A recent op-ed by genetic counselor Laura Hercher illuminated a sticky situation in which more and more consumers find themselves. Matt Fender ordered a spit kit from direct-to-consumer (DTC) genetic testing company 23andMe, downloaded his raw data, and ran it through a third-party service called Promethease, which can help consumers make sense of their raw data. Fender’s Promethease report highlighted a genetic variant that, if truly present, would place him at very high risk to develop an early-onset form of Alzheimer’s disease and would alter the course of his life.