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Metabolism: This product is often a metabolite of tramadol. Tramadol is metabolized inside the liver with the enzyme CYP2D6 to type O-DSMT. This metabolite has a longer 50 %-lifetime than tramadol, leading to extended outcomes.In its pellet type, O-DSMT appears as small, spherical pieces that has a significant standard of purity, usually 98.0% or i