+ Membership.
- PRIVATE AND PROTECTED: Know that you are in control of your DNA. Discovery should never come at the expense of privacy. Your data is encrypted, protected, and under your control. You decide what you want to learn and what you want to share. Subject to 23andMe’s Terms of Service at 23andme. com/tos and Privacy Statement at 23andme. com/about/privacy.
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23andMe Ancestry + Traits Service | 23andMe Health + Ancestry Service | 23andMe+ Premium Membership Bundle | |
Total Reports | 80+ | 150+ | 180+ |
Ancestry Reports | ✓ | ✓ | ✓ |
DNA Relative Finder & Automatic Family Tree Builder | ✓ | ✓ | ✓ |
Trait Reports | ✓ | ✓ | ✓ |
Health Predisposition Reports* | ✓ | ✓ | |
Carrier Status Reports* | ✓ | ✓ | |
Wellness Reports | ✓ | ✓ | |
Family Health History Tree | ✓ | ✓ | |
Pharmacogenetics Reports** | ✓ | ||
New premium reports and features added throughout the year | ✓ |



Disclaimer:
* The 23andMe PGS test includes health predisposition and carrier status reports. Health predisposition reports include both reports that meet FDA requirements for genetic health risks and reports which are based on 23andMe research and have not been reviewed by the FDA. The test uses qualitative genotyping to detect select clinically relevant variants in the genomic DNA of adults from saliva for the purpose of reporting and interpreting genetic health risks and reporting carrier status. It is not intended to diagnose any disease. Your ethnicity may affect the relevance of each report and how your genetic health risk results are interpreted. Each genetic health risk report describes if a person has variants associated with a higher risk of developing a disease, but does not describe a person’s overall risk of developing the disease. The test is not intended to tell you anything about your current state of health, or to be used to make medical decisions, including whether or not you should take a medication, how much of a medication you should take, or determine any treatment. Our carrier status reports can be used to determine carrier status, but cannot determine if you have two copies of any genetic variant. These carrier reports are not intended to tell you anything about your risk for developing a disease in the future, the health of your fetus, or your newborn child's risk of developing a particular disease later in life. For certain conditions, we provide a single report that includes information on both carrier status and genetic health risk.
**23andMe PGS Pharmacogenetics reports: The 23andMe test uses qualitative genotyping to detect 3 variants in the CYP2C19 gene, 2 variants in the DPYD gene and 1 variant in the SLCO1B1 gene in the genomic DNA of adults from saliva for the purpose of reporting and interpreting information about the processing of certain therapeutics to inform discussions with a healthcare professional. It does not describe if a person will or will not respond to a particular therapeutic and does not describe the association between detected variants and any specific therapeutic. Our CYP2C19 Pharmacogenetics report provides certain information about variants associated with metabolism of some therapeutics and provides interpretive drug information regarding the potential effect of citalopram and clopidogrel therapy. Results for SLCO1B1 and DPYD and certain CYP2C19 results should be confirmed by an independent genetic test prescribed by your own healthcare provider before taking any medical action. Warning: Test information should not be used to start, stop, or change any course of treatment and does not test for all possible variants that may affect metabolism or protein function. The PGS test is not a substitute for visits to a healthcare professional. Making changes to your current regimen can lead to harmful side effects or reduced intended benefits of your medication, therefore consult with your healthcare professional before taking any medical action. For important information and limitations regarding Pharmacogenetics reports, visit 23andme.com/test-info/pharmacogenetics/
23andMe Claim Substantiation for “80% get genetically meaningful health info.” Date range: August 2020 - August 2021. Source: 23andMe internal data.
Before you can use 23andMe and see your reports, you must agree to 23andMe's Terms of Service (23andme.com/tos) at the time of registration of your 23andMe kit. Your use of 23andMe is further subject to 23andMe's Privacy Statement (23andme.com/about/privacy).
