How to accelerate immune resilience, with Dr. Heather Moday

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Meet Dr. Heather Moday. Think your immune system needs a boost? Think immune health is a one-size-fits-all proposition? Think again, and Dr. Moday will tell you why.

This podcast is for educational purposes only. It is not a substitute for professional care by a doctor or other qualified medical professional. This podcast is provided on the understanding that it does not constitute medical or other professional advice or services.

Dr. Jeff Bland:

Well, here we are at this favorite time for me, which is our Big Bold Immunity podcast. And we’ve been so fortunate to have some extraordinary minds, personalities, committed individuals on our podcast, but we’re not going to be failing to accomplish that goal, again, this issue. We have an incredible skilled individual with a vision for immunity that I think you are all going to benefit from, Dr. Heather Moday.

 

Heather comes with a background as both a board-certified allergist immunologist. I found in reading her book, which will be talking quite a bit about, now being released, The Immunotype Breakthrough, that she actually did lab work early on and got her thinking about medical school with Bruce McEwen at Rockefeller, a good calling and friend, a person I’ve interviewed on a number of podcasts over the last 30 years. And as you probably know, the father of the term allostasis that we’ve talked a lot about in his book, which was written now probably 20 years ago called The End of Stress As We Know It.

 

And so this experience that Heather had as a lab rat in his research project led her then into stress and immunity, and ultimately on her path to become a board-certified immunologist allergist in private practice in Pennsylvania. And we were just talking about the fact that she’s in transition like so many of us are now with the nature of virtual practices and the way that we’re doing remote evaluations. So she’s in between Pennsylvania and Virginia. So again, she’s a product of our 21st century new society.

 

So let me just, if I can, formally introduce Dr. Moday to our Big Bold Immunity audience, and just remind you that this is the book for which she is the author. And this book is so impactful that I actually have two copies of it. So I’m very fortunate. I’m sharing one of the copies with my colleagues and the other is mine. And I don’t know, you probably can’t see, but I’ve got this marked extensively because it’s a real news to use book, The Immunotype Breakthrough.

 

So Dr. Moday, thank you so much for being available for this discussion. And maybe now, in your own words, you’d like to tell us a little bit about your journey that’s led you into this situation you find yourself today.

 

Dr. Heather Moday:

Yes. Thank you, Jeff. So like many others who come to practice a combination of functional medicine, integrative medicine, however you want to call it, like you said, I was practicing in a conventional allergy practice after doing a fellowship in allergy and immunology after medical school. And it was satisfactory, but I think that I was a lot more curious and a lot more interested in finding out why people get sick. And I felt that I wasn’t really using all the tools in my toolbox and then I needed more tools.

 

So I started to get curious about the role of things like nutrition. And of course, as you mentioned, I had these glimmers of memory of studying the effect of stress on the immune system. And I didn’t really think that I was applying a lot of what was out there and what needed to be addressed with my patients.

 

So I took off and did a fellowship with Dr. Andrew Weil at his program in Arizona, and then stumbled across functional medicine and went to the AFMCP meeting back in, gosh, I don’t know, I guess around 2010 or so, and really thought, “Oh, wow, this is” … That blew my mind. And just the combination of the holistic view of things, and then the application of a lot of biochemistry and immunology all together. I knew that that was where I needed to put my efforts. And so that’s how I ended up doing what I’m doing today.

 

Dr. Jeff Bland:

Well, the byline of your book, I think, is a manifesto for everything that we’re trying to do in this age, where the immune system is reigning supreme. Certainly, SARS-COVID-2 has got us all interested in immunity. So the byline is your personalized plan to balance your immune system, optimize health, and build lifelong resilience. Now, that is a powerful manifesto. And so … Maybe even a promise.

 

So as we dissect and dig a little bit deeper in that, maybe we can talk about how you arrived at the development of this immunotype conceptual framework and how that then gets related in them and communicated to your patients, knowing that their knowledge of the immune system is probably pretty simplistic. So it’s a complex topic with the ability to help them see more about how to own their immune system. So how do you logically take all that you know and get it compartmentalized down where it becomes patient friendly?

 

Dr. Heather Moday:

Yeah. Well, it is a hard thing to do given that the immune system is extremely complex. And I think for most people, sometimes really confusing. So I think that … I had so many clients, many people have coming in talking about different disease processes or symptoms that were connected to immune dysfunction. So autoimmunity, obviously, at large part of my clienteles, people with autoimmune disease or people who haven’t been diagnosed but have symptoms that sound like autoimmune.

 

And then of course, chronic GI issues, chronic allergies, people who are just inflamed, right? They have all sorts of cardiovascular disease, other diseases, diabetes, lifestyle problems, obesity. And people would always ask me, “What can I do to make my immune system healthier? What can I do to boost my immune system?”

 

And so this concept of, obviously, the immune system being at the core of all of the malfunctions made me start to think, “Well, it’s not that simple.” It’s not as simple saying, “Let’s just boost your immune system.” I mean, everyone can take vitamin C, there’s nothing wrong with that. And there’s lots of things that I talk about even in the book that probably apply to most. But I started really thinking about, what is different within these patients that make their immune system work the way they are? What is actually making someone’s immune system or start to attack its own tissues or start to have reactions that are atopic or allergic?

 

And there’s lots of different things that go into that. We know that inflammation is at the core of most of those things. But we also know, through looking at immunologic reactions, that it’s a lot of what’s going on at the level of the T cells and the B cells and the cytokines. So that’s … What cytokines are doing really starts to give you symptoms, right? What certain T cells are doing and what cells that they are then recruiting, whether it’s macrophages, neutrophils, et cetera, et cetera, is really at the heart of what starts to create this phenotype or personality or what I described as an immunotype. And there is a lot of data looking at how we can dampen cytokine responses, how we can dampen helper T cell reactions.

 

So that’s what got me going. And I really started to do some research and do a lot more learning. I went back and hit the books myself. Yeah. And so the premise was born.

 

Dr. Jeff Bland:

Well, you’ve, right there, laid down some really important tracks that I want to follow on here. Let’s first talk about this concept or this word that we hear so frequently being used, particularly recently with SARS-COVID-2, and that’s boosting the immune system. And you have some really strong words or strong narrative about the use of the word boost. So maybe you could give us your impression of boosting the immune system because I think that’s an interesting feature set of your … Which I, by the way, totally agree with in terms of the way you described it.

 

Dr. Heather Moday:

Yeah. I mean, maybe it’s a semantics thing, but for me, when we think of someone who might be already overreactive or overinflamed or their immune system is moving too far in the wrong direction, you don’t really want to boost it any further that way. So really, what you want to do is bring it back to a more of a baseline. You’re almost wanting to calm it down.

 

For example, in the case of allergies and autoimmune disease, I mean, in conventional medicine, right, we’re just squelching it. We’re giving those diseases steroids and monoclonal antibodies, which, of course, may not be the best option either. But we know that there are ways that you can do that more subtly without hitting people with such a big pharmaceutical bomb that you can bring people back into a balance.

 

And so I don’t love the idea of boosting. I do sometimes use the word. And then there are certain people who do need a boost, like the people who have maybe a weakened response. They either don’t have great antibody formation, maybe their killer T cells aren’t really very active. Those are the people who might need a little bit more help in that department.

 

So I wanted people to think of their immune system as being very multidimensional rather than very black and white dichotomy.

 

Dr. Jeff Bland:

Yeah. I think you’ve done that beautifully in the book. It really establishes that domain of understanding. And I think that there is part of that, which ties, again, to one of the “promises” of the book, which is lifelong resilience. Because if you go back to your description of the way immunologists or rheumatologists treat certain autoimmune diseases using these hard-hitting monoclonals, it completely damped out things like tumor necrosis factor alpha activities. That doesn’t build resilience.

 

Dr. Heather Moday:

Right, right.

