The short answer
- Ask what you are watching. A documentary, an advocacy film, a paid promotion and a dramatization are made for different reasons. Under federal advertising rules, a paid tie the audience would not expect has to be disclosed; a drama can change facts to tell a story.
- Treat one person's story, "they don't want you to know" and a discount code as reasons to check, not reasons to buy. The Food and Drug Administration (FDA) lists personal testimonials and conspiracy theories among the tip-offs of health fraud.
- Check "FDA approved" yourself. Drugs are listed in Drugs@FDA, and devices in FDA's approval and clearance lists. FDA does not approve dietary supplements before they are sold, and "FDA registered" does not mean approved.
- "In clinical trials" means the question is still open. Look the study up on ClinicalTrials.gov. FDA calls a drug under study investigational: it is being tested to see whether it works.
- Use ratings, content warnings and parental controls to decide who watches, and turn on captions or audio description if they help.
- Talk to your own clinician before you act, especially before you stop a prescribed medicine or add a supplement.
Documentary, advocacy, ad or drama?
On a streaming menu, these four can sit side by side with the same kind of poster. The difference is who decides the message, who pays for it, and what you are asked to do at the end.
| Type | What it is | What to check |
|---|---|---|
| Documentary | Non-fiction made to inform. The filmmakers still choose who speaks, which cases to show and what to leave out. | Who made and funded it (opening and closing credits). Whether experts are named, with their field. Whether people who disagree are heard. |
| Advocacy film | Non-fiction made to persuade: to change a law, raise money, or win support for a cause or a treatment. | Who is behind it, and what it asks you to do at the end: sign, donate, join, buy. |
| Sponsored content or paid promotion | A program or video paid for by someone who sells something. It may be formatted to look like an independent show. | A "paid advertisement", "sponsored" or "ad" label. A product, website or discount code. Whether the host or expert has a business tie to the seller. |
| Dramatization | A scripted story with actors, including films and series "based on a true story". | The disclaimer in the credits, and what the public record says happened. |
The format itself can mislead. The Federal Trade Commission (FTC) says an advertisement is deceptive when it misleads reasonable consumers about its true nature or source, and it judges this by the overall impression, not single sentences. In its Enforcement Policy Statement on Deceptively Formatted Advertisements (December 2015), the FTC notes that it has long challenged infomercials presented as regular TV or radio programming, such as news reports or talk shows. In most of those cases it required a clear disclosure such as "PAID ADVERTISEMENT" at the start and whenever ordering instructions were given.
A program can be more than one type. The question that cuts through is simple: what does it want me to do next, and who benefits if I do?
Signs a health claim needs checking
None of these proves a claim is false. Each means: check before you act.
- One person's story carries the claim. FDA's tip-offs to health fraud say success stories are easy to make up and are no substitute for scientific evidence. The FTC's Endorsement Guides say plainly that consumer endorsements "are not competent and reliable scientific evidence."
- "They don't want you to know." FDA lists conspiracy theories, such as claims that government or industry is hiding a cure, as a tip-off. FDA adds that a real cure for a serious disease would be widely reported and prescribed by licensed professionals, not advertised in infomercials.
- One product fixes many problems, fast. FDA's list also includes "one product does it all", quick fixes, and words such as "miracle cure", "new discovery", "guaranteed results" and "secret ingredient".
- "All natural" is offered as proof of safety. FDA warns that some products labeled "all natural" have contained hidden, dangerously high doses of prescription drug ingredients.
- A product link, website or discount code. The program or its presenter may be selling something. A paid or business connection must be disclosed clearly (see the FTC section below).
- No named sources. "Experts say" with no names, or "studies show" with no study you can find.
- Science-sounding words, prizes and pressure. The FTC's guide to common health scams warns about scientific-sounding terms, mentions of famous prizes, money-back guarantees and pressure to "act now".
- Dramatic before-and-after pictures or "news" clips. The FTC says such photos may be stock or altered images, and that sellers use fake news sites with stolen logos to promote products (The Truth Behind Weight Loss Ads).
