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Metabolism: This product is really a metabolite of tramadol. Tramadol is metabolized inside the liver through the enzyme CYP2D6 to kind O-DSMT. This metabolite has an extended 50 percent-daily life than tramadol, leading to extended consequences.O-Desmethyltramadol additional usually often known as O-DSMT is an opioid analgesic, generally known as