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Weight
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Brain Health

Longevity

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Consumer Privacy Request Form

Residents of certain states, such as California, Colorado, Connecticut, Delaware, Iowa, Montana, Nebraska, New Hampshire, New Jersey, Oregon, Texas, Utah, and Virginia can request certain rights (access, deletion, correction) with respect to their personal data. If you reside in such a state, complete the form below to submit your request.

If you would like an authorized agent to make a request on your behalf, please click here to view the “Authorized Agent Request” section below.

By pressing “submit,” I certify that I am a resident of the location above or that I am an authorized agent of a resident of the location above and that all information I have submitted is true and accurate.

If you have any questions, please let us know and we will be happy to assist you.

Customer Support
1-800-720-8403
[email protected]

Authorized Agent Request:

You may designate or authorize a person or an eligible business to act on your behalf as an authorized agent. This authorized agent may make requests on your behalf under the California Consumer Privacy Act (“CCPA”).

To do so, please have your authorized agent send a request to [email protected] with “Authorized Agent Opt-Out Request” in the email subject line, and the following information in the email content:

  • Your First and Last Name
  • Your Email Address
  • The Agent’s First and Last Name
  • The Agent’s Email Address
  • The Agent’s Phone Number
  • A document with your signature indicating that you authorize the agent to make the request on your behalf
  • Indicate if the Agent prefers to be contacted via email or phone

We may follow up with you or your authorized agent if we need any additional information prior to processing your request.

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