If the program quotes a study, the numbers need their own check. Our guide to reading a health-study headline covers relative and absolute risk, "linked to", animal studies and preprints, so this guide does not repeat them.
How to check a claim, step by step
Pause and write down the exact claim, the product or treatment name, and any company named. Captions make this easier. Then:
- Check an "FDA approved" drug. Search Drugs@FDA for approved drug product information. FDA-licensed biological products, including biosimilars, are in the Purple Book. Both are linked from FDA's drug approvals and databases page. Check that the approval matches the product and the use the program describes.
- Check a device. FDA's device approvals and clearances pages separate three routes: premarket approval (PMA) for new or high-risk devices, which gets "a more rigorous premarket review"; 510(k) clearance for devices shown to be "substantially equivalent" to devices already legally sold; and De Novo. "Cleared" and "approved" are not the same word.
- Know what FDA does not approve. FDA's page Is It Really "FDA Approved"? (current as of May 4, 2026) says FDA does not approve dietary supplements for safety and effectiveness, most cosmetics, compounded drugs, medical foods in general, health care providers, laboratories or manufacturing facilities on their own. It says "mere registration of an establishment or listing of a drug or device does not denote approval", and the FDA logo should not be used to imply endorsement of a private product.
- Check a supplement that "treats" or "cures" something. FDA's questions and answers on dietary supplements (current as of August 27, 2026) say FDA "does not have the authority to approve dietary supplements before they are marketed". A product sold to treat or cure a disease meets the definition of a drug. A supplement label that makes a body-function claim must say: "This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease."
- Search FDA warning letters. FDA's warning letters page has a keyword search and shows the company, issuing office, subject and dates, and whether a response or close-out letter exists. FDA notes that later contact between FDA and the company may have changed the status of the issues in a letter, so read the dates. Also try FDA's Health Fraud Product Database, which FDA says "only includes a small fraction" of potentially hazardous products. Not being listed does not mean a product is safe.
- Look up a trial on ClinicalTrials.gov. FDA lists ClinicalTrials.gov as a National Institutes of Health (NIH) resource. Federal law requires those responsible for certain clinical trials to register them there and to submit results information, and FDA oversees compliance. Search the treatment name and check who is running the study, whether it has finished, and whether results are posted. Remember what a trial means: FDA describes an investigational drug as an experimental drug that "is being studied to see if your disease or medical condition improves while taking it." For gaps in results reporting, see KPSGILL's ClinicalTrials.gov results reporting enforcement.
- Read the plain-language background on MedlinePlus. USA.gov points readers to MedlinePlus.gov for information they can trust on medical conditions, treatments, testing and medications. Compare what it says with the program.
- Check CDC on infections, vaccines and outbreaks. The Centers for Disease Control and Prevention (CDC) describes its role as creating "the expertise, information, and tools that people and communities need to protect their health." Its website is cdc.gov, and its toll-free line is 1-800-232-4636 (TTY 1-888-232-6348). Note the date on any page you read and the year the program was made.
| What the program says | Where to check | What you are looking for |
|---|---|---|
| "FDA approved" medicine | Drugs@FDA; the Purple Book for biologics | An approval for that product, for that use |
| "FDA approved" or "FDA cleared" device | FDA's PMA, 510(k) and De Novo lists | Which route, and for what use |
| "FDA registered", or an FDA logo on a product | FDA's "Is It Really FDA Approved?" | Registration is not approval |
| A supplement that "cures" or "treats" a disease | FDA's supplement questions and answers; warning letters; Health Fraud Product Database | Disease claims make a product a drug in the law's eyes |
| "Now in clinical trials" | ClinicalTrials.gov | Who runs it, whether it has finished, posted results |
| "Doctors won't tell you" about a condition, infection or vaccine | MedlinePlus; CDC; your own clinician | The mainstream starting point, and the date it was written |
If sources conflict with the program, or with each other, take the question to your own clinician.
