Is Keeps TRT Legit?
Keeps' parent company, Thirty Madison, Inc., paid a $400,000 settlement to the New York Attorney General on 2026-08-24 for deceptive subscription-billing and hard-to-cancel practices. Concluded, not alleged. Its BBB record itself is otherwise unremarkable (A+, 47 complaints/3yr, 0 unanswered, read 30 August 2026). The AG settlement is the finding that matters here, not the BBB file.
Legal entity: Thirty Madison, Inc.. Scored 6.3/10, ranked #27 of 39 clinics we track.
Confirmed regulatory action on file
New York Attorney General (Letitia James) settlement with Thirty Madison, Inc. dba Keeps, settled 2026-08-24, $400,000.
Failed to clearly disclose subscription terms, non-refundable fees, and auto-renewal policies; made cancellation difficult ("customers had to complete multiple steps to cancel their subscriptions, causing consumers to receive several additional emails before the company honored a request to cancel").
Required remediation: Pay $400,000 to the state; improve subscription disclosures; ensure rapid cancellation processing; refund eligible subscribers who filed complaints; provide restitution to those charged after requesting cancellation or for unshipped products; automatically process certain refunds.
A government enforcement action confirming or alleging deceptive billing, cancellation, or data-handling practices caps this provider's transparency score the same way an open FDA warning letter does. One cap regardless of how many actions are on file. See our editorial policy →
Third-party records
What we found outside Keeps TRT's own site. BBB, its named pharmacy partner (or lack of one), and whether it publishes a real HIPAA notice.
Better Business Bureau
A+ rating · not BBB accredited · 47 complaints filed (checked 2026-08-30)
47 complaints filed over 3 years; 17 closed in the last 12 months. 0 currently unanswered on the BBB record itself. See the separate, independently-confirmed 2026-08-24 NY Attorney General settlement over subscription-disclosure practices, reported on this provider's review page.
Pharmacy partner
Keeps TRT does not name the specific pharmacy that fills or compounds its medications (checked jointitan.com / keeps.com, 2026-08-30). That is the norm for this category, not unusual for Keeps TRT specifically. Most providers we've checked don't name one either. Site language refers only to "U.S. licensed pharmacies," generic.
HIPAA disclosure
Published. A real HIPAA-specific notice, checked 2026-08-30. Published, one level removed: Keeps' own privacy policy defers to a shared "Thirty Madison KMG Notice of Privacy Practices" covering all of Thirty Madison's brands. Real HIPAA language, explicitly naming Keeps as a covered brand.
This page states a legal/regulatory record, not a purchase recommendation. Read the full Keeps TRT review → for pricing, treatment options, and our scored verdict against every clinic we track.
A low score or an open finding is a measurement against our published rubric, not an accusation. See our editorial policy →.