 

Dr. Jeff Bland:

That’s dampening resilience to the expense of trying to crisis intervene on a dysfunction. So that’s very different than what you’re discussing as it relates to resilience in your book. And maybe you want to take it from there again as to how you see resilience being built through the identifying of your four immunotypes and then more personalized intervention.

 

Dr. Heather Moday:

Right. I think … And I talk a little bit about, right, really dedicate a whole chapter on inflammation, but I think that’s a good place to start is that inflammation is not a bad thing. Inflammation is absolutely necessary and wonderful and life-saving, right? So we don’t want to completely dampen that response. And like you just mentioned, some of the tactics that we use in the modern pharmacy, for example, high-dose steroids or some of the monoclonal antibodies that interfere with cytokines really do that.

 

And so those patients are often at risk for not being able to respond to certain types of bacteria or maybe have a lessened response to going after cancerous cells. So we don’t want to do that, but we want to maybe be a little bit more subtle in decreasing some of those cytokines so that we can quiet the inflammation.

 

The other thing is that there are ways to interfere with chronic inflammation. You can still have an acute response, but if you can interfere in terms of clearing out or resolving inflammation, that is a really great thing to concentrate on. And that’s where a lot of nutrients come into shape. So a lot of the things that we use either in supplement form or things that we eat can be really great at decreasing free radical damage, actually healing or accelerating tissue healing. So I think if we think about that, that’s a way of making people over time more resilient, it’s giving them something versus completely dampening their immune response.

 

Dr. Jeff Bland:

Yeah, yeah. I want to make a little bit of a caveat here because I probably overstated something. I don’t want to lead to a false impression. There are certainly places, and I’m sure you would agree, where these pharmaceutical drugs that damp inflammation are desirable in acute …

 

Dr. Heather Moday:

Oh, absolutely.

 

Dr. Jeff Bland:

… states of pathology. So I don’t want to throw the baby out with the bathwater.

 

Dr. Heather Moday:

No, no.

 

Dr. Jeff Bland:

But I also want to come back to what you’re saying, which I think is really sage, this concept of inflammaging, which is a chronic state of inflammation, which a lot of people don’t understand that if there is inflammation, it’s implying something in the immune system that’s dysregulated. You don’t have inflammation without some dysregulation in the immune system. And I think you’ve done a very good job of describing that in a way that the non-immunologists can grok.

 

So maybe you want to just give a little bit more depth to this construct of … In fact, you even have a subsection of the book, I think, something like cytokines are your friends, as I recall.

 

Dr. Heather Moday:

Right.

 

Dr. Jeff Bland:

What we often think of as our enemies can be our best friends when in need.

 

Dr. Heather Moday:

Yeah. So I talk about the cytokines as being our communication system, right? So cytokines, as we know, are released from many different kinds of immune cells, B cells, T cells, macrophages, everything. And it’s the way that they’re able to tell each other what to do. I call it the 5G of the immune system because if we didn’t have it, it would be as if all the communication in the world got shut down. I mean, everything would stop. We would screech to a halt.

 

And so, yes, the immune cells are important, but the cytokines are extremely important. And we do need certain cytokines to go after to signal, say, certain cells to go gobble up virally infected cells to tell neutrophils to come in and swallow things up. We need those. So you don’t want to take them away completely, but at the same time, they’re extremely powerful. And we know just looking at some of the inflammatory diseases or it’s just a septic shock that happens, you can trace that back to very powerful cytokines like Interleukin 6. Obviously, that’s a one that we talk about a lot, the TNF alpha.

 

So you don’t want to have those go off on a wild spree either. They have to be regulated, but they’re very, very important.

 

Dr. Jeff Bland:

Well, you talked about a number of these cytokines, I think, that are … Because this is a whole family of different molecules that participate in this communication system.

 

Dr. Heather Moday:

Too numerous to count probably.

 

Dr. Jeff Bland:

Exactly. But one that you bring up, which has lately been in the news. And I think it’s very interesting because it ties into our gut immune system so closely. And that’s IL-17. Maybe you can say a little bit about that emerging story because I think that’s a fascinating connector into some of the things that we’ve been talking about is the gut immune system, systemic community, and so forth.

 

Dr. Heather Moday:

Yeah. So interleukin 17 is released by a T helper cell. So a subtype of all the T cells and there’s actually more than the ones that I talk about in the book. I just … The big ones, right? So Th1, Th2, T regulatory cells and Th17, there’s a few others. But Th17 is really important for fighting infection. However, it’s very tissue destructive. I’m sorry, the T cells that release the IL-17, it’s very tissue destructive.

 

So when we’re trying to fight, let’s say, infections in the gut or infections elsewhere, we can get into this cycle of damage by these very destructive cells and cytokines, which then recruits other cells to come in and try to resolve. And it can be this ongoing smoldering inflammation. And what’s interesting with IL-17 is for a long time, we thought or researchers thought that autoimmune disease was primarily driven by the activity of the Th1 helper cell. And actually, they found that not to be true. And actually, it’s something that people still talk about, but it’s really the Th17 and IL-17 is one of the cytokines that’s released from that particular cell.

 

So it is something that I think is a great target trying to ameliorate in terms of lessening autoimmune destruction.

 

Dr. Jeff Bland:

So you’ve done a really great job, I think, of laying out that the objective is to try to get a person into resilient immune balance. That seems like the takeaway from … And doing so through rejuvenating the immune system, regenerating the immune system’s full potential or its ability to be resilient. And that then ties to what you’ve identified as these four immunotypes because each one has an individual personality or characteristic. So maybe you can tell us now about your four immunotypes and how they help differentiate the phenotype of the individual.

 

Dr. Heather Moday:

Sure. Yeah. So looking at both how people present with both diseases or symptoms, and then also what you can often find at the cellular level, although we don’t always have the ability to look into this, I mean, there are some labs out there that you can do this immunophenotyping, but the four types are smoldering. So I consider this to be a person who has a lot of inflammation ongoing, but maybe doesn’t have autoimmune disease or allergies necessarily as it’s predominant, they’re a predominant problem.

 

Then there’s people who have a misguided, misdirected, but I call it misguided immunotype. And these are people who have autoimmune disease primarily. Their immune system has lost the tolerance of their own cells. And they can have a real mixture because these people can have allergies. They can have some of the activity that you would see in someone with allergies, but their primary issue is this auto destructive activity that’s going on. It is often triggered, though, by underlying infection. So that is important to know as well.

 

And then there’s the hyperactive. So the difference here is that these people tend to have allergies. They’re atopic, they have asthma. They often have a lot of histamine production because of mass cell degranulation. They have a lot of this Th2 activity going on.

 

And then there’s the people with the weak immunotype. And these are the people who fall into that category who need boosting. They may not have allergies. They may not have problems with autoimmune disease, but they get everything that comes around. They have trouble clearing infection. They might have had exposure to things that have injured or weakened their immune system in the past. So they are a little bit different. So these are the four immunotypes. And then there’s different things that you can do to support each one.

 

Dr. Jeff Bland:

So in your book, you, again, do a very nice job of demythologizing a very complex topic of understanding the basic components of the immune system. So we’ve got this innate system, this ancient system that goes way, way back to early organisms. And then we have this adaptive immune system that produces these antibodies. And then we got this T regulatory system that intercommunicates between the two. Maybe you could help us to understand how those different components of the immune system relate to these immunotypes.

 

Dr. Heather Moday:

Yeah. So in terms of our innate immunity … And that includes even our barrier, right, our skin and our mucus lining and our respiratory tract. And we often don’t think about that. And even some of the antibodies that hang out there.

 

And there are, as you said, some cells that don’t require necessarily previous knowledge of an invader. They recognize these patterns on the surface of microbes and they don’t have to know specifically really what it is. They just know it’s bad, right? So these are like the bouncers of the immune system. They come in, they’re constantly in surveillance, macrophages, the phagocytic cells, the things that can come in and engulf, that is part of our innate system.

