DTC health Trustpilot report 2026
What Trustpilot looks like for 127 US health brands, from public profile pages read on September 19, 2026. Seven findings, one table, five charts you can embed, and the data as a CSV. Aggregates only. No brand is named.
By James Tumbucon. Data collected . Published
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Seven findings
Every number below was collected on September 19, 2026 and comes from the table that follows. One-star counts are estimates, because Trustpilot shows star percentages rounded to whole numbers.
404,135
reviews sat on 64 Trustpilot profiles in the four online health categories. An estimated 34,575 of them, 8.6%, were 1-star.
13.2%
of telehealth reviews were 1-star, the highest of the four online categories. Its median TrustScore was 3.9, the lowest of the four.
8 of 13
telehealth profiles with more than 100 reviews had a 1-star share of 20% or more. Across all four categories the figure was 14 of 53.
69% vs 11%
was the median 1-star share on the 9 unclaimed profiles against the 54 claimed ones. The unclaimed group is small, and the gap shows an association, not a cause.
6.0%
of GLP-1 reviews were 1-star, the lowest share, on the largest volume: 178,497 reviews. Yet single large profiles ran from 2% to 32%.
12 of 64
profiles carried Trustpilot's notice that the company had not invited customers, or not recently. 7 of the 18 supplement profiles did.
43 of 64
profiles had a TrustScore of 4.0 or more, and 13 were under 3.0. 8 of those 13 were supplement brands.
The figures by category
Collected September 19, 2026. Median TrustScore is taken across profiles. The 1-star share is weighted by review count, so large profiles count for more.
| Category | Brands checked | Profiles with reviews | Total reviews | Median TrustScore | Share of 1-star reviews | 1-star range, profiles over 100 reviews | Profiles with invitation notice | Unclaimed profiles |
|---|---|---|---|---|---|---|---|---|
| Telehealth and DTC prescription | 16 | 15 | 118,312 | 3.9 | 13.2% | 3% to 39% (13 profiles) | 5 of 15 | 2 of 15 |
| GLP-1 and weight loss | 16 | 15 | 178,497 | 4.5 | 6.0% | 2% to 32% (13 profiles) | 0 of 15 | 0 of 14 |
| Hair loss, ED, TRT and HRT | 19 | 16 | 47,313 | 4.4 | 6.7% | 1% to 19% (13 profiles) | 0 of 16 | 2 of 16 |
| Supplements | 18 | 18 | 60,013 | 4.1 | 8.8% | 4% to 70% (14 profiles) | 7 of 18 | 5 of 18 |
| Peptides | 24 | 10 | 2,262 | 4.5 | 5.6% | 0% to 17% (6 profiles) | 0 of 10 | 1 of 9 |
| Med spas and aesthetics | 20 | 7 | 600 | 3.2 | 61.2% | 44% to 86% (2 profiles) | 0 of 7 | 3 of 7 |
| Doctors, clinics and practices | 14 | 14 | 38,644 | 3.3 | 9.4% | 6% to 89% (9 profiles) | 0 of 14 | 4 of 13 |
127 brands checked, 95 with a profile that had reviews. Download the table as a CSV. It holds the same aggregate rows, with the collection date in every row, and no brand-level data.
Five charts you can use
Each chart is free to use with a link back. Download the SVG or the PNG, or press Embed to copy an image tag that points at the PNG on this site and links to this page.
Share of 1-star Trustpilot reviews, by health category
Data collected September 19, 2026.
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<a href="https://www.removeonestar.com/research/dtc-health-trustpilot-report-2026"><img src="https://www.removeonestar.com/research/charts/one-star-share-by-category.png" alt="Share of 1-star Trustpilot reviews, by health category. Weighted by review count, so large profiles count for more. Estimated from rounded star percentages." width="1200" height="675" style="max-width:100%;height:auto"></a>
<p>Source: <a href="https://www.removeonestar.com/research/dtc-health-trustpilot-report-2026">Remove One Star, DTC Health Trustpilot Report 2026</a>. Data collected September 19, 2026.</p>
Median TrustScore, by health category
Data collected September 19, 2026.