Product Description
Before Mailing, register your DNA test kit at 23andMe online otherwise, your saliva sample will NOT be processed. 23andMe Health + Ancestry Service features over 150 personalized genetic insights that can help make it easier for you to take action on your health. Using insights backed by the latest science, see how DNA can affect your chances of developing certain health conditions.* 23andMe's Health + Ancestry Service provides genetic testing that includes: 10+ Health Predisposition* reports including: Type 2 Diabetes (Powered by 23andMe Research), Late-Onset Alzheimer's Disease, Celiac Disease. 40+ Carrier Status* reports including: Cystic Fibrosis, Sickle Cell Anemia, Tay-Sachs Disease 5+ Wellness reports including: Deep Sleep, Lactose Intolerance, Genetic Weight. 23andMe Health + Ancestry Service includes our Ancestry + Traits Service with over 50 personalized DNA ancestry reports: Ancestry Composition, Ancestry Detail Reports, Maternal & Paternal Haplogroups, Neanderthal Ancestry. Opt-in to find and connect with relatives in the 23andMe database who share DNA with you. And opt-in to Family Tree, which is automatically built from your DNA relationships. Plus 30+ Trait reports including: Hair (Color, Curliness, Male Bald Spot), Taste & Smell (Sweet vs. Salty, Bitter), Facial Features (Cheek Dimples, Unibrow, Freckles). OTHER FEATURES: 23andMe’s at-home saliva test kits include tools that allow you to share, compare and discover more with friends and family. Trace DNA through your close family and explore the genetic similarities and differences between you and family members. At-home DNA test kit. Access to Health + Ancestry Service that can help give you a more complete picture of your health with insights from your genetic data. Personalized genetic insights and tools that can help make it easier for you to take action on your health. Includes FDA-authorized reports and full access to our Ancestry + Traits Service.
Product details
- Is Discontinued By Manufacturer : No
- Product Dimensions : 6.5 x 5 x 1.3 inches; 4.8 Ounces
- Item model number : Health + Ancestry
- Date First Available : May 20, 2016
- Manufacturer : 23andMe
- ASIN : B01G7PYQTM
- Best Sellers Rank: #7,318 in Health & Household (See Top 100 in Health & Household)
- #3 in Genetic Tests
- Customer Reviews:
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For use in the USA only - kits shipped or used outside the US will be invalidated and no refund will be provided. Kits may not be redistributed or resold. 23andMe Claim Substantiation for “80% get genetically meaningful health info.” Date range: August 2020 - August 2021. Source: 23andMe internal data.
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Reviewed in the United States on November 30, 2016
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I had DNA analysis from 23andme. My wife had DNA analysis from both Ancestry(Anc) and 23andme. This review is my comparison of the two. I now do not recommend secondary analysis of your results by Promethease, see further discussion at end of this review. Basically I like 23andme. For developing an ancestry tree, Ancestry.com is MUCH better IF you signup separately for Ancestry's subscription search service. Do not use Anc & Promethease for Alzheimer's - see discussion at end of this review.
TAKING TEST and SIGNUP – Very similar test taking. 23’s signup was more secure. Anc’s was easier, but they automatically put my wife’s test on my previously existing Ancestry account.
Waiting on RESULTS – Both send emails confirming sample receipt and when results were available. After logon, 23 provided step by step progress reports on the analysis process. The analysis process itself took about 10 days, including a holiday weekend. Total wait time was 3-4 weeks. Anc took 5 or so days longer than 23.
WEB SITE SECURITY – 23 is better. 23 requires a typical logon and password to get to the site. Anc automatically remembers your logon and password and just opens up when you go to the site. However, actually downloading your DNA file from Anc requires a full sign-on and confirmation link via your e-mail..
Ethnic Origin Analysis – I think 23 is more correct. Both 23 and Anc keep updating their Ethnic origin results. Note the results are only approximate considering the accuracy ranges provided.
DNA RELATIVE IDENTIFICATION – Recognizing that allocation of relatives to 1st, 2nd and 3rd cousins is somewhat imprecise. For my wife, 23 identified 4 second cousins and about 32 third cousins. Anc identified 1 first cousin, 2 second cousins and 9 third cousins. 23 also has ‘cousins’ outside the USA (in my case in the UK) which are really valuable contacts for ancestry searching. The web site does not directly identify a cousin’s location but you can easily guess this from supplementary info optionally provided by the cousin on 23’s site.