Paid promotions and the FTC's Endorsement Guides
The FTC's Guides Concerning the Use of Endorsements and Testimonials in Advertising (16 CFR Part 255) were revised effective July 26, 2023. They are not regulations. They are the FTC's reading of the federal law against deceptive advertising (Section 5 of the FTC Act), and the FTC says practices that do not follow them may lead to action. They cover advertising, so they matter when a program, its presenter or its website promotes something for sale. Key points:
- Honest opinions only. An endorsement is any advertising message reflecting the views or experience of someone other than the seller, including tags in social media posts. It must be honest. An endorser can be liable for claims they knew or should have known were deceptive, and the seller can be liable even when the endorser is not.
- Business ties must be disclosed. When a connection between the endorser and the seller might affect how much weight the audience gives the endorsement, and the audience would not expect it, the connection "must be disclosed clearly and conspicuously." Connections include business, family and personal relationships, payment, and free or discounted products.
- Clear means hard to miss. A disclosure must be "difficult to miss (i.e., easily noticeable) and easily understandable by ordinary consumers." If the claim is made on screen, the disclosure belongs on screen; if it is spoken, it should be spoken. On social media it should be unavoidable. In one example in the Guides, a paid spokesperson appears on a TV talk show; a disclosure only in the closing credits "would not be clear and conspicuous."
- Doctors and other experts. If someone is presented as an expert, their qualifications must actually give them that expertise. The Guides say viewers would expect a physician in a TV advertisement to be paid, but if the physician gets a share of sales or owns part of the company, that must be disclosed. A physician promoting a product on social media should clearly disclose the connection with the company.
- "Results not typical" is not enough. An endorsement about a product's key benefit is read as showing typical results. If the seller cannot back that up, it must disclose what people can generally expect. The Guides use "Results not typical" as an example of a disclaimer that does not fix the problem.
Fake reviews and testimonials. A separate FTC Rule on the Use of Consumer Reviews and Testimonials (16 CFR Part 465) took effect October 21, 2024. It bans fake or false consumer reviews and consumer or celebrity testimonials, paying for reviews on condition that they say something positive or negative, undisclosed reviews by company insiders, company-run "independent" review sites, and buying or selling fake followers or views. The FTC can seek civil penalties. In warning letters dated December 22, 2025, the FTC told companies the rule "has the full force and effect of federal law."
What this means when you watch. A missing disclosure is a warning sign, and you can report it at ReportFraud.ftc.gov. A disclosure does not make a claim true. It only tells you who is paying, so the claim still needs checking.
What "based on a true story" does and does not mean
The phrase tells you a story started from real people or events. It does not tell you which scenes, conversations, timelines or medical details were changed. The label is chosen by the people who made the program. Ratings and content warnings do not check it.
To tell drama from record:
- Read the end credits. Look for a statement that names, characters, places or events were changed, combined or invented.
- Expect storytelling changes. Dramas often fold several people into one character, squeeze months into one scene, and write dialogue nobody recorded. A doctor, nurse or patient on screen may be a blend of several people.
- Treat closing title cards as claims. The text on screen before the credits ("Today, thousands still…") is written by the filmmakers. Check it the same way you would check a documentary.
- Check the medical details against their date. A story set decades ago may show care that was standard then and is not now, or the reverse. Use the steps above for any drug, device or test it names.
- Go to the public record. News reports from the time, court records, official reports and published medical case reports are closer to what happened than any script.
A drama can be true to how an illness feels and still be wrong on the facts. Do not use it as your source for a treatment decision.
Ratings, advisories and parental controls
A rating answers "who should watch this?" It does not answer "is this accurate?" Ratings and content notes flag things like violence, language, sexual content or frightening scenes. Nothing in a rating tells you whether a program's medical claims are right.
- TV programs use the TV Parental Guidelines. The rating usually appears briefly at the start of a program, sometimes with letters showing the kind of content.
- Films carry a Motion Picture Association (MPA) rating, often with a short line explaining why.
- Streaming services show maturity ratings on each title's details page, and many add their own content warnings.
