United States securities and exchange commission logo May 18, 2020 Jack W. Callicutt Chief Financial Officer Galectin Therapeutics Inc. 4960 Peachtree Industrial Blvd. Suite 240 Norcross, GA 30071 Re: Galectin Therapeutics Inc. Registration Statement on Form S-3 Filed May 11, 2020 File No. 333-238151 Dear Mr. Callicutt: This is to advise you that we have not reviewed and will not review your registration statement. Please refer to Rules 460 and 461 regarding requests for acceleration. 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. Please contact Abby Adams at (202) 551-6902 with any questions. Sincerely, Division of Corporation Finance Office of Life Sciences