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<a href="https://www.removeonestar.com/research/dtc-health-trustpilot-report-2026"><img src="https://www.removeonestar.com/research/charts/median-trustscore-by-category.png" alt="Median TrustScore, by health category. The middle profile in each category, on Trustpilot's scale of 1 to 5." width="1200" height="675" style="max-width:100%;height:auto"></a>
<p>Source: <a href="https://www.removeonestar.com/research/dtc-health-trustpilot-report-2026">Remove One Star, DTC Health Trustpilot Report 2026</a>. Data collected September 19, 2026.</p>
Trustpilot reviews on the profiles read, by health category
Data collected September 19, 2026.
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<a href="https://www.removeonestar.com/research/dtc-health-trustpilot-report-2026"><img src="https://www.removeonestar.com/research/charts/reviews-by-category.png" alt="Trustpilot reviews on the profiles read, by health category. 445,641 reviews on 95 profiles. Online health brands hold almost all of them." width="1200" height="675" style="max-width:100%;height:auto"></a>
<p>Source: <a href="https://www.removeonestar.com/research/dtc-health-trustpilot-report-2026">Remove One Star, DTC Health Trustpilot Report 2026</a>. Data collected September 19, 2026.</p>
How far 1-star share varies inside one category
Data collected September 19, 2026.
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<a href="https://www.removeonestar.com/research/dtc-health-trustpilot-report-2026"><img src="https://www.removeonestar.com/research/charts/one-star-range-large-profiles.png" alt="How far 1-star share varies inside one category. Lowest to highest profile with more than 100 reviews. The dot is the category's weighted share." width="1200" height="675" style="max-width:100%;height:auto"></a>
<p>Source: <a href="https://www.removeonestar.com/research/dtc-health-trustpilot-report-2026">Remove One Star, DTC Health Trustpilot Report 2026</a>. Data collected September 19, 2026.</p>
Claimed and unclaimed profiles: median share of 1-star reviews
Data collected September 19, 2026.
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<a href="https://www.removeonestar.com/research/dtc-health-trustpilot-report-2026"><img src="https://www.removeonestar.com/research/charts/claimed-vs-unclaimed-profiles.png" alt="Claimed and unclaimed profiles: median share of 1-star reviews. Four online health categories pooled: 54 claimed profiles and 9 unclaimed. The unclaimed group is small." width="1200" height="675" style="max-width:100%;height:auto"></a>
<p>Source: <a href="https://www.removeonestar.com/research/dtc-health-trustpilot-report-2026">Remove One Star, DTC Health Trustpilot Report 2026</a>. Data collected September 19, 2026.</p>What stands out in each category
Short notes on the pattern behind each row. The linked pages go deeper.
- Telehealth and DTC prescription
- The highest 1-star share of the four online categories. Eight of the 13 profiles with more than 100 reviews had a 1-star share of 20% or more. Five profiles carried Trustpilot's notice about not inviting customers.
- GLP-1 and weight loss
- Very large, fast-growing profiles. Most brands run invitation programs, which is why the median TrustScore is 4.5 even though single profiles ran as high as 32% 1-star.
- Hair loss, ED, TRT and HRT
- Claimed profiles that invite customers score well. The two unclaimed profiles in the sample had a median 1-star share of 74%.
- Supplements
- Split between large, invited profiles and small, unmanaged ones. Seven of 18 carried the invitation notice, and eight had a TrustScore under 3.0.
- Peptides
- Fewer than half of the brands checked had a live profile with reviews. Several profiles had been replaced by a Trustpilot removal notice.
- Med spas and aesthetics
- Med spas are barely reviewed on Trustpilot. The few reviews that exist are mostly complaints. Their customers review them on Google.
- Doctors, clinics and practices
- Most practice profiles are small and unclaimed, so scores are low. Their reviews live mostly on Google and healthcare rating sites.
Category pages: review removal for telehealth, GLP-1 and weight-loss brands, hair loss, ED, TRT and HRT brands and supplement brands. For why online health brands and clinics differ, read Trustpilot and Google reviews for DTC health brands.
