Metabolism: This product is really a metabolite of tramadol. Tramadol is metabolized during the liver because of the enzyme CYP2D6 to variety O-DSMT. This metabolite has a longer 50 %-existence than tramadol, resulting in extended effects. Tolerance to most of the consequences of O-DSMT develops with extended and repeated use. https://codyvtzaa.blogocial.com/getting-my-o-dsmt-pellets-30mg-to-work-65649774