DNA RELATIVE CONTACT and ANALYSIS – Anc provides the e-mail for a contact and shared ancestors for each DNA relative. You get a lot more when you pay for their regular Ancestry services, see below. 23 provides an internal messaging application for communicating with contacts. The application works but is rudimentary and unsuitable for more than brief messages (especially with MS Edge); exchanging e-mail address’s after contact is more satisfying. Both have a couple levels of ‘sharing’ (aka privacy). Both have tools for grouping contacts.
Anc provides a powerful tree searching tool IF you subscribe to the regular Ancestry service. This is expensive, in the range of $200/year, but less with special offers. Given the moderate ‘tools’ in their basic DNA service, I view their DNA analysis as an (effective) teaser for their subscription service. UPDATE: I did signup for the Ancestry services and they are great. Specifically, with a subscription their DNA site shows a contacts pedigree chart if that contact already has built an Anc family tree. This is MASSIVELY better than 23's unsorted list of surnames. When you search for a particular name it searches all of the connected family trees - this is exceptionally useful.
MEDICAL INFO – Anc provides no medical info. In late 2016 23 had two test options - $100 for just the ancestry service and $200 for ancestry plus medical. As of Sept 2018, 23 provides FDA approved reports on your risk of 9 medical conditions, including Alzheimer's, plus several genetic carrier reports. Their discussion/explanation of your risks for these conditions is specifically approved by the FDA and is understandable, informative, and useful. [Update ANC now advertises health results - I have not tried this]
If you are so inclined, you can participate (answer a lot of online questions) in 23’s medical research. This is probably 20 ten minute questions sessions. I did this and feel like it was useful for medical research.
Analysis of you DNA results by Promethease, a third party service, provides some medical info.
[October 2019 Update] In late 2019 Promethease was bought by MyHeritage, an Israeli Company. They have advised that they will use the DNA profiles downloaded to them for DNA ancestry searches, including searches by police departments. I personally am uncomfortable with this. Further in early 2019 Promethease stopped providing reports for a number of SNP's potentially related to drug usage, apparently due to pressure from the FDA. These are among the MOST useful (actionable) results. For these reasons I think Promethease is now of substantially less value. Perhaps MyHeritage will reinstate the deleted SNP's, but I doubt it. Use Promethease with caution. Note that I have NOT updated the remainder of the Prom discussion to reflect the above comments.
CONNECTION to PROMETHEASE – Promethease (Prom) is a third party service that assess’s your detailed DNA results from either 23 or Anc and provides a detailed medical risk report. Go to the Prom site to get started. The download process is not too difficult. In Oct 2018 cost is $12 per report.
PROMETHEASE RESULTS –Prom generates 20,000 or so reports (hits) from the 700,000 or so genes that are tested by 23 and Anc. 23 and Anc test a different set of genes, although they mostly overlap. For my wife’s test from both 23 and Anc the corresponding Prom reports were about 85% the same for the 40 most significant hits (Prom magnitude 2.5 and above). There were 5 or 6 unique hits in the top 40 for each report. I judge that the unique hits were about equally important, between 23 and Anc - none were critical.
[Nov 2017 Update] In October 2017 I resubmitted by 2016 23 test to Prom. About 15% of the hits were changed. A couple unusual hits were deleted. A very significant change was that one gene comment changed from 'increased risk of Type 1 diabetes' to '18x risk of Type 1 diabetes'!!! I read up on this. It turns out that the genetic - diabetes risk/connection is currently a very hot and complex research topic. The relevant research report was published in 2017. My suggestion is to update your Prom report every year or two if there are concerns.
USING PROMETHEASE – IMPORTANT – Use of general DNA analysis to identify general medical conditions is an emerging (not well developed) technology/business. My guess is that the info provided by Prom is perhaps 30% or so of what will be available in 10 years or so. I regard the info provide as indicative, definitely not complete and possibly incorrect (due to either testing error or interpretation error).
