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SEC Company Response from SPRUCE BIOSCIENCES, (SPRB) — Nov 24, 2025

SPRUCE BIOSCIENCES, INC.
Date: Nov. 24, 2025 · CIK: 0001683553 · Accession: 0001193125-25-293646

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File numbers found in text: 333-291152

Date
November 24, 2025
Author
S PRUCE B IOSCIENCES , I NC .
Form
CORRESP
Company
SPRUCE BIOSCIENCES, INC.

Letter

RE: Spruce Biosciences, Inc. Registration Statement on Form S-3 (File No. 333-291152) Request for Acceleration of Effective Date Ladies and Gentlemen: Spruce Biosciences, Inc. (the “ Registrant ”) hereby requests that the U.S. Securities and Exchange Commission (the “ Commission ”) take appropriate action to cause the above-referenced Registration Statement on Form S-3 (File No. 333-291152) (the “ Registration Statement ”) to become effective on Wednesday, November 26, 2025, at 4:30 p.m., Eastern Time, or as soon thereafter as is practicable or at such later time as the Registrant may orally request via telephone call to the staff of the Commission. The Registrant hereby authorizes each of Katherine Denby and Alexander Gefter of Cooley LLP, counsel to the Registrant, to make such request on its behalf. Once the Registration Statement has been declared effective, please orally confirm that event with Katherine Denby of Cooley LLP, counsel to the Registrant, at (202) 776-2070, or in her absence, Alexander Gefter at (310) 883-6438. [Remainder of page intentionally left blank]

S PRUCE B IOSCIENCES , I NC . 611 Gateway Boulevard, Suite 740 South San Francisco, California 94080 November 24, 2025 VIA EDGAR Securities and Exchange Commission Office of Finance Division of Corporation Finance 100 F. Street N.E. Washington, D.C. 20549-3010

Very truly yours,
S PRUCE B IOSCIENCES , I NC .

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CORRESP
 1
 filename1.htm

 CORRESP

 S PRUCE B IOSCIENCES , I NC .
 611 Gateway Boulevard, Suite 740
 South San Francisco, California 94080
 November 24, 2025 VIA EDGAR
 Securities and Exchange Commission Office of Finance
 Division of Corporation Finance 100 F. Street
N.E. Washington, D.C. 20549-3010

 RE:
 Spruce Biosciences, Inc.
 Registration Statement on Form S-3 (File
 No. 333-291152) Request for Acceleration of Effective Date
 Ladies and Gentlemen:
 Spruce Biosciences, Inc. (the “ Registrant ”) hereby requests that the U.S. Securities and Exchange Commission
(the “ Commission ”) take appropriate action to cause the above-referenced Registration Statement on Form S-3 (File No. 333-291152) (the
“ Registration Statement ”) to become effective on Wednesday, November 26, 2025, at 4:30 p.m., Eastern Time, or as soon thereafter as is practicable or at such later time as the Registrant may orally request via telephone call
to the staff of the Commission. The Registrant hereby authorizes each of Katherine Denby and Alexander Gefter of Cooley LLP, counsel to the Registrant, to make such request on its behalf.
 Once the Registration Statement has been declared effective, please orally confirm that event with Katherine Denby of Cooley
LLP, counsel to the Registrant, at (202) 776-2070, or in her absence, Alexander Gefter at (310) 883-6438.
 [Remainder of page intentionally left blank]

 Very truly yours,

 S PRUCE B IOSCIENCES , I NC .

 By:

 /s/ Samir Gharib

 Name:

 Samir Gharib

 Title:

 President and Chief Financial Officer

 cc:
 Katherine Denby, Cooley LLP
 Alexander Gefter, Cooley LLP