FDA's 2026 General Wellness Guidance: Digital Health, Wearables, and Apps

Written by:
Friedrich Lämmel
FDA's 2025 General Wellness Guide

As you might know, the wellness movement has become quite mainstream. Millions of people now use new wearables and wellness apps to track sleep, activity, stress, and other everyday health signals. As the popularity of this topic grows, it is becoming harder to distinguish what real wellness is and why it is booming. With all the breakthroughs, the line between “wellness” and “medical” has become increasingly blurred, raising important questions about regulation, safety, and responsibility.

To address this growing overlap, the U.S. Food and Drug Administration released its updated 2026 General Wellness guidance, where they clarify how the FDA approaches wellness products that are intended to support general health rather than diagnose, treat, or monitor disease. While this guidance is nonbinding, it plays a crucial role in shaping how companies design, position, and market wellness technologies. 

Therefore, we will take a closer look at what the FDA’s 2026 guidance explores and how it affects digital health teams, wearable manufacturers, and wellness platforms. We break down how the FDA defines general wellness, where the regulatory boundaries lie, and why “low risk” is more than a label, it’s a design principle. Most importantly, we look at how companies can continue to innovate in prevention and wellness without unintentionally crossing into regulated medical territory.

What the FDA Means by “General Wellness”

In the FDA’s 2026 guidance, general wellness products are defined not by the technology they use, but by what they claim to do and the level of risk they pose. Basically, the FDA applies a pragmatic lens: it focuses less on innovation itself and more on user safety and intent.

To fall under the general wellness category, products must meet two core criteria:

Intended only for general wellness use

This means the product supports or encourages a healthy lifestyle, general health, or well-being. Examples include promoting physical activity, better sleep, stress reduction, or overall fitness. Importantly, these products must not claim to diagnose, treat, cure, mitigate, or prevent specific diseases or conditions.

Low risk to users

The product should pose minimal safety risk. This includes both physical risk (e.g., electrical or mechanical safety) and informational risk (e.g., users acting on misleading or inaccurate health claims).

The foundation of this approach was laid by the 21st Century Cures Act, which directed the FDA to modernize its oversight and avoid overregulating low-risk wellness technologies. The goal was to encourage innovation while maintaining clear boundaries around medical devices.

It’s also important to understand what this guidance is and is not:

  • It is nonbinding and does not create new legal requirements.
  • It reflects the FDA’s enforcement discretion, meaning the agency generally does not intend to regulate qualifying general wellness products as medical devices.
  • It does not apply to products that cross into medical claims, even if they appear similar on the surface.

What Are The Two Categories of General Wellness Claims

The FDA’s guidance draws a clear distinction between two types of general wellness claims. Understanding this distinction is critical because many products unintentionally cross regulatory boundaries simply due to imprecise language.

  1. General Health Claims (No Disease Reference)

The first category includes claims that relate to general health and well-being, without referencing any specific disease or medical condition.

Typical examples include claims about:

  • Physical fitness and activity
  • Sleep quality and recovery
  • Stress management and relaxation
  • Mental focus or cognitive performance
  • Weight management and healthy habits

These claims are generally allowed as long as they remain broad and non-clinical. For example:

  • “Supports better sleep quality” is acceptable
  • “Improves insomnia” is not
  • “Encourages physical activity” is acceptable
  • “Treats obesity” is not

The line is crossed when claims imply diagnosis, treatment, or prevention of a disease. Even subtle wording like “therapy,” “treatment,” or “clinical improvement” can trigger medical device classification.

  1. Lifestyle Claims Linked to Chronic Conditions

The second category is more nuanced and often misunderstood. These claims can reference chronic conditions, but only in a limited, carefully framed way.

Acceptable language includes phrases such as:

  • “May help reduce the risk of…”
  • “May help living well with…”
  • “Supports a healthy lifestyle associated with…”

For example:

  • “May help reduce the risk of heart disease through increased activity.”
  • “May help people living with type 2 diabetes maintain a healthy lifestyle.”

What’s crucial is that the product does not claim to directly treat or manage the condition itself. The focus must remain on lifestyle support, not medical intervention.

This is where wording matters more than most teams realize. Two sentences with the same intent can fall on opposite sides of the regulation depending on phrasing. In practice, regulatory risk often comes down to copywriting decisions as much as product design.

Getting this right early can save months of rework later.

Where the Line Is Drawn: Wellness vs. Medical Devices

The FDA emphasizes that general wellness products stop being “wellness” the moment they cross into medical territory. And this line is not abstract; it is defined by specific functions, claims, and even design choices.

What immediately disqualifies a product from a general wellness status includes:

  • Diagnosis or detection of diseases or conditions
  • Treatment or mitigation of medical conditions
  • Clinical monitoring tied to specific thresholds
  • Medical alerts or alarms that signal abnormal or dangerous states
  • Interpretation of data against clinical reference ranges

The guidance uses specific examples to make this distinction clear.

A glucose meter, even if used by a consumer at home, is not a wellness product because it measures a physiological parameter for the purpose of managing diabetes. Similarly, ECG functionality is not considered wellness because it is explicitly intended to detect or assess cardiac conditions.

