marketing activities driven by our commercialization of WAKIX and increased personnel costs related to sales force expansion.
General and Administrative Expenses
General and administrative expenses increased by $0.6 million, or 2.9%, for the three months ended June 30, 2023 and increased by $4.8 million, or 12.1%, for the six months ended June 30, 2023, as compared to the same periods in 2022. The increase in the six months ended June 30, 2023 was primarily due to an increase to stock compensation associated with new awards, an increase in personnel cost, and an increase in intangible asset amortization as a result of the $40.0 million milestone payment in March 2022 upon attaining $500.0 million in life-to-date aggregate net sales of WAKIX in the United States.
Interest Expense, Net
Interest expense, net decreased by $1.2 million, or 29.3%, for the three months ended June 30, 2023 and decreased by $2.7 million, or 33.0%, for the six months ended June 30, 2023, compared to the same periods in 2022 primarily due to interest income generated from our investments and cash equivalents, partially offset by higher interest rates on our debt as a result of the increase to the LIBOR. Interest income generated from our investments and cash equivalents, which is included in interest expense, net, was $2.7 million and $5.2 million for the three and six months ended June 30, 2023, respectively, compared to $0.2 million and $0.3 million for the three and six months ended June 30, 2022, respectively.
Income Taxes
Income tax expense was $9.8 million, representing a 22.2% effective tax rate, for the three months ended June 30, 2023, and $5.7 million, or an effective tax rate of 19.5%, as compared to the same periods in 2022. Income tax expense was $18.1 million, representing a 22.1% effective tax rate, for the six months ended June 30, 2023, and $7.6 million, or an effective tax rate of 14.4%, as compared to the same periods in 2022. The increase in our effective tax rate for both comparable periods was primarily driven by the utilization of net operating loss (“NOL”) carryforwards during 2022, which reduced our effective rate tax in the prior year. We have utilized all of our federal NOL carryforwards as of December 31, 2022, and the utilization of state NOL carryforwards may be subject to a substantial limitation due to state provisions. The effective tax rate of 22.1% for the six months ended June 30, 2023 included 5.1% for the provision of state income taxes, partially offset by a tax windfall benefit of 1.5% from the exercise of stock options and a 2.9% benefit from credits.
Liquidity, Sources of Funding and Capital Resources
Overview
To date, we have financed our operations primarily with (a) proceeds from sales of our convertible preferred stock; (b) borrowings under our debt agreements; (c) the proceeds from our IPO; and (d) the proceeds from the sale of common stock to Blackstone. From our inception through our IPO, we received aggregate proceeds of $345.0 million from sales of our convertible preferred stock. In August 2020, we completed the IPO of our common stock, in which we sold 6,151,162 shares of our common stock, including 802,325 shares of our common stock pursuant to the underwriters’ over-allotment option. The shares were sold at a price of $24.00 per share for net proceeds of approximately $135.4 million. As of June 30, 2023, we had cash, cash equivalents, restricted cash and investments of $429.9 million and an accumulated deficit of $208.3 million. As of June 30, 2023, we had outstanding debt of $196.5 million.
We have invested a portion of our available cash in money market funds, U.S. government and agency securities, corporate bonds and commercial paper in accordance with our investment policy. Our investment policy defines allowable investments and establishes guidelines relating to credit quality, diversification, and maturities of our investments to preserve principal and maintain liquidity. All investment securities have a credit