Having said that, it is interesting, likely useful and potentially lifesaving. The information will be disturbing (negative), but in most cases not surprising. I think most people will be able to absorb the info without getting too stressed out. If you are a hypochondriac, this could be a problem. If you want a chance of good news, you can write down the stuff your are concerned about ahead of time, and then see if they actually shows up.
My comments for using the report are:
• Make sure you download a copy to your PC for future reference, don’t just look at it online.
• After you figure out how to use the report, move the '0' Magnitude slider up to a range of 2.5 or so. This will limit you to the top 40 or so hits. Then go down to the bottom of the report and hit the '2X' bar a few times to see all the hits.
• You can then hit the ‘Table’ button at the top and print a summary of the hits to help see the big picture. You can also open this table in Excel and modify/save it for a more useful table. If you do this, add a Frequency column if it's not already there.
• To me, after Magnitude, the most important factor is ‘Frequency’. This is what percentage of the target population has this condition. If its around 40% or higher, I think it’s already ‘dialed in’ to the normal medical process – it is something your doctor and the medical community will look for in any case. Most of the hits fall into this category. If it’s less than 10%, it’s likely not on your doctors radar screen and you will want to consider if it’s worth mentioning to your doctor.
• The second most useful item is the relative increased risk in the item discussion. Recognize that the absolute risk is not provided – for example, the absolute risk might be 1 person in 100,000, so a 1.1 relative risk increase is almost meaningless. On the other hand I looked up AMD (Age Related Macular Degeneration-eye problems) on the internet; it affects 1 in 3 to 5 people by age 80, so 2x risk is really significant. Good to know this ahead of time.
• After you assess the top 40, which takes a while, you can expand the Magnitude to it’s full range. Then click on ‘Topics’ and click on sub topics of interest and see if any common concerns emerge. Do the same for ‘Medical Conditions’. This seems like a lot of work but only takes an hour or 2 once you get started. For me the common themes seem to be heart disease, Alzheimer’s and Rheumatoid arthritis – none of which are a surprise.
- When you find something that might be relevant you NEED to do supplemental research on the Internet. The Prom report is a brief and simple identification. Fuller understanding can significantly change (reduce?) your concern for the issue. Be aware that there are 'hypochondriac' web sites for some of these issues. I like to start with Wiki, Mayo Clinic and WebMD. Search for the Prom gene name 'rs........'. Then find out what the common term(s) for the gene is e.g. MTFHR and search for that. Write stuff down, gene names can be confusing.
• Again, remember this is an emerging technology, so the results will change from year to year. I guess that in 10 years it will be a routine consideration in a physical.
IMPORTANT. DO NOT use Prom results from Anc for Alzheimer's. Anc almost always reports zero copies of the Alz APOE4 gene. Prom notes this in their report, but it’s carries a low Magnitude and is easy to miss. In Sept 2018 I did an Anc test and it returned (via Prom), Zero copies of the Alz gene. The Anc and Prom medical results were otherwise similar but slightly less extensive than 23 and Prom.
I started using 23andme in 2012 before the FDA had gotten nasty and demanded they stop providing such detailed health analysis. Most of the kits I purchased (all but 2) included the ancestry with health but the ancestry portion was the sole purpose for us using 23andme services. I have tested both of my parents, my two children, two paternal aunts, my daughter's paternal grandmother as well as myself and two cousins whom I tested to confirm our relationship. If you test at least one parent, you can easily sort matches that are shared with that parent to determine which matches are maternal and paternal. Since both my parents have tested mine literally shows who matches me from each side and my children can sort their matches based on me being tested too.
My paternal grandfather died in 1995 and took with him the secret of his past. He had ran away as a young boy and changed his name so we knew him only by the name he had taken. My family always yearned to know more about my grandfather's past but he had endured some sort of trauma or something and for whatever reason chose to never speak of it again. So we grew up only knowing half my father's ancestry - that of his mother.