 

But what happens is when the attacking occurs of microbes or when they’ve identified an inflamed area of tissues, not only do they engulf things and start injecting them with all sorts of trying to kill these microbes, but they will also send up cytokine signals to bring other cells in. They’ll change the physiology. They’ll signal for fluid to come in and things like that, but also they act as go-between. So macrophages and dendritic cells, in particular, are the antigen-presenting cells. And so they link. They’re the link between this innate system and our more adaptive cells.

 

And so they then, of course, courier to T cells and say, “Hey, this is what we got. This is the problem. What do we do now?” And then more of the mastermind occurs if you go up from there thinking about, “Okay, do we need different kinds of helper T cells? Do we need B cells? Do we need antibodies? What do we do now?” And so it’s really these two main arms, but they’re connected very much so.

 

Dr. Jeff Bland:

So one of the connectors, only one, it’s not the only one, is the thymus gland. And I know you speak about some of the activities of the thymus gland. You think … It’s connection actually into a neurohormone produced by the pineal gland, which is melatonin. And so how does this work into your immunotype concepts in terms of balance versus imbalance?

 

Dr. Heather Moday:

I mean, obviously, our thymus gland produces our T cells. I mean, that’s how the T came about, right? Thymic. And melatonin is so interesting because for the longest time, even myself, way back in the day, I thought of melatonin as being a sleep hormone. I knew it was involved in the circadian rhythm and I knew it was definitely suppressed by light and increased with dark. But I didn’t really understand how important it was in terms of how our immune system works because when we sleep, when we go into a sleep cycle or when we’re getting ready for bed, our melatonin starts to increase as our cortisol starts to decrease.

 

And cortisol is actually very acutely. It’s very anti-inflammatory. So what that allows us to do is as melatonin goes up, it actually allows our immune system or immune cells to become a lot more active. And most people don’t think of their sleep time as a time that their immune system is necessarily active. Everybody just thinks they’re asleep, but it’s actually really important. And this is one of the reasons why sleep is so important, especially when melatonin is at its highest, which is usually in the earlier part of the evening when we have more of the deep sleep cycles. We actually have a lot of activity going on.

 

We have a lot of cytokine activity going on. We have antibody formation going on. We have a tendency to have fever at night because of this as well. Yeah, I think that connection between our immune system and sleep and melatonin is if people understand that, I think they’d be more likely to make sure they’re getting their sleep.

 

Dr. Jeff Bland:

Well, you do a magnificent job in your book. There’s a chapter on sleep as one of the pillars for immune restoration. And I think you really do a good job in covering that complex topic and circadian rhythms and how routine cycling of our sleep is so important. So I want to compliment you because that is a complicated technical subject, but I think you’ve done a very, very good job in bringing that in.

 

And I think as I recall, you even refer to psychoneuroimmunology in that particular … Maybe it’s not that specific chapter, but it’s in that region of the book and go back-

 

Dr. Heather Moday:

I do. I talk about it in the stress chapter.

 

Dr. Jeff Bland:

Yeah. And I go back to Candace Pert and, obviously, to Dr. McEwen as well. So there is this web of knowledge that reminds us that the immune system is everywhere and you do a good job. It’s not just floating around in our bloodstream waiting for viruses or bacteria. It’s 24 omnipresent in all organs and tissues doing all sorts of things. I think that’s what you take away beautifully from your book.

 

Dr. Heather Moday:

Yeah. And I didn’t really think about the experience I had working in a lab for three years as being very … Because when I went to medical school, I was just, “Oh, I’m in medical school,” and you have to learn anatomy and physiology. But later on, as I was entering functional medicine and talking about stress immune system and everything, I thought, “Oh, this is interesting. This sounds familiar to me.” And of course, it’s because I was in a lab that was at the forefront of really looking at how both acute and chronic stress, which is early in the ’90s, how that affected the activity of our immune cells.

 

And I talk a lot about Dr. Debar, who was actually a … He was a graduate student when I was there. So we were really like colleagues and he has gone on to continue his work in evaluating the effect of mostly chronic stress, especially long-term lifetime emotional stress on our immune system. So it’s something that we are still trying to figure out. I mean, that is a very complex subject because the effect of stress and cortisol in the system changes, depending on how long it’s been going on, the severity of it. We have literally stages. So, fascinating.

 

Dr. Jeff Bland:

Well, there’s another part of your history that is very interesting. About the same time with Dr. McEwen, maybe a little bit later in chronology, the discovery of leptin from the adipocyte was made.

 

Dr. Heather Moday:

That happened while I was there, actually. Yes.

 

Dr. Jeff Bland:

I thought it probably was because that is … We said, “Well, leptin, that’s an appetite-related hormone,” but actually it’s also an immune active hormone.

 

Dr. Heather Moday:

Yeah.

 

Dr. Jeff Bland:

So again, it ties together the, how does the fat cell communicate with the brain, which communicates with the immune system and the endocrine organs. It’s the psychoneuroimmunology field is exploded.

 

Dr. Heather Moday:

It really has. Yeah.

 

Dr. Jeff Bland:

And so when you talk in your book about obesity, obesity has a very profound influence on immune system function, which may explain why in SARS-COVID-2 comorbidities that obesity is right up there at the head of the list of risk factors.

 

Dr. Heather Moday:

Yeah. And I know that even recently, there’s been … I think it was a study out of Stanford most recently or it was multiple areas that they’ve looked at how SARS-COVID-2 is able to infect fat cells, which I thought was fascinating, and infect the macrophages inside of those cells and actually evade the immune system slightly by staying within the confines of this adipose tissue. So not only allowing it to maybe replicate and become a bigger problem hiding away. But as you said, the impact of just obesity on someone’s cardiovascular system on their liver, on all of their hormones, makes it harder for their immune system to necessarily mount a great response because it is already distracted dealing with this inflammation.

 

Dr. Jeff Bland:

Well, you said something there that’s very fascinating and that is the concept, can a cell hide away in the body? And the answer is probably no, that there are probably receptors, again, through immune signaling and nervous system signaling that are telling somewhere at a distance, “Hey, by the way, there’s something that’s trying to hide away here, but it’s not supposed to be there.”

 

Dr. Heather Moday:

Right. Of course.

Dr. Jeff Bland:

 

And then we get into this problem, as you’re talking about, with immune dysregulation versus acute, right? It’s just like Lyme disease, for instance, or Epstein-Barr infection. The virus is still there. We say, “Well, it’s not really producing a serious … I don’t have something that is visibly a disease, but yet it may be impacting the immune system by its signaling.”

 

Dr. Heather Moday:

Yeah. And I think that viruses are perfect example of that, especially some of the DNA viruses that we’re used to harboring. Luckily, they don’t mutate very frequently, but we all have herpes viruses that are hanging out if you’ve ever had chicken pox or if you have ever had mono as most people have. But the question is, is what are the circumstances by which those viruses are able to then become stronger to escape their confines and then start causing problems again?

 

Dr. Jeff Bland:

And that comes back to your book with the immunotypes and improving resilience to build lifelong resilience. So let’s talk a little bit in the remaining time we’ve gotten, thank you for your gracious use of your time here.

 

Dr. Heather Moday:

Sure, absolutely.

 

Dr. Jeff Bland:

I’d like to talk a little bit about the interventional approaches without getting into deep in the weeds because people can get your book and read more detail. But maybe you can tell us a little bit, from your experience, how the toolkit looks for individuals with these imbalances in these four immunotypes and what available options are there that you found of value?

 

Dr. Heather Moday:

Yeah. So one of the things … I mean, obviously, there’s five pillars that I talk about. Nutrition attending to the gut and to the related immune system, and then stress management, sleep, and environmental toxins. And certainly, all of those areas are areas that everybody should probably attend to. However, if I had to pick a few, obviously, you say someone has a lot of inflammation and they fall into this primarily a smoldering immunotype, the first thing that we want to do is remove things that are potentially causing inflammation, but also to use foods, take away toxins, that are causing certain inflammatory mediators to go up.

