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Poor/Intensive Metabolizers, CYP2D6 The formation of your active metabolite, M1, is mediated by CYP2D6, a polymorphic enzyme. Around 7% on the population has minimized action from the CYP2D6 isoenzyme of cytochrome P450 metabolizing enzyme technique. These people are “bad metabolizers” of debrisoquine, dextromethorphan and tricyclic antidepress