After my grandfather died, I set out on a mission to try to figure out more about his past and his identity. I sent off for birth and school records and hit one dead-end after another trying to prove he was who he said he was. I spent hours going over census data on Ancestry's website, writing to courthouses across the country. The evidence pointed to the conclusion he was not who he said he was and so I had nothing solid to go by. Until 17 years into chasing cold trails, I discovered ancestry type DNA testing. I figured it wouldn't hurt to order my dad a kit and see where that would take us. If I could just find one close enough match then maybe it would give us a good lead on figuring out my grandfather's real surname.
After waiting for what seemed like months (it was actually only about 6 weeks) my dad's DNA was online (on 23andme’s secure site) and accessible along with all his many matches - which were basically cousins at various degrees of distance. It was one cousin (a predicted second cousin) in particular that gave me access to their family tree and actually dove in with me searching for clues that would lead us to my grandfather.
Just 6 months into researching my father's DNA, I found my grandfather's family and figured out who he really was. I wanted to ensure that my information was correct and so I contacted the daughters to the man I believed to be my grandfather's brother and offered to test them both. Their test results confirmed they were indeed our 1st cousins. I have since been in contact with close and distant family via this newly discovered paternal side and even obtained a copy of my grandfather's family surname book. His absence was even recorded in the book! I solved an 83+ year mystery and gained a family I longed my entire life to know about. I cannot be more thankful that these tests are available and that it gives us such ability to solve things that seem impossible.
Granted this all sounds way easier than it was and in all honesty it took planning and sorting and meticulous record-keeping to rule out my father's maternal matches. I literally mapped my father's DNA and researched every match labeling in an Excel document, which chromosome location that relative fit and what surnames fit within those matches. It’s given me new found respect and interest in knowing about each and every ancestor that left their mark within our DNA. It’s time-consuming, rewarding and addicting. I can say that with all honesty as I now manage 15+ kits on various DNA web sites. I tested myself and both parents on 23andme as well as AncestryDNA and Dad was also tested on FTDNA but I met my most useful matches on 23andme. It was on 23andme that I found the best ability to pour over chromosomes researching every detail I could.
Oddly between 23andme and Ancestry their tests show a discrepancy in ethnicity estimates. One shows that my dad has a tiny trace of Native American (23andme) yet AncestryDNA does not show any trace whatsoever of Native American. My son has confirmed Native American and was only tested on 23andme and his percentage came back at nearly exact what is on his BIA blood quantum card. So I lean in feeling more comfortable with 23andme’s ethnicity estimates.
IMPORTANT TO NOTE: You can take your raw data (once your DNA is processed) and download it from any of these DNA testing sites and upload them for free to GEDmatch. That site allows you to cross compare other matches on there from all the DNA sites. As long as others have their data on their too you can look at those matches and even see where the match is on individual chromosomes, etc. It’s a great tool to utilize along with your DNA testing sites.
FINAL THOUGHT: If you are looking to solve a mystery, 23andme is great. If you are looking to just fill in a family tree and you have a paid Ancestry membership or you are willing to pay for it, I would also suggest AncestryDNA. AncestryDNA gives you immediate access to your matches’ trees and you can in turn build on your own tree with the information. But if you are NOT a paid member to Ancestry, their AncestryDNA features are limited. I personally think its poor business practice for Ancestry to force people who already fork over money for the DNA kits to further pay to utilize services that should be totally included within the purchase of the kit. With 23andme, there are no additional hidden usage fees.
Whichever one you choose, be prepared to discover a new you.

Reviewed in the United States on November 30, 2016
I started using 23andme in 2012 before the FDA had gotten nasty and demanded they stop providing such detailed health analysis. Most of the kits I purchased (all but 2) included the ancestry with health but the ancestry portion was the sole purpose for us using 23andme services. I have tested both of my parents, my two children, two paternal aunts, my daughter's paternal grandmother as well as myself and two cousins whom I tested to confirm our relationship. If you test at least one parent, you can easily sort matches that are shared with that parent to determine which matches are maternal and paternal. Since both my parents have tested mine literally shows who matches me from each side and my children can sort their matches based on me being tested too.