 

So for example, I talk about NF kappa B is usually very, very active in people who have chronic inflammation. And we know that, of course, things like curcumin is extremely important in quelling that. We also know that the downstream products of omega-three fatty acids, so these specialized pro-resolving mediators, really important, too, and can help resolve inflammation without actually stopping it from occurring.

 

So that’s another thing that I really love to use for those people. And people who have a hyperactive immunotype, as I said, they tend to have a lot of this helper Th2 dominance. And so they tend to be very sensitive to toxins in their environment. So I always try to focus on cleaning up their environment first as a good thing to do. And then using things that can quiet that Th2 response. So I’ll use things like quercetin is a great thing.

 

The people with the misguided immunotype, they are the most complex because they often have many things going on different directions. These are the people I really work on gut health as a very primary thing. I look for food sensitivities. I’m looking for the health of their microbiome, intestinal permeability, and also the presence of something that might continue to be triggering them. So infections, whether it’s viral or bacterial. And definitely making sure those people always do elimination diets. And then there’s a couple of nutrients that I really focus on with those people, too.

 

And I think that with a weakened immunity, like I said, those are the people that you need to boost a little bit more. So I may tend to use some of the medicinal mushrooms. I love astragalus root for them, but anything that can almost increase some of the pro-inflammatory cytokines because I think they can be really helped by that, too.

 

Dr. Jeff Bland:

Yeah. I recall you also talked about the power of some of these adaptogens that have multiple bioactive components like Withania somnifera, Ashwagandha, Indian ginseng. So what class would that kind of an adaptogen fall in from your experience?

 

Dr. Heather Moday:

I think almost everybody, although Ashwagandha, it can upregulate Th1 activity. So sometimes you have to be a little careful with it. It depends on the person. If they’re really inflamed, maybe I wouldn’t use that.

 

And then the other thing is with ginseng, which I love, too. I may not always use that in someone who’s maybe more inflamed. Sometimes some of my autoimmune clients, I wouldn’t use that. But a lot of people can really benefit, for the most part, if they’re very stressed. I find that they do really well with some of the more calming adaptogens. I love lemon balm. I use that a lot. Magnolia, I use that a lot as well. So you have to be a little bit, I don’t want to say careful, but look into the pros and cons of using adaptogens. But for the most part, they are adapting, right? So it’s not like you’re giving someone this really strong compound. And so most people do really well with them.

 

Dr. Jeff Bland:

Yeah. I think you did a really great job of, again, talking about the symphonic orchestration of the immune system using these different modulators of the different immunotypes.

 

One of the interesting things that I think is emerging is that these polyphenols, the flavonoids you discussed like resveratrol or quercetin or curcumin, there are literally thousands of different members of these families of polyphenols. But we have thought of those historically as antioxidants as if they soak up free radicals and oxygen radical. But I think we’re starting to recognize it’s a very simplistic and probably erroneous way to think about them because, quite honestly, our immune cells need oxidation. That’s how the so-called Klebanoff reaction that is in the macrophages is really related to the release of oxygen radicals in the form of hypochlorite that kills biochemical warfare.

 

Dr. Heather Moday:

Sure.

 

Dr. Jeff Bland:

So we want controlled oxidation, but we don’t want bystander injury. And so I think what we’re learning, and you alluded this in your book, is that these polyphenolic compounds from plant foods, these phytonutrients, modulate specific pathways or networks that are regulating gene expression associated with these different pro-inflammatory mediated processes. And so it’s more like targeted network pharmacology than it is just generalized antioxidants. These have different personalities, these flavonoid molecules.

 

Dr. Heather Moday:

Yes. I think an entire book should be written on polyphenolic compounds and the different ways that you can use them because you’re absolutely right. There’s not enough studies, but we do have some, which is great, especially for some of the more well-known ones like the EGCG and, of course, resveratrol, like you said. So I think … I mean, hopefully, this is going to be a future boom in business and technology is how can we even increase the amount of polyphenols in foods? That would be a great thing, right? How can we make them more potent or how can we get people to just get more of them in their diets on a regular basis? Yeah.

 

Dr. Jeff Bland:

Well, for the sake of just putting a plug in, that’s exactly what Big Bold Health is up to. We’re the first people to bring Himalayan Tartary Buckwheat back to life here in the United States, which is the highest density of immune-modulating phytochemicals of any plant food.

 

Dr. Heather Moday:

Yes. I’ve been watching your work. It’s been fascinating, really fascinating.

 

Dr. Jeff Bland:

Well, it’s really interesting because we just have completed this growing season a variety of test plots of different mycorrhizal soil inoculants to see what impact that has on gene expression of these phytochemicals. And lo and behold, we now believe that soil health has a lot to do with how many of these phytochemicals are produced in the seed of these Tartary Buckwheat plants. And then how that then interrelates with systems influence on immune cell function. That’s the focus of where we’re going because we think there’s an orchestration of these working as partners, not just one at a time. It’s a synergy that you don’t get by just thinking of these as one molecule working at a time.

 

So, yeah, as you said, this is a whole robust, rich new future ahead that will give us hopefully new insight and new tools for specifically tailoring immunotype intervention. And I think your book is a leader into that field. It’s the way to introduce this extraordinary new frontier in immunology. And I guess we call it functional immunology.

 

So Dr. Heather Moday, I can’t tell you how much we appreciate all your work, your fluency … 

 

Dr. Heather Moday:

Thank you.

 

Dr. Jeff Bland:

… your dedication. And of course, making this accessible to all these readers.

 

Dr. Heather Moday:

Well, thank you. It was my pleasure. And I really appreciate you having me on because, obviously, hearing from you, you’re such a leader in functional medicine. And I think that the future of immunology does lie in our environments and our food.

 

I think one of the biggest challenges is going to be, how are human beings going to navigate staying resilient on this planet, whether it’s a bacteria or a virus or a toxin or something. We’re going to have to accelerate our immune resilience and we don’t have thousands and thousands of years to necessarily do that. Yeah, I think it’s going to be really interesting.

 

Dr. Jeff Bland:

I’ll tell you, yeah, that is an incredible way to finish this discussion between us. That is a look to the future. That’s a mandate for our survival and that’s something that we’re all pulling together to find solutions to. So thank you so, so much. It’s been a real privilege and pleasure to have this chance to share ideas with you.

 

Dr. Heather Moday:

Thank you, Jeff. I appreciate it.

 

Dr. Jeff Bland:

Okay. Be well.

 

 

 

Also available on:

Apple Podcasts

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Spotify

YouTube

Medical Disclaimer

WITH REGARDS TO CONTENT RELATING TO HEALTH & WELLNESS ON THE SITE:

 

THIS SITE OFFERS HEALTH, WELLNESS, FITNESS AND NUTRITIONAL INFORMATION AND IS DESIGNED FOR EDUCATIONAL PURPOSES ONLY. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. IF YOU HAVE ANY CONCERNS OR QUESTIONS ABOUT YOUR HEALTH, YOU SHOULD ALWAYS CONSULT WITH A PHYSICIAN OR OTHER HEALTH-CARE PROFESSIONAL. DO NOT DISREGARD, AVOID OR DELAY OBTAINING MEDICAL OR HEALTH RELATED ADVICE FROM YOUR HEALTH-CARE PROFESSIONAL BECAUSE OF SOMETHING YOU MAY HAVE READ ON THIS SITE. THE USE OF ANY INFORMATION PROVIDED ON THIS SITE IS SOLELY AT YOUR OWN RISK.

