<?xml version="1.0" encoding="UTF-8"?><edgarSubmission xmlns="http://www.sec.gov/edgar/schedule13g" xmlns:com="http://www.sec.gov/edgar/common">
  <headerData>
    <submissionType>SCHEDULE 13G/A</submissionType>
    <previousAccessionNumber>0002060450-25-000001</previousAccessionNumber>
    <filerInfo>
      <filer>
        <filerCredentials>
          <cik>0002060450</cik>
          <ccc>XXXXXXXX</ccc>
        </filerCredentials>
      </filer>
      <liveTestFlag>LIVE</liveTestFlag>



    </filerInfo>
  </headerData>
  <formData>
    <coverPageHeader>
      <amendmentNo>1</amendmentNo>
      <securitiesClassTitle>Common stock</securitiesClassTitle>
      <eventDateRequiresFilingThisStatement>03/22/2024</eventDateRequiresFilingThisStatement>
      <issuerInfo>
        <issuerCik>0001729944</issuerCik>
        <issuerName>IMAC Holdings, Inc.</issuerName>
        <issuerCusip>44967K104</issuerCusip>
        <issuerPrincipalExecutiveOfficeAddress>
          <com:street1>3401 MALLORY LANE</com:street1>
          <com:street2>3401 MALLORY LANE</com:street2>
          <com:city>FRANKLIN</com:city>
          <com:stateOrCountry>TN</com:stateOrCountry>
          <com:zipCode>37067</com:zipCode>
        </issuerPrincipalExecutiveOfficeAddress>
      </issuerInfo>
      <designateRulesPursuantThisScheduleFiled>
        <designateRulePursuantThisScheduleFiled>Rule 13d-1(d)</designateRulePursuantThisScheduleFiled>
      </designateRulesPursuantThisScheduleFiled>
    </coverPageHeader>
    <coverPageHeaderReportingPersonDetails>

      <reportingPersonName>Ruiz Jorge</reportingPersonName>
      <citizenshipOrOrganization>TX</citizenshipOrOrganization>
      <reportingPersonBeneficiallyOwnedNumberOfShares>
        <soleVotingPower>148385.00</soleVotingPower>
        <sharedVotingPower>0.00</sharedVotingPower>
        <soleDispositivePower>148385.00</soleDispositivePower>
        <sharedDispositivePower>0.00</sharedDispositivePower>
      </reportingPersonBeneficiallyOwnedNumberOfShares>
      <reportingPersonBeneficiallyOwnedAggregateNumberOfShares>148385.00</reportingPersonBeneficiallyOwnedAggregateNumberOfShares>
      <classPercent>13.0</classPercent>
      <typeOfReportingPerson>IN</typeOfReportingPerson>
    </coverPageHeaderReportingPersonDetails>
    <items>
      <item1>
        <issuerName>IMAC Holdings, Inc.</issuerName>
        <issuerPrincipalExecutiveOfficeAddress>3401 MALLORY LANE, 3401 MALLORY LANE, FRANKLIN, TENNESSEE, 37067.</issuerPrincipalExecutiveOfficeAddress>
      </item1>
      <item2>
        <filingPersonName>Jorge Ruiz</filingPersonName>
        <principalBusinessOfficeOrResidenceAddress>667 Juan Munoz Drive, El Paso, TX 79932</principalBusinessOfficeOrResidenceAddress>
        <citizenship>United States</citizenship>
      </item2>
      <item3>
        <notApplicableFlag>Y</notApplicableFlag>
      </item3>
      <item4>
        <amountBeneficiallyOwned>148,385</amountBeneficiallyOwned>
        <classPercent>13.03%</classPercent>
        <numberOfSharesPersonHas>
          <solePowerOrDirectToVote>148,385</solePowerOrDirectToVote>
          <sharedPowerOrDirectToVote>0</sharedPowerOrDirectToVote>
          <solePowerOrDirectToDispose>148,385</solePowerOrDirectToDispose>
          <sharedPowerOrDirectToDispose>0</sharedPowerOrDirectToDispose>
        </numberOfSharesPersonHas>
      </item4>
      <item5>
        <notApplicableFlag>Y</notApplicableFlag>
      </item5>
      <item6>
        <notApplicableFlag>Y</notApplicableFlag>
      </item6>
      <item7>
        <notApplicableFlag>Y</notApplicableFlag>
      </item7>
      <item8>
        <notApplicableFlag>Y</notApplicableFlag>
      </item8>
      <item9>
        <notApplicableFlag>Y</notApplicableFlag>
      </item9>
      <item10>
        <notApplicableFlag>N</notApplicableFlag>
        <certifications>By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect, other than activities solely in connection with a nomination under &amp;#167; 240.14a-11.

</certifications>
      </item10>
    </items>
    <signatureInformation>
      <reportingPersonName>Ruiz Jorge</reportingPersonName>
      <signatureDetails>
        <signature>Jorge Ruiz</signature>
        <title>Self</title>
        <date>03/18/2025</date>
      </signatureDetails>
    </signatureInformation>
  </formData>

</edgarSubmission>