My paternal grandfather died in 1995 and took with him the secret of his past. He had ran away as a young boy and changed his name so we knew him only by the name he had taken. My family always yearned to know more about my grandfather's past but he had endured some sort of trauma or something and for whatever reason chose to never speak of it again. So we grew up only knowing half my father's ancestry - that of his mother.
After my grandfather died, I set out on a mission to try to figure out more about his past and his identity. I sent off for birth and school records and hit one dead-end after another trying to prove he was who he said he was. I spent hours going over census data on Ancestry's website, writing to courthouses across the country. The evidence pointed to the conclusion he was not who he said he was and so I had nothing solid to go by. Until 17 years into chasing cold trails, I discovered ancestry type DNA testing. I figured it wouldn't hurt to order my dad a kit and see where that would take us. If I could just find one close enough match then maybe it would give us a good lead on figuring out my grandfather's real surname.
After waiting for what seemed like months (it was actually only about 6 weeks) my dad's DNA was online (on 23andme’s secure site) and accessible along with all his many matches - which were basically cousins at various degrees of distance. It was one cousin (a predicted second cousin) in particular that gave me access to their family tree and actually dove in with me searching for clues that would lead us to my grandfather.
Just 6 months into researching my father's DNA, I found my grandfather's family and figured out who he really was. I wanted to ensure that my information was correct and so I contacted the daughters to the man I believed to be my grandfather's brother and offered to test them both. Their test results confirmed they were indeed our 1st cousins. I have since been in contact with close and distant family via this newly discovered paternal side and even obtained a copy of my grandfather's family surname book. His absence was even recorded in the book! I solved an 83+ year mystery and gained a family I longed my entire life to know about. I cannot be more thankful that these tests are available and that it gives us such ability to solve things that seem impossible.
Granted this all sounds way easier than it was and in all honesty it took planning and sorting and meticulous record-keeping to rule out my father's maternal matches. I literally mapped my father's DNA and researched every match labeling in an Excel document, which chromosome location that relative fit and what surnames fit within those matches. It’s given me new found respect and interest in knowing about each and every ancestor that left their mark within our DNA. It’s time-consuming, rewarding and addicting. I can say that with all honesty as I now manage 15+ kits on various DNA web sites. I tested myself and both parents on 23andme as well as AncestryDNA and Dad was also tested on FTDNA but I met my most useful matches on 23andme. It was on 23andme that I found the best ability to pour over chromosomes researching every detail I could.
Oddly between 23andme and Ancestry their tests show a discrepancy in ethnicity estimates. One shows that my dad has a tiny trace of Native American (23andme) yet AncestryDNA does not show any trace whatsoever of Native American. My son has confirmed Native American and was only tested on 23andme and his percentage came back at nearly exact what is on his BIA blood quantum card. So I lean in feeling more comfortable with 23andme’s ethnicity estimates.
IMPORTANT TO NOTE: You can take your raw data (once your DNA is processed) and download it from any of these DNA testing sites and upload them for free to GEDmatch. That site allows you to cross compare other matches on there from all the DNA sites. As long as others have their data on their too you can look at those matches and even see where the match is on individual chromosomes, etc. It’s a great tool to utilize along with your DNA testing sites.
FINAL THOUGHT: If you are looking to solve a mystery, 23andme is great. If you are looking to just fill in a family tree and you have a paid Ancestry membership or you are willing to pay for it, I would also suggest AncestryDNA. AncestryDNA gives you immediate access to your matches’ trees and you can in turn build on your own tree with the information. But if you are NOT a paid member to Ancestry, their AncestryDNA features are limited. I personally think its poor business practice for Ancestry to force people who already fork over money for the DNA kits to further pay to utilize services that should be totally included within the purchase of the kit. With 23andme, there are no additional hidden usage fees.
Whichever one you choose, be prepared to discover a new you.



I think at least one of us is the mailman’s child.
It was Karen.
Top reviews from other countries

Completely screwed over on returns too


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