 

NOTHING STATED OR POSTED ON THIS SITE OR AVAILABLE THROUGH ANY SERVICES ARE INTENDED TO BE, AND MUST NOT BE TAKEN TO BE, THE PRACTICE OF MEDICAL OR COUNSELING CARE. FOR PURPOSES OF THIS AGREEMENT, THE PRACTICE OF MEDICINE AND COUNSELING INCLUDES, WITHOUT LIMITATION, PSYCHIATRY, PSYCHOLOGY, PSYCHOTHERAPY, OR PROVIDING HEALTH CARE TREATMENT, INSTRUCTIONS, DIAGNOSIS, PROGNOSIS OR ADVICE.

Terms of Service

Date Effective: March 2019

 

General

 

This website (the “Site”) is owned and operated by BIG BOLD HEALTH LLC(“COMPANY” “we” or “us”). By using the Site, you agree to be bound by these Terms of Service and to use the Site in accordance with these Terms of Service, our Privacy Policy, our Shipping Policy, our Return Policy and any additional terms and conditions that may apply to specific sections of the Site or to products and services available through the Site or from COMPANY. Accessing the Site, in any manner, whether automated or otherwise, constitutes use of the Site and your agreement to be bound by these Terms of Service.

 

We reserve the right to change these Terms of Service or to impose new conditions on use of the Site, from time to time, in which case we will post the revised Terms of Service on this website. By continuing to use the Site after we post any such changes, you accept the Terms of Service, as modified.

 

Intellectual Property Rights

 

Our Limited License to You. This Site and all the materials available on the Site are the property of us and/or our affiliates or licensors, and are protected by copyright, trademark, and other intellectual property laws. The Site is provided solely for your personal noncommercial use. You may not use the Site or the materials available on the Site in a manner that constitutes an infringement of our rights or that has not been authorized by us. More specifically, unless explicitly authorized in these Terms of Service or by the owner of the materials, you may not modify, copy, reproduce, republish, upload, post, transmit, translate, sell, create derivative works, exploit, or distribute in any manner or medium (including by email or other electronic means) any material from the Site. You may, however, from time to time, download and/or print one copy of individual pages of the Site for your personal, non-commercial use, provided that you keep intact all copyright and other proprietary notices.

 

Your License to Us. By posting or submitting any material (including, without limitation, comments, blog entries, Facebook postings, photos and videos) to us via the Site, internet groups, social media venues, or to any of our staff via email, text or otherwise, you are representing: (i) that you are the owner of the material, or are making your posting or submission with the express consent of the owner of the material; and (ii) that you are thirteen years of age or older. In addition, when you submit, email, text or deliver or post any material, you are granting us, and anyone authorized by us, a royalty-free, perpetual, irrevocable, non-exclusive, unrestricted, worldwide license to use, copy, modify, transmit, sell, exploit, create derivative works from, distribute, and/or publicly perform or display such material, in whole or in part, in any manner or medium, now known or hereafter developed, for any purpose. The foregoing grant shall include the right to exploit any proprietary rights in such posting or submission, including, but not limited to, rights under copyright, trademark, service mark or patent laws under any relevant jurisdiction. Also, in connection with the exercise of such rights, you grant us, and anyone authorized by us, the right to identify you as the author of any of your postings or submissions by name, email address or screen name, as we deem appropriate.

 

You acknowledge and agree that any contributions originally created by you for  us shall be deemed a “work made for hire” when the work performed is within the scope of the definition of a work made for hire in Section 101 of the United States Copyright Law, as amended.  As such, the copyrights in those works shall belong to COMPANY from their creation.  Thus, COMPANY shall be deemed the author and exclusive owner thereof and shall have the right to exploit any or all of the results and proceeds in any and all media, now known or hereafter devised, throughout the universe, in perpetuity, in all languages, as COMPANY determines.  In the event that any of the results and proceeds of your submissions hereunder are not deemed a “work made for hire” under Section 101 of the Copyright Act, as amended, you hereby, without additional compensation, irrevocably assign, convey and transfer to COMPANY all proprietary rights, including without limitation, all copyrights and trademarks throughout the universe, in perpetuity in every medium, whether now known or hereafter devised, to such material and any and all right, title and interest in and to all such proprietary rights in every medium, whether now known or hereafter devised, throughout the universe, in perpetuity. Any posted material which are reproductions of prior works by you shall be co-owned by us. 

 

You acknowledge that COMPANY has the right but not the obligation to use and display any postings or contributions of any kind and that COMPANY may elect to cease the use and display of any such materials (or any portion thereof), at any time for any reason whatsoever.

 

Limitations on Linking and Framing. You may establish a hypertext link to the Site so long as the link does not state or imply any sponsorship of your site by us or by the Site. However, you may not, without our prior written permission, frame or inline link any of the content of the Site, or incorporate into another website or other service any of our material, content or intellectual property.

 

Disclaimers

 

Throughout the Site, we may provide links and pointers to Internet sites maintained by third parties. Our linking to such third-party sites does not imply an endorsement or sponsorship of such sites, or the information, products or services offered on or through the sites. In addition, neither we nor affiliates operate or control in any respect any information, products or services that third parties may provide on or through the Site or on websites linked to by us on the Site.

 

If applicable, any opinions, advice, statements, services, offers, or other information or content expressed or made available by third parties, including information providers, are those of the respective authors or distributors, and not COMPANY. Neither COMPANY nor any third-party provider of information guarantees the accuracy, completeness, or usefulness of any content. Furthermore, COMPANY neither endorses nor is responsible for the accuracy and reliability of any opinion, advice, or statement made on any of the Sites by anyone other than an authorized COMPANY representative while acting in his/her official capacity.

 

THE INFORMATION, PRODUCTS AND SERVICES OFFERED ON OR THROUGH THE SITE AND BY COMPANY AND ANY THIRD-PARTY SITES ARE PROVIDED “AS IS” AND WITHOUT WARRANTIES OF ANY KIND EITHER EXPRESS OR IMPLIED. TO THE FULLEST EXTENT PERMISSIBLE PURSUANT TO APPLICABLE LAW, WE DISCLAIM ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. WE DO NOT WARRANT THAT THE SITE OR ANY OF ITS FUNCTIONS WILL BE UNINTERRUPTED OR ERROR-FREE, THAT DEFECTS WILL BE CORRECTED, OR THAT ANY PART OF THIS SITE, INCLUDING BULLETIN BOARDS, OR THE SERVERS THAT MAKE IT AVAILABLE, ARE FREE OF VIRUSES OR OTHER HARMFUL COMPONENTS.

 

WE DO NOT WARRANT OR MAKE ANY REPRESENTATIONS REGARDING THE USE OR THE RESULTS OF THE USE OF THE SITE OR MATERIALS ON THIS SITE OR ON THIRD-PARTY SITES IN TERMS OF THEIR CORRECTNESS, ACCURACY, TIMELINESS, RELIABILITY OR OTHERWISE.

 

You agree at all times to defend, indemnify and hold harmless COMPANY its affiliates, their successors, transferees, assignees and licensees and their respective parent and subsidiary companies, agents, associates, officers, directors, shareholders and employees of each from and against any and all claims, causes of action, damages, liabilities, costs and expenses, including legal fees and expenses, arising out of or related to your breach of any obligation, warranty, representation or covenant  set forth herein.

 

Online Commerce

 

Certain sections of the Site may allow you to purchase many different types of products and services online that are provided by third parties. We are not responsible for the quality, accuracy, timeliness, reliability or any other aspect of these products and services. If you make a purchase from a merchant on the Site or on a site linked to by the Site, the information obtained during your visit to that merchant’s online store or site, and the information that you give as part of the transaction, such as your credit card number and contact information, may be collected by both the merchant and us. A merchant may have privacy and data collection practices that are different from ours. We have no responsibility or liability for these independent policies. In addition, when you purchase products or services on or through the Site, you may be subject to additional terms and conditions that specifically apply to your purchase or use of such products or services. For more information regarding a merchant, its online store, its privacy policies, and/or any additional terms and conditions that may apply, visit that merchant’s website and click on its information links or contact the merchant directly. You release us and our affiliates from any damages that you incur, and agree not to assert any claims against us or them, arising from your purchase or use of any products or services made available by third parties through the Site.

