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Condensed Consolidated Statements of Operations - USD ($)
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Income Statement [Abstract]        
Net revenues $ 9,848,849 $ 10,888,877 $ 18,346,550 $ 20,113,515
Costs and expenses:        
Cost of products sold 1,710,944 1,520,774 3,286,486 2,771,038
Selling and marketing 4,248,401 4,672,075 8,402,989 8,949,393
Research and development 1,059,187 1,145,038 2,217,440 2,644,708
General and administrative 2,757,148 2,369,883 5,125,055 4,868,876
Amortization 1,099,857 1,158,248 2,210,518 2,388,319
Total costs and expenses 10,875,537 10,866,018 21,242,488 21,622,334
Operating income (loss) (1,026,688) 22,859 (2,895,938) (1,508,819)
Interest income 61,841 57,061 158,587 107,251
Other income 0 981,806 0 2,828,871
Interest expense (126,347) (192,635) (244,873) (378,988)
Income (loss) before income taxes (1,091,194) 869,091 (2,982,224) 1,048,315
Income tax expense (11,443) (6,937) (22,885) (13,875)
Net income (loss) (1,102,637) 862,154 (3,005,109) 1,034,440
Net loss (income) at subsidiary attributable to noncontrolling interests 17,025 10,046 (26,766) 29,944
Net income (loss) attributable to common shareholders $ (1,085,612) $ 872,200 $ (3,031,875) $ 1,064,384
Earnings (loss) per share attributable to common shareholders        
Basic (in USD per share) $ (0.08) $ 0.06 $ (0.21) $ 0.07
Diluted (in USD per share) $ (0.08) $ 0.06 $ (0.21) $ 0.07
Weighted-average shares outstanding        
Basic (in shares) 14,118,091 14,393,711 14,107,852 14,376,260
Diluted (in shares) 14,118,091 14,554,264 14,107,852 14,570,798