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. That's why Keeps sits last of the 20 clinics we track. Its BBB record itself is otherwise unremarkable (A+, 47 complaints/3yr, 0 unanswered) — the AG settlement is the finding that matters here, not the BBB file.
Legal entity: Thirty Madison, Inc.. Scored 6.3/10, ranked #20 of 20 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 →.