 

Your participation, correspondence or business dealings with any third party found on or through our Site, regarding payment and delivery of specific goods and services, and any other terms, conditions, representations or warranties associated with such dealings, are solely between you and such third party. You agree that COMPANY shall not be responsible or liable for any loss, damage, or other matters of any sort incurred as the result of such dealings.

 

You agree to be financially responsible for all purchases made by you or someone acting on your behalf through the Site. You agree to use the Site and to purchase services or products through the Site for legitimate, non-commercial purposes only. You also agree not to make any purchases for speculative, false or fraudulent purposes or for the purpose of anticipating demand for a particular product or service. You agree to only purchase goods or services for yourself or for another person for whom you are legally permitted to do so. When making a purchase for a third party that requires you to submit the third party’s personal information to us or a merchant, you represent that you have obtained the express consent of such third party to provide such third party’s personal information.

 

Interactive Features

 

This Site may include a variety of features, such as bulletin boards, web logs, chat rooms, and email services, which allow feedback to us and real-time interaction between users, and other features which allow users to communicate with others. Responsibility for what is posted on bulletin boards, web logs, chat rooms, and other public posting areas on the Site, or sent via any email services on the Site, lies with each user – you alone are responsible for the material you post or send. We do not control the messages, information or files that you or others may provide through the Site. It is a condition of your use of the Site that you do not:

  • Restrict or inhibit any other user from using and enjoying the Site.
  • Use the Site to impersonate any person or entity, or falsely state or otherwise misrepresent your affiliation with a person or entity.
  • Interfere with or disrupt any servers or networks used to provide the Site or its features, or disobey any requirements, procedures, policies or regulations of the networks we use to provide the Site.
  • Use the Site to instigate or encourage others to commit illegal activities or cause injury or property damage to any person.
  • Gain unauthorized access to the Site, or any account, computer system, or network connected to this Site, by means such as hacking, password mining or other illicit means.
  • Obtain or attempt to obtain any materials or information through any means not intentionally made available through this Site.
  • Use the Site to post or transmit any unlawful, threatening, abusive, libelous, defamatory, obscene, vulgar, pornographic, profane or indecent information of any kind, including without limitation any transmissions constituting or encouraging conduct that would constitute a criminal offense, give rise to civil liability or otherwise violate any local, state, national or international law.
  • Use the Site to post or transmit any information, software or other material that violates or infringes upon the rights of others, including material that is an invasion of privacy or publicity rights or that is protected by copyright, trademark or other proprietary right, or derivative works with respect thereto, without first obtaining permission from the owner or rights holder.
  • Use the Site to post or transmit any information, software or other material that contains a virus or other harmful component.
  • Use the Site to post, transmit or in any way exploit any information, software or other material for commercial purposes, or that contains advertising.
  • Use the Site to advertise or solicit to anyone to buy or sell products or services, or to make donations of any kind, without our express written approval.
  • Gather for marketing purposes any email addresses or other personal information that has been posted by other users of the Site.

COMPANY may host message boards, chats and other private/public forums on its Sites and on other platforms. Any user failing to comply with the terms and conditions of this Agreement may be expelled from and refused continued access to, the message boards, groups, chats or other such forums in the future. COMPANY or its designated agents may remove or alter any user-created content at any time for any reason. Message boards, chats and other public forums are intended to serve as discussion centers for users and subscribers. Information and content posted within these public forums may be provided by COMPANY staff, COMPANY’s outside contributors, or by users not connected with COMPANY, some of whom may employ anonymous user names. COMPANY expressly disclaims all responsibility and endorsement and makes no representation as to the validity of any opinion, advice, information or statement made or displayed in these forums by third parties, nor are we responsible for any errors or omissions in such postings, or for hyperlinks embedded in any messages. Under no circumstances will we, our affiliates, suppliers or agents be liable for any loss or damage caused by your reliance on information obtained through these forums. The opinions expressed in these forums are solely the opinions of the participants, and do not reflect the opinions of COMPANY or any of its subsidiaries or affiliates.

 

COMPANY has no obligation whatsoever to monitor any of the content or postings on the message boards, chat rooms or other public forums on the Sites. However, you acknowledge and agree that we have the absolute right to monitor the same at our sole discretion. In addition, we reserve the right to alter, edit, refuse to post or remove any postings or content, in whole or in part, for any reason and to disclose such materials and the circumstances surrounding their transmission to any third party in order to satisfy any applicable law, regulation, legal process or governmental request and to protect ourselves, our clients, sponsors, users and visitors.

 

Registration

 

To access certain features of the Site, we may ask you to provide certain demographic information including your gender, year of birth, zip code and country. In addition, if you elect to sign-up for a particular feature of the Site, such as chat rooms, web logs, or bulletin boards, you may also be asked to register with us on the form provided and such registration may require you to provide personally identifiable information such as your name and email address. You agree to provide true, accurate, current and complete information about yourself as prompted by the Site’s registration form. If we have reasonable grounds to suspect that such information is untrue, inaccurate, or incomplete, we have the right to suspend or terminate your account and refuse any and all current or future use of the Site (or any portion thereof). Our use of any personally identifiable information you provide to us as part of the registration process is governed by the terms of our Privacy Policy.

 

Passwords

 

To use certain features of the Site, you will need a username and password, which you will receive through the Site’s registration process. You are responsible for maintaining the confidentiality of the password and account, and are responsible for all activities (whether by you or by others) that occur under your password or account. You agree to notify us immediately of any unauthorized use of your password or account or any other breach of security, and to ensure that you exit from your account at the end of each session. We cannot and will not be liable for any loss or damage arising from your failure to protect your password or account information.

 

Limitation of Liability

 

UNDER NO CIRCUMSTANCES, INCLUDING, BUT NOT LIMITED TO, NEGLIGENCE, SHALL WE, OUR SUBSIDIARY AND PARENT COMPANIES OR AFFILIATES BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL OR CONSEQUENTIAL DAMAGES THAT RESULT FROM THE USE OF, OR THE INABILITY TO USE, THE SITE, INCLUDING OUR MESSAGING, BLOGS, COMMENTS OF OTHERS, BOOKS, EMAILS, PRODUCTS, OR SERVICES, OR THIRD-PARTY MATERIALS, PRODUCTS, OR SERVICES MADE AVAILABLE THROUGH THE SITE OR BY US IN ANY WAY, EVEN IF WE ARE ADVISED BEFOREHAND OF THE POSSIBILITY OF SUCH DAMAGES. (BECAUSE SOME STATES DO NOT ALLOW THE EXCLUSION OR LIMITATION OF CERTAIN CATEGORIES OF DAMAGES, THE ABOVE LIMITATION MAY NOT APPLY TO YOU. IN SUCH STATES, OUR LIABILITY AND THE LIABILITY OF OUR SUBSIDIARY AND PARENT COMPANIES OR AFFILIATES IS LIMITED TO THE FULLEST EXTENT PERMITTED BY SUCH STATE LAW.) YOU SPECIFICALLY ACKNOWLEDGE AND AGREE THAT WE ARE NOT LIABLE FOR ANY DEFAMATORY, OFFENSIVE OR ILLEGAL CONDUCT OF ANY USER. IF YOU ARE DISSATISFIED WITH THE SITE, ANY MATERIALS, PRODUCTS, OR SERVICES ON THE SITE, OR WITH ANY OF THE SITE’S TERMS AND CONDITIONS, YOUR SOLE AND EXCLUSIVE REMEDY IS TO DISCONTINUE USING THE SITE AND THE PRODUCTS, SERVICES AND/OR MATERIALS.

