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Condensed Consolidated Statements of Operations - USD ($)
 3 Months Ended 9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Sep. 30, 2022
Sep. 30, 2021
Income Statement [Abstract]        
Net revenues $ 11,413,072 $ 8,072,540 $ 32,887,269 $ 27,665,182
Costs and expenses:        
Cost of products sold 2,224,443 1,328,027 6,468,212 5,486,005
Selling and marketing 4,110,397 3,800,288 13,281,511 11,709,445
Research and development 1,714,254 1,453,873 5,283,083 4,071,638
General and administrative 2,166,118 2,039,799 6,672,442 6,367,438
Amortization 1,486,448 1,013,948 4,609,146 3,354,080
Total costs and expenses 11,701,660 9,635,935 36,314,394 30,988,606
Operating income (loss) (288,588) (1,563,395) (3,427,125) (3,323,424)
Interest income 21,602 7,394 52,709 19,411
Other income 0 0 0 2,187,140
Other income - gain on insurance proceeds 0 0 611,330 0
Interest expense (149,340) (20,021) (406,539) (70,297)
Income (loss) from continuing operations before income taxes (416,326) (1,576,022) (3,169,625) (1,187,170)
Income tax (expense) benefit (6,900) (7,458) (20,700) (22,375)
Net income (loss) from continuing operations (423,226) (1,583,480) (3,190,325) (1,209,545)
Discontinued operations 0 496,787 0 1,491,004
Net income (loss) (423,226) (1,086,693) (3,190,325) 281,459
Net loss at subsidiary attributable to noncontrolling interests 14,587 31,415 60,813 58,651
Net income (loss) attributable to common shareholders $ (408,639) $ (1,055,278) $ (3,129,512) $ 340,110
Earnings (loss) per share attributable to common shareholders        
Earnings (loss) per share attributable to common shareholders - Continuing operations - basic (in dollars per share) $ (0.03) $ (0.10) $ (0.21) $ (0.08)
Earnings (loss) per share attributable to common shareholders - Discontinued operations - basic (in dollars per share) 0 0.03 0 0.10
Earnings (loss) per share attributable to common shareholders - basic (in dollars per share) (0.03) (0.07) (0.21) 0.02
Earnings (loss) per share attributable to common shareholders - Continuing operations - diluted (in dollars per share) (0.03) (0.10) (0.21) (0.08)
Earnings (loss) per share attributable to common shareholders - Discontinued operations - diluted (in dollars per share) 0 0.03 0 0.10
Earnings (loss) per share attributable to common shareholders - diluted (in dollars per share) $ (0.03) $ (0.07) $ (0.21) $ 0.02
Weighted-average shares outstanding        
- basic (in shares) 14,477,478 14,880,887 14,618,975 14,939,919
- diluted (in shares) 14,477,478 14,880,887 14,618,975 15,139,904