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Bad/Substantial Metabolizers, CYP2D6 The development on the Lively metabolite, M1, is mediated by CYP2D6, a polymorphic enzyme. Around seven% from the population has reduced exercise of your CYP2D6 isoenzyme of cytochrome P450 metabolizing enzyme system. These people today are “poor metabolizers” of debrisoquine, dextromethorphan and tricyclic