Read the content notes, not just the age label. In a health story, a warning about suicide, self-harm, eating disorders or graphic medical scenes can matter more than the age band, especially for a teen or someone with a recent loss or diagnosis. Look up what each label means on the rating body's own website.
Setting parental controls. The FTC's guide to using parental controls (updated December 30, 2025) says controls can limit screen time, restrict the type of content a child can reach, limit purchases and limit who a child can talk to. It names device-level tools, such as Apple's Family Sharing, Google's Family Link and Microsoft Family Safety, and notes that many apps have their own controls. A practical order of work:
- List every device a child watches on: TV, streaming stick, game console, tablet, phone, computer.
- In each streaming app, find the profile or parental-control settings. Set a maturity level for each child's profile, and lock adult profiles if the app offers a PIN or password.
- Turn on the device-level controls as well. The FTC says controls work best when they are set up on every device a child uses.
- Review the settings as the child grows, and after major app updates.
The FTC is direct about the limit: there is "no substitute for talking with your kid" about your family's rules.
Captions and audio description
Captions show dialogue and important sounds as text. They are essential for many people who are deaf or hard of hearing, and they help anyone catch a drug name or dose spoken quickly, so you can copy the exact wording. Look for "CC", "subtitles" or a speech-bubble icon in the player.
Audio description is extra narration, fitted into pauses, that describes important visual details such as an X-ray on screen, a written warning or a character's reaction. It is made for people who are blind or have low vision. Look for "audio description" or "AD" in the audio or language menu.
If captions or audio description are missing or broken. Federal requirements for TV captioning and audio description come from the Federal Communications Commission (FCC), and which channels, markets and online videos they reach has changed over time. This guide does not restate them. Instead, ask the FCC whether a requirement covers the program you were watching, especially if it aired on TV and is now online. USA.gov lists the FCC's online complaint form and its phone line, 1-888-225-5322. Note the channel or app, the program, the date and time, and the device you used.
Talking with family about a frightening health story
The most dramatic case is usually the one that gets filmed. If a program leaves someone in your family worried:
- Watch together when you can, especially with children and teens, and check the rating and content warnings first.
- Ask before you explain. "What do you think happened?" and "What worried you most?" show you what actually needs answering.
- Separate the story from their own risk. A program about a rare illness, a drug reaction or an outbreak is about the people in it. Whether it applies to your family is a question for your clinician.
- Check one fact together. Use the steps above. Turning a fear into a short task often takes the edge off it.
- Do not promise what no one can know. "That will never happen to you" is not a promise you can keep. "Let's ask the doctor at your next visit" is.
- Watch for signs it has not passed: trouble sleeping, the same questions again and again, or refusing food, medicine, vaccines or a doctor's visit because of the program. Raise it with the person's clinician.
If anyone talks about suicide or self-harm after watching, take it seriously. USA.gov lists the Suicide & Crisis Lifeline: call 988, or 1-800-273-8255. Veterans can dial 988 and press 1 for the Veterans Crisis Line. In an emergency, call 911.
Before you act: talk to your own clinician
Both FDA and the FTC give the same advice: check with your doctor or another health professional before you buy or use a product with questionable claims. Talk to your own clinician first if a program makes you want to:
- Stop, skip or change a prescribed medicine. The FTC warns not to stop or delay proven treatments in favor of unproven products.
- Start a supplement, herbal or "natural" product. The FTC suggests asking whether it works, what is in it, whether it is safe with your other medicines, and what dose is right.
- Ask for a test, scan or screening the program promoted, or turn one down.
- Make a big change to your diet, start a fast or cleanse, or change how you manage a long-term condition such as diabetes or high blood pressure.
- Act on symptoms that sound like yours. Book a visit. If symptoms are severe or sudden, do not wait: call 911.
If you or someone in your family has already used a promoted product and feels unwell, the FTC says to contact a doctor or other health care provider right away, then report the problem to FDA's MedWatch program online or at 1-800-FDA-1088 (1-800-332-1088).
What to bring to the visit: the program's name and year, the exact claim (a screenshot or the time stamp), the product's label or website, and a list of your current medicines and supplements.
