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Condensed Consolidated Statements of Operations - USD ($)
 3 Months Ended 6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Jun. 30, 2023
Jun. 30, 2022
Income Statement [Abstract]        
Net revenues $ 10,888,877 $ 10,299,152 $ 20,113,515 $ 21,474,197
Costs and expenses:        
Cost of products sold 1,520,774 2,031,884 2,771,038 4,243,769
Selling and marketing 4,672,075 4,556,685 8,949,393 9,171,114
Research and development 1,145,038 1,823,693 2,644,708 3,568,829
General and administrative 2,369,883 2,203,975 4,868,876 4,506,324
Amortization 1,158,248 1,529,453 2,388,319 3,122,698
Total costs and expenses 10,866,018 12,145,690 21,622,334 24,612,734
Operating income (loss) 22,859 (1,846,538) (1,508,819) (3,138,537)
Interest income 57,061 15,066 107,251 31,107
Other income - gain on insurance proceeds 0 611,330 0 611,330
Other income 981,806 0 2,828,871 0
Interest expense (192,635) (137,624) (378,988) (257,199)
Income (loss) before income taxes 869,091 (1,357,766) 1,048,315 (2,753,299)
Income tax expense (6,937) (6,900) (13,875) (13,800)
Net income (loss) 862,154 (1,364,666) 1,034,440 (2,767,099)
Net loss at subsidiary attributable to noncontrolling interests 10,046 29,046 29,944 46,226
Net income (loss) attributable to common shareholders $ 872,200 $ (1,335,620) $ 1,064,384 $ (2,720,873)
Earnings (loss) per share attributable to common shareholders        
Earnings (loss) per share attributable to common shareholders - Continuing operations - basic (in dollars per share) $ 0.06 $ (0.09) $ 0.07 $ (0.19)
Earnings (loss) per share attributable to common shareholders - Continuing operations - diluted (in dollars per share) $ 0.06 $ (0.09) $ 0.07 $ (0.19)
Weighted-average shares outstanding        
- basic (in shares) 14,393,711 14,688,505 14,376,260 14,689,798
- diluted (in shares) 14,554,264 14,688,505 14,570,798 14,689,798