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In urine, O-dealkyl and N-deethyl-O-dealkyl metabolites and glucuronides had been predominant. Isotonitazene and metonitazene O-dealkyl metabolites have been the exact same molecules and are possible created with the metabolization of structural analogues like etonitazene, protonitazene, or butonitazene, whose only variation from isotonitazene and