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Metabolism: This product or service is a metabolite of tramadol. Tramadol is metabolized in the liver from the enzyme CYP2D6 to type O-DSMT. This metabolite has a longer half-life than tramadol, bringing about prolonged outcomes.Flipping the way in the R2 and R1 bonds brings about the R- and S- enantiomers of O-Desmethyltramadol. O-DMST is almost j