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It is in a class of drugs called BTKs (Bruton's kinase inhibitors) that work by blocking the release of histamine and other chemicals that cause hives and itching

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The stimulation of protease activity is often associated with changes in the gut microbiota composition and the release of microbial enzymes (Munir et al., 2016)

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Behav Brain Res 89:135149 Harsing LG Jr, Sershen H, Toth