Example (fictional): A streaming documentary follows three people who say a herbal capsule ended their joint pain, and the description carries a discount code. A viewer finds no listing in Drugs@FDA, reads that supplements are not approved before sale and cannot be sold to treat disease, and finds an FDA warning letter to the seller about disease claims. Instead of buying, she takes the label to her next appointment and asks whether it is safe with her other medicines.
Where to get free help
- FDA MedWatch — report a side effect or a problem with a drug, supplement or device: online form, or 1-800-FDA-1088.
- FTC, ReportFraud.ftc.gov — report a misleading health ad, an undisclosed paid endorsement or fake reviews.
- FCC — complaints about TV service, including missing captions or audio description: consumercomplaints.fcc.gov or 1-888-225-5322.
- CDC — cdc.gov, or 1-800-232-4636 (TTY 1-888-232-6348).
- MedlinePlus — health information you can trust, free at medlineplus.gov.
- Suicide & Crisis Lifeline — call 988 (veterans: 988, then 1). For an emergency, call 911.
- In California — the FDA, FTC and FCC rules in this guide are federal. For a complaint about a California business, USA.gov's directory of state consumer protection offices lists the California Department of Consumer Affairs (dca.ca.gov).
- Not sure which agency? USAGov answers questions about government services free at 1-844-872-4681.
Sources
- Guides Concerning the Use of Endorsements and Testimonials in Advertising (16 CFR Part 255) — Federal Trade Commission, Federal Register, July 26, 2023 (88 FR 48092).
- Enforcement Policy Statement on Deceptively Formatted Advertisements — Federal Trade Commission, December 22, 2015.
- Trade Regulation Rule on the Use of Consumer Reviews and Testimonials (16 CFR Part 465), final rule — Federal Trade Commission, Federal Register, August 22, 2024.
- Consumer Review Rule warning letter (template) — Federal Trade Commission, Division of Advertising Practices, December 22, 2025.
- Is It Really "FDA Approved"? — U.S. Food and Drug Administration, content current as of May 4, 2026.
- 6 Tip-offs to Rip-offs: Don't Fall for Health Fraud Scams — U.S. Food and Drug Administration, content current as of March 4, 2021.
- Questions and Answers on Dietary Supplements — U.S. Food and Drug Administration, content current as of August 27, 2026.
- Drug Approvals and Databases — U.S. Food and Drug Administration, content current as of October 28, 2026.
- Recently-Approved Devices — U.S. Food and Drug Administration, content current as of February 13, 2024.
- Warning Letters — U.S. Food and Drug Administration, content current as of October 27, 2026.
- Health Fraud Product Database — U.S. Food and Drug Administration, accessed October 29, 2026.
- Clinical Trials and Human Subject Protection — U.S. Food and Drug Administration, content current as of December 19, 2025.
- FDA's Role: ClinicalTrials.gov Information — U.S. Food and Drug Administration, content current as of December 4, 2023.
- Understanding Investigational Drugs — U.S. Food and Drug Administration, content current as of April 2, 2019.
- Common Health Scams — Federal Trade Commission, Consumer Advice, accessed October 29, 2026.
- The Truth Behind Weight Loss Ads — Federal Trade Commission, Consumer Advice, updated December 10, 2025.
- How To Use Parental Controls To Keep Your Kid Safer Online — Federal Trade Commission, Consumer Advice, updated December 30, 2025.
- Centers for Disease Control and Prevention — USAGov, U.S. General Services Administration, accessed October 29, 2026.
- Get free or low-cost health services and information — USAGov, U.S. General Services Administration, updated September 10, 2026.
- Complaints about cable or satellite television — USAGov, U.S. General Services Administration, updated November 13, 2025.
- Find help for mental health — USAGov, U.S. General Services Administration, updated November 21, 2025.
- State consumer protection offices — USAGov, U.S. General Services Administration, accessed October 29, 2026.
Information notice: this page provides general educational information. It is not medical, legal, financial or insurance advice, and it cannot account for your individual circumstances. Sources checked through October 29, 2026.
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