 

THIS SITE IS CONTINUALLY UNDER DEVELOPMENT AND COMPANY MAKES NO WARRANTY OF ANY KIND, IMPLIED OR EXPRESS, AS TO ITS ACCURACY, COMPLETENESS OR APPROPRIATENESS FOR ANY PURPOSE.

 

WITH REGARDS TO CONTENT RELATING TO HEALTH & WELLNESS ON THE SITE:

THIS SITE OFFERS HEALTH, WELLNESS, FITNESS AND NUTRITIONAL INFORMATION AND IS DESIGNED FOR EDUCATIONAL PURPOSES ONLY. YOU SHOULD NOT RELY ON THIS INFORMATION AS A SUBSTITUTE FOR, NOR DOES IT REPLACE, PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. IF YOU HAVE ANY CONCERNS OR QUESTIONS ABOUT YOUR HEALTH, YOU SHOULD ALWAYS CONSULT WITH A PHYSICIAN OR OTHER HEALTH-CARE PROFESSIONAL. DO NOT DISREGARD, AVOID OR DELAY OBTAINING MEDICAL OR HEALTH RELATED ADVICE FROM YOUR HEALTH-CARE PROFESSIONAL BECAUSE OF SOMETHING YOU MAY HAVE READ ON THIS SITE. THE USE OF ANY INFORMATION PROVIDED ON THIS SITE IS SOLELY AT YOUR OWN RISK.

 

NOTHING STATED OR POSTED ON THIS SITE OR AVAILABLE THROUGH ANY SERVICES ARE INTENDED TO BE, AND MUST NOT BE TAKEN TO BE, THE PRACTICE OF MEDICAL OR COUNSELING CARE. FOR PURPOSES OF THIS AGREEMENT, THE PRACTICE OF MEDICINE AND COUNSELING INCLUDES, WITHOUT LIMITATION, PSYCHIATRY, PSYCHOLOGY, PSYCHOTHERAPY, OR PROVIDING HEALTH CARE TREATMENT, INSTRUCTIONS, DIAGNOSIS, PROGNOSIS OR ADVICE.

 

Termination

 

We may cancel or terminate your right to use the Site or any part of the Site at any time without notice. In the event of cancellation or termination, you are no longer authorized to access the part of the Site affected by such cancellation or termination. The restrictions imposed on you with respect to material downloaded from the Site, and the disclaimers and limitations of liabilities set forth in these Terms of Service, shall survive.

 

Refund Policy

 

Your purchase of a product or service or ticket to an event may or may not provide for any refund.  Each specific product, service, event or course will specify its own refund policy.

 

Digital Millennium Copyright Act

 

The Digital Millennium Copyright Act of 1998 (the “DMCA”) provides recourse for copyright owners who believe that material appearing on the Internet infringes their rights under the U.S. copyright law. If you believe in good faith that materials hosted by COMPANY infringe your copyright, you, or your agent may send to COMPANY a notice requesting that the material be removed or access to it be blocked. Any notification by a copyright owner or a person authorized to act on its behalf that fails to comply with requirements of the DMCA shall not be considered sufficient notice and shall not be deemed to confer upon COMPANY actual knowledge of facts or circumstances from which infringing material or acts are evident. If you believe in good faith that a notice of copyright infringement has been wrongly filed against you, the DMCA permits you to send to COMPANY a counter-notice. All notices and counter notices must meet the then current statutory requirements imposed by the DMCA; see http://www.loc.gov/copyright for details. COMPANY’s Copyright Agent for notice shall be annettegiarde@bigboldhealth.com.

 

Assignment

 

This Agreement shall be binding upon and inure to the benefit of COMPANY and our respective assigns, successors, heirs, and legal representatives. Neither this Agreement nor any rights hereunder may be assigned without the prior written consent of COMPANY Notwithstanding the foregoing, all rights and obligations under this Agreement may be freely assigned by COMPANY to any affiliated entity or any of its wholly owned subsidiaries.

 

Dispute Resolution

These Terms of Use shall be governed by and construed in accordance with the laws of the State of Washington and any dispute shall be subject to binding arbitration in Bainbridge Island, Washington. If any provision of this agreement shall be unlawful, void or for any reason unenforceable, then that provision shall be deemed severable from this agreement and shall not affect the validity and enforceability of any remaining provisions.

 

Class Action Waiver

 

You may only resolve disputes with us on an individual basis, and may not bring a claim as a plaintiff or a class member in a class, consolidated, or representative action. Class arbitrations, class actions, private attorney general actions, and consolidation with other arbitrations aren’t allowed.

 

The arbitrator may not consolidate more than one person’s claims, and may not otherwise preside over any form of a class or representative proceeding or claims (such as a class action, consolidated action or private attorney general action) unless all relevant parties specifically agree to do so following initiation of the arbitration.

 

Severability

 

If any clause within these Terms of Service (other than the Class Action Waiver clause above) is found to be illegal or unenforceable, that clause will be severed from these Terms of Service, and the remainder of these Terms of Service will be given full force and effect. If the Class Action Waiver clause is found to be illegal or unenforceable, this entire Provision will be unenforceable and the dispute will be decided by a court.

Privacy Policy

Effective Date: March 2019

 

The following Privacy Policy governs the online information collection practices of BIG BOLD HEALTH LLC (“COMPANY,” “we” or “us”). Specifically, it outlines the types of information that we gather about you while you are using the www.bigboldhealth.com website (the “Site”), and the ways in which we use this information. This Privacy Policy, including our children’s privacy statement, does not apply to any information you may provide to us or that we may collect offline and/or through other means (for example, at a live event, via telephone, or through the mail).

 

Please read this Privacy Policy carefully. By visiting and using the Site, you agree that your use of our Site, and any dispute over privacy, is governed by this Privacy Policy. Because the Web is an evolving medium, we may need to change our Privacy Policy at some point in the future, in which case we’ll post the changes to this Privacy Policy on this website and update the Effective Date of the policy to reflect the date of the changes. By continuing to use the Site after we post any such changes, you accept the Privacy Policy as modified.

 

How We Collect and Use Information

 

We may collect and store personal or other information that you voluntarily supply to us online while using the Site (e.g., while on the Site or in responding via email to a feature provided on the Site). The Site only contacts individuals who specifically request that we do so or in the event that they have signed up to receive our messaging, attended one of our events, or have purchased one of our products. The Site collects personally identifying information from our users during online registration and online purchasing. Generally, this information includes name and e-mail address for registration or opt-in purposes and name, postal address, and credit card information when registering for our events or purchasing our products. All of this information is provided to us by you.

 

We also collect and store information that is generated automatically as you navigate online through the Site. For example, we may collect information about your computer’s connection to the Internet, which allows us, among other things, to improve the delivery of our web pages to you and to measure traffic on the Site. We also may use a standard feature found in browser software called a “cookie” to enhance your experience with the Site. Cookies are small files that your web browser places on your hard drive for record-keeping purposes. By showing how and when visitors use the Site, cookies help us deliver advertisements, identify how many unique users visit us, and track user trends and patterns. They also prevent you from having to re-enter your preferences on certain areas of the Site where you may have entered preference information before. The Site also may use web beacons (single-pixel graphic files also known as “transparent GIFs”) to access cookies and to count users who visit the Site or open HTML-formatted email messages.

 

We use the information we collect from you while you are using the Site in a variety of ways, including using the information to customize features; advertising that appear on the Site; and, making other offers available to you via email, direct mail or otherwise. We also may provide your information to third parties, such as service providers, contractors and third-party publishers and advertisers for a variety of purposes. Unless you inform us in accordance with the process described below, we reserve the right to use, and to disclose to third parties, all of the information collected from and about you while you are using the Site in any way and for any purpose, such as to enable us or a third party to provide you with information about products and services. If you do not wish your information to be used for these purposes, you must send a letter to the Online Privacy Coordinator whose address is listed at the end of this Privacy Policy requesting to be taken off any lists of information that may be used for these purposes or that may be given or sold to third-parties.

