The second variant of Milgrom’s theory (T1) derives the equations of motion from a Lagrangian formulation, allowing the theory to make predictions for a very general class of systems with arbitrary shapes. A number of confirmed, novel predictions follow from T1 including the “central surface density relation” (CSDR) and a prediction about the form of the vertical force law in the Milky Way. The theory also predicts a very low rate of mergers between galaxies, a prediction that may or may not be consistent with observations. However, the theory’s predictions about the kinematics of the largest bound structures in the universe, the galaxy clusters, appear to be incorrect.