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Accounts Payable and Accrued Expenses (Details) - USD ($) | Sep. 30, 2023 | Dec. 31, 2022 | Dec. 31, 2021
--- | --- | --- | ---
Accounts Payable and Accrued Expenses |  |  |
Professional and general consulting fees | $ 778,556 | $ 758,816 | $ 218,476
R&D-related - CMOs, CROs, supplies, equipment and consulting | 3,110,537 | 2,397,038 | 595,465
General expenses |  | 124,676 | 256,463
Insurance premiums | 525,425 | 844,283 | 945,928
Payroll and benefits | 222,440 | 164,657 | 482,237
Accrued license payments | 61,322 | 57,820 | 5,000
Total accounts payable and accrued expenses | $ 5,138,952 | 4,347,290 | 2,503,569
Outstanding payables to CROs or CMOs |  | $ 2,030,347 | $ 386,057

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