April 30, 2019 Lisa Conte Chief Executive Officer & President Jaguar Health, Inc. 201 Mission Street, Suite 2375 San Francisco, CA 94105 Re: Jaguar Health, Inc. Preliminary Proxy Statement on Schedule 14A Filed March 22, 2019 File No. 001-36714 Dear Ms. Conte: We have completed our review of your filing. We remind you that the company and its management are responsible for the accuracy and adequacy of their disclosures, notwithstanding any review, comments, action or absence of action by the staff. Sincerely, Division of Corporation Finance Office of Healthcare & Insurance cc: Michael Lee - Reed Smith LLP