Methodology
Sample. For each category we listed well-known United States brands that appear in search results and AI assistant answers for that category, then opened each brand’s public Trustpilot profile on September 19, 2026. Brands that belong to two categories are counted once. 127 brands were checked, and 95 had a profile with reviews.
What we read. The TrustScore, the review count, the percentage of reviews at each star level, whether the profile was claimed, and any notice Trustpilot showed. Nothing behind a login was used.
1-star share. Trustpilot shows star percentages rounded to whole numbers. We multiplied the 1-star percentage by the review count for each profile and summed across the category, so counts are estimates. Profiles whose star breakdown could not be read are included in review totals and left out of the share.
Median TrustScore. The middle value across profiles with reviews, so one very large brand does not set the figure. TrustScore itself is weighted toward recent reviews, which is why a category can show a high median score and a high 1-star share at once. Our TrustScore calculator shows what a number of 1-star removals would do to a score under a plain average.
Claimed and unclaimed. A profile counts as claimed when Trustpilot showed it as claimed by the business. The comparison uses the median 1-star share across profiles in each group, not weighted by size.
Invitation notice. A profile is counted when it showed Trustpilot’s text saying the company has not invited customers, or has not done so recently, so reviews may not be representative.
How the numbers are made. One script reads the collection sheet and writes the aggregates, the CSV and the figures on this page. No figure here was typed by hand, and no brand-level row leaves the sheet.
Limitations
- The sample is small and was chosen by hand, so it describes these brands and not the whole market.
- It is one day. Profiles change daily, and a snapshot says nothing about trends.
- One-star counts are estimates built from rounded percentages. On a large profile the rounding alone can move the count by hundreds of reviews.
- Only 9 of the 63 online health profiles were unclaimed. The gap between claimed and unclaimed profiles is large, but it rests on a small group, and it does not show that claiming a profile changes its reviews.
- A few pages could not be loaded. They are counted as checked without reviews.
- This report does not say how many reviews break Trustpilot’s rules. That takes a reading of each review, which is what an audit does, and we have not published such a count.
- We sell review removal to the brands this report describes. We have kept to public data and a published method so the figures can be checked.
Cite this report
You may quote the findings and use the charts, with the collection date and a link to this page. Suggested citation:
Remove One Star. (2026). DTC Health Trustpilot Report 2026: 1-star reviews and TrustScores across 127 health brands. Data collected September 19, 2026. https://www.removeonestar.com/research/dtc-health-trustpilot-report-2026
Permanent URL: https://www.removeonestar.com/research/dtc-health-trustpilot-report-2026. Questions and corrections: team@removeonestar.com. Writers can find the charts and a two-sentence summary on the research press page, and thirty sourced figures from the platforms themselves on our online review statistics page.
Questions about the report
We do not name them. The sample is made up of well-known US brands in each category, chosen because they appear in search results and AI assistant answers for that category. Publishing a brand's 1-star share next to its name would serve no reader and would single out companies for public data they already display.
Trustpilot shows the percentage of reviews at each star level, rounded to a whole number. We multiplied that percentage by the profile's review count and summed across the category. The result is an estimate. On a few profiles the star breakdown could not be read, and those profiles are left out of the share but counted in the review total.
Because TrustScore is not a simple average. Trustpilot gives more weight to recent reviews. A brand with a large backlog of old 1-star reviews and a steady flow of recent invited reviews can still show a high score. Source: TrustScore explained.
No. That takes a reading of each review against Trustpilot's five flagging reasons, which is what an audit of one profile does. We have not published such a count, and the report does not estimate one.
Yes. Quote the findings with the collection date and link to the report. Each chart has an Embed button, and downloads as SVG and PNG. The suggested citation is in the 'Cite this report' section, and the research press page has a two-sentence summary.
The report cannot say. It shows that the 9 unclaimed profiles in the four online categories had a far higher median 1-star share than the 54 claimed ones. Unclaimed brands do not invite customers, so the people who find the profile are often those with a complaint. That is a likely reason, not a tested one.
We plan to re-run the same sample and keep earlier figures available, so they can be compared over time. This edition is the first.
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