Truvy began in 2014 as TruVision Health, a multi-level marketing company launched from Utah by co-founders Boyd Wathen and David Brown. The two men created Plexus' "pink drink" product, Slim, before a disagreement prompted their departure and the formation of TruVision Health. Wathen later left the company around 2018 to establish Tavala, which eventually became Viiva.

Truvy's corporate website provides little direct transparency about its leadership. The "about us" section is primarily a marketing pitch, offering no specific management details. Users must perform an external web search to find the company's "meet the team" page, as it remains unlinked from the main Truvy homepage. David Brown and Shawn Gibson are listed as Truvy's current co-founders; Gibson also co-founded the original TruVision Health.

TruVision Health faced two significant regulatory challenges from the US Food and Drug Administration. The first occurred in September 2015, when the FDA cited the company for using illegal ingredients within its product line. This action targeted specific components found in their dietary supplements.

A second, more extensive warning letter followed in November 2017. This letter detailed "serious violations of FDA's Current Good Manufacturing Practice (CGMP)" for dietary supplements. These issues were discovered during an inspection conducted the previous May. The FDA concluded that TruVision Health's products were "adulterated" under sections 402(a)(2)(B) and 402(g)(1) of the Federal Food, Drug, and Cosmetic Act, due to manufacturing, packaging, labeling, and holding conditions that failed to meet CGMP requirements. Regulators also identified violations on product labels collected during the inspection and on the company's website related to claims and disclosures. No further enforcement actions have been publicly reported, suggesting TruVision Health addressed these findings.

The company announced its rebranding to Truvy in a May 20th press release, describing it as a "much needed makeover for the future." The new name reportedly retains the "Tru" from the original brand while adding "vy," which means "to compete." The press release stated the change aimed for a "softer, hipper and a whole lot easier to remember" identity than TruVision Health.

Truvy markets a range of weight loss and general wellness products. However, the company's compensation plan blurs the distinction between genuine retail customers and recruited affiliates. The plan states, "Anytime you enroll someone or someone in your downline places an order your account will be automatically upgraded to an Associate and eligible to earn commissions and bonuses." This system automatically converts any new sign-up into an associate, regardless of their initial intent to simply purchase products.

This policy ensures that every individual who creates an account with Truvy is automatically positioned to become an affiliate. It makes genuine retail sales to non-participants an unlikely scenario, a common characteristic in multi-level marketing operations facing scrutiny.