So even if a product does not explicitly claim diagnosis or treatment, it can still cross the line. Accidental medical claims often emerge through:

  • UX language such as “normal,” “abnormal,” or “at risk.”
  • Push notifications or alerts tied to health thresholds
  • Charts or dashboards that imply clinical interpretation
  • Marketing that suggests medical reassurance or action

This is where many teams get caught off guard. A product designed with wellness intent can drift into medical device territory through small, well-meaning additions in design, alerts, or copy.

How Does the FDA Actually Assess Risk

When the FDA describes a product as “low risk,” it is not making a subjective judgment or responding to a company’s intent. It is applying a structured risk assessment grounded in how a product functions, how it is used, and what could reasonably go wrong.

In the context of general wellness guidance, “low risk” has a very specific meaning. A product must be unlikely to cause physical harm, must not pose significant safety concerns if it malfunctions, and must not encourage users to make medical decisions without professional oversight.

Several factors immediately disqualify a product from being considered low risk:

  • Invasive technologies, such as devices that penetrate the skin or enter the body
  • Implanted devices, regardless of whether they are temporary or permanent
  • High-risk technologies, including lasers, radiation-based systems, or neurostimulation

The FDA also looks beyond hardware. Software-driven risks matter too. If a product’s output could reasonably cause a user to delay care, change medication, or misinterpret a health condition, the risk profile increases sharply.

A common misconception is that Class I medical devices are automatically “low risk” under the wellness policy. This is not the case. Regulatory classification and wellness eligibility are separate assessments. A product can be Class I and still fall outside the general wellness category if it makes medical claims or influences clinical decision-making.

What Is Allowed in General Wellness in 2026

The FDA’s general wellness guidance does not restrict the use of wearables, sensors, or biometric data. On the contrary, many consumer health products clearly fit within the wellness category if they are designed and communicated carefully. The distinction is not about whether data is collected or analyzed, but about how insights are framed and delivered to users.

In general, non-invasive sensing remains well within scope. Wearables that track activity, sleep, heart rate, movement, or similar signals can qualify as general wellness products when they focus on awareness, reflection, and long-term patterns rather than medical interpretation.

What is typically allowed under the guidance includes:

  • Trends over time, such as changes in activity or sleep
  • Personal ranges and baselines that help users understand their own patterns
  • Aggregated summaries and visualizations
  • Insights framed around general well-being, motivation, or lifestyle awareness

What crosses the line:

  • Clinical thresholds or “normal vs. abnormal” classifications
  • Diagnostic or disease-specific language
  • Treatment guidance or medical recommendations
  • Alerts that imply urgency, risk stratification, or medical action

A key nuance is that analysis itself is not the problem. Products can process data in sophisticated ways. The risk emerges when outputs push users toward clinical conclusions. The same signal can be wellness-safe or regulated depending on how it is presented.

This is where product design becomes critical. The FDA makes it clear that regulatory risk is often introduced through UX and language, not algorithms. Notifications, labels, colors, and wording matter as much as functionality. Terms like “risk,” “detect,” or “abnormal,” as well as red-green indicators or urgent alerts, can quickly shift a product out of the wellness category.

Many teams unintentionally create risk by trying to be overly helpful. Features meant to guide or reassure users can imply diagnosis or treatment, even without explicit claims. The FDA focuses on intended use, defined by how a product is reasonably perceived, not just what it technically does.

Finally, while wellness products face lighter regulation, validation still matters. Accuracy, reliability, and consistency are essential for trust and safety. Poor data quality or misleading outputs can attract scrutiny even without medical claims.

Why the 2026 Update Matters, and What Teams Should Do Next

The FDA’s 2026 update to its General Wellness guidance is best understood not as a new set of restrictions, but as a signal to the market. By sharpening definitions around “general wellness” and “low risk,” the FDA is creating space for prevention-focused products to grow without turning every consumer-facing health tool into a regulated medical device.

For product teams, clarity also brings responsibility. The next step is not to slow down innovation, but to tighten alignment internally. Teams should re-audit product claims, UI language, and notifications to ensure wellness insights are clearly separated from anything resembling clinical decision support. This includes reviewing how trends, alerts, and visual cues are framed, not just what data is collected.

How Thryve Promotes Wellness

If you’re building wellness products that rely on real-time health data, the foundation matters as much as the features. Thryve helps teams stay on the right side of wellness by providing standardized, compliant access to wearable and sensor data without pushing products into unintended medical territory. Our API is designed to support prevention, insights, and engagement while respecting regulatory boundaries. We offer: 

  • Seamless Device Integration: Easily connect over 500 other health monitoring devices to your platform, eliminating the need for multiple integrations.
  • Standardized Biometric Models: Automatically harmonize biometric data streams, including heart rate, sleep metrics, skin temperature, activity levels, and HRV, making the data actionable and consistent across devices.
  • GDPR-Compliant Infrastructure: Ensure full compliance with international privacy and security standards, including GDPR and HIPAA. All data is securely encrypted and managed according to the highest privacy requirements.

Book a demo with Thryve to see how the right data infrastructure can help you build trustworthy wellness products!

Friedrich Lämmel

CEO of Thryve

Friedrich Lämmel is CEO of Thryve, the plug & play API to access and understand 24/7 health data from wearables and medical trackers. Prior to Thryve, he built eCommerce platforms with billions of turnover and worked and lived in several countries in Europe and beyond.

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