 

Please keep in mind that whenever you voluntarily make your personal information available for viewing by third parties online – for example on message boards, web logs, through email, or in chat areas – that information can be seen, collected and used by others besides us. We cannot be responsible for any unauthorized third-party use of such information.

 

Some of our third-party advertisers and ad servers that place and present advertising on the Site also may collect information from you via cookies, web beacons or similar technologies. These third-party advertisers and ad servers may use the information they collect to help present their advertisements, to help measure and research the advertisements’ effectiveness, or for other purposes. The use and collection of your information by these third-party advertisers and ad servers is governed by the relevant third-party’s privacy policy and is not covered by our Privacy Policy. Indeed, the privacy policies of these third-party advertisers and ad servers may be different from ours. If you have any concerns about a third party’s use of cookies or web beacons or use of your information, you should visit that party’s website and review its privacy policy.

The Site also includes links to other websites and provides access to products and services offered by third parties, whose privacy policies we do not control. When you access another website or purchase third-party products or services through the Site, use of any information you provide is governed by the privacy policy of the operator of the site you are visiting or the provider of such products or services.

 

We may also make some content, products and services available through our Site or by emailing messages to you through cooperative relationships with third-party providers, where the brands of our provider partner appear on the Site in connection with such content, products and/or services. We may share with our provider partner any information you provide, or that is collected, in the course of visiting any pages that are made available in cooperation with our provider partner. In some cases, the provider partner may collect information from you directly, in which cases the privacy policy of our provider partner may apply to the provider partner’s use of your information. The privacy policy of our provider partners may differ from ours. If you have any questions regarding the privacy policy of one of our provider partners, you should contact the provider partner directly for more information.

 

Be aware that we may occasionally release information about our visitors when release is appropriate to comply with law or to protect the rights, property or safety of users of the Site or the public.

 

Please also note that as our business grows, we may buy or sell various assets. In the unlikely event that we sell some or all of our assets, or one or more of our websites is acquired by another company, information about our users may be among the transferred assets.

 

Google Analytics

 

We also use Google Analytics Advertiser Features to optimize our business. Advertiser features include:

  • Remarketing with Google Analytics
  • Google Display Network Impression Reporting
  • DoubleClick Platform integrations
  • Google Analytics Demographics and Interest Reporting

By enabling these Google Analytics Display features, we are required to notify our visitors by disclosing the use of these features and that we and third-party vendors use first-party cookies (such as the Google Analytics cookie) or other first-party identifiers, and third-party cookies (such as the DoubleClick cookie) or other third-party identifiers together to gather data about your activities on our Site.  Among other uses, this allows us to contact you if you begin to fill out our check-out form but abandon it before completion with an email reminding you to complete your order.  The “Remarketing” feature allows us to reach people who previously visited our Site, and match the right audience with the right advertising message.

You can opt out of Google’s use of cookies by visiting Google’s ad settings and/or you may opt out of a third-party vendor’s use of cookies by visiting the Network Advertising Initiative opt-out page.

 

Facebook

 

As advertisers on Facebook and through our Facebook page, we, (not Facebook) may collect content or information from a Facebook user and such information may be used in the same manner specified in this Privacy Policy. You consent to our collection of such information.

 

We abide by Facebook’s Data Use Restrictions.

  • Any ad data collected, received or derived from our Facebook ad (“Facebook advertising data”) is only shared with someone acting on our behalf, such as our service provider. We are responsible for ensuring that our service providers protect any Facebook advertising data or any other information obtained from us, limit our use of all of that information, and keep it confidential and secure.
  • We do not use Facebook advertising data for any purpose (including retargeting, commingling data across multiple advertisers’ campaigns, or allowing piggybacking or redirecting with tags), except on an aggregate and anonymous basis (unless authorized by Facebook) and only to assess the performance and effectiveness of our Facebook advertising campaigns.
  • We do not use Facebook advertising data, including the targeting criteria for a Facebook ad, to build, append to, edit, influence, or augment user profiles, including profiles associated with any mobile device identifier or other unique identifier that identifies any particular user, browser, computer or device.
  • We do not transfer any Facebook advertising data (including anonymous, aggregate, or derived data) to any ad network, ad exchange, data broker or other advertising or monetization related service.

 

General Data Privacy Regulation (GDPR)

 

The GDPR took effect on May 25, 2018, and is intended to protect the data of European Union (EU) citizens. 

 

As a company that markets its site, content, products and/or services online we do not specifically target our marketing to the EU or conduct business in or to the EU in any meaningful way. If the data that you provide to us in the course of your use of our site, content, products and/or services is governed by GDPR, we will abide by the relevant portions of the Regulation.

 

If you are a resident of the European Economic Area (EEA), or are accessing this site from within the EEA, you may have the right to request: access to, correction of, deletion of; portability of; and restriction or objection to processing, of your personal data, from us. This includes the “right to be forgotten.”

 

To make any of these requests, please contact our GDPR contact at annettegiarde@bigboldhealth.com

 

Children’s Privacy Statement

 

This children’s privacy statement explains our practices with respect to the online collection and use of personal information from children under the age of thirteen, and provides important information regarding their rights under federal law with respect to such information.

  • This Site is not directed to children under the age of thirteen and we do NOT knowingly collect personally identifiable information from children under the age of thirteen as part of the Site. We screen users who wish to provide personal information in order to prevent users under the age of thirteen from providing such information. If we become aware that we have inadvertently received personally identifiable information from a user under the age of thirteen as part of the Site, we will delete such information from our records. If we change our practices in the future, we will obtain prior, verifiable parental consent before collecting any personally identifiable information from children under the age of thirteen as part of the Site.
  • Because we do not collect any personally identifiable information from children under the age of thirteen as part of the Site, we also do NOT knowingly distribute such information to third parties.
  • We do NOT knowingly allow children under the age of thirteen to publicly post or otherwise distribute personally identifiable contact information through the Site.
  • Because we do not collect any personally identifiable information from children under the age of thirteen as part of the Site, we do NOT condition the participation of a child under thirteen in the Site’s online activities on providing personally identifiable information.

The HIPAA Privacy Rule

 

The US Department of Health and Human Services provides:  The HIPAA Privacy Rule establishes national standards to protect individuals’ medical records and other personal health information and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically.  The Rule requires appropriate safeguards to protect the privacy of personal health information, and sets limits and conditions on the uses and disclosures that may be made of such information without patient authorization. The Rule also gives patients rights over their health information, including rights to examine and obtain a copy of their health records, and to request corrections.”

 

You acknowledge that our operation of the Site does not constitute the practice of medicine, and specifically does not create a doctor-patient relationship between you and Dr. Jeffrey Bland, PhD (the “Doctor”).  The information provided on the Site is for educational purposes only. 

 

Notwithstanding the fact that the Site does not create a doctor-patient relationship between you and DOCTOR, our preservation of your personal health information shall be HIPAA compliant.

 

For purposes of this Privacy Policy, “patients” are those individuals who have secured the in-person services DOCTOR.  If you are a patient of DOCTOR, you will be provided with a copy of DOCTOR’s HIPAA Privacy Statement, which governs the information collection practices of patients’ personal information by DOCTOR.

 

How do we store your information?

 

Your information is stored at the list server that delivers the Site content and messaging. Your information can only be accessed by those who help manage those lists in order to deliver e-mail to those who would like to receive the Site material.

 

All of the messaging or emails that are sent to you by the Site include an unsubscribe link in them. You can remove yourself at any time from our mailing list by clicking on the unsubscribe link that can be found in every communicaiton that we send you.

 

Changes to this Policy

 

This policy may be changed at any time at our discretion. If we should update this policy, we will post the updates to this page on our Website.

 

Questions About this Policy

 

If you have any questions or concerns regarding our privacy policy please direct them to:

annettegiarde@bigboldhealth.com