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Condensed Consolidated Statements of Operations and Comprehensive Income (Loss) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Income Statement [Abstract]
Net revenues	$ 8,492,530	$ 11,196,961	$ 27,243,859	$ 29,500,843
Costs and expenses:
Cost of products sold	1,460,463	2,166,353	4,511,743	5,216,776
Selling and marketing	4,803,112	6,226,438	14,549,873	16,174,391
Research and development	1,306,055	943,162	4,631,384	2,921,951
General and administrative	2,067,981	2,090,785	6,732,485	6,554,158
Amortization	661,802	609,572	1,946,457	1,811,589
Total costs and expenses	10,299,413	12,036,310	32,371,942	32,678,865
Operating income (loss)	(1,806,883)	(839,349)	(5,128,083)	(3,178,022)
Interest income	166,220	94,833	398,420	216,849
Interest expense	(19,199)	(8,902)	(59,520)	(70,646)
Income (loss) before income taxes	(1,659,862)	(753,418)	(4,789,183)	(3,031,819)
Income tax (expense) benefit	(4,159)	(3,822)	(12,477)	(4,196,192)
Net income (loss)	(1,664,021)	(757,240)	(4,801,660)	(7,228,011)
Net loss at subsidiary attributable to noncontrolling interests	20,977	14,209	58,689	49,923
Net income (loss) attributable to common shareholders	$ (1,643,044)	$ (743,031)	$ (4,742,971)	$ (7,178,088)
Earnings (loss) per share attributable to common shareholders
- basic (in dollars per share)	$ (0.11)	$ (0.05)	$ (0.30)	$ (0.45)
- diluted (in dollars per share)	$ (0.11)	$ (0.05)	$ (0.30)	$ (0.45)
Weighted-average shares outstanding
- basic (in shares)	15,573,108	15,867,159	15,645,230	15,973,737
- diluted (in shares)	15,573,108	15,867,159	15,645,230	15,973,737
Comprehensive income (loss) attributable to common shareholders	$ (1,643,044)	$ (743,031)	$ (4,742,971)	$ (7,178,088)
Net loss at subsidiary attributable to noncontrolling interests	20,977	14,209	58,689	49,923
Total comprehensive income (loss)	$ (1,664,021)	$ (757,240)	$ (4,801,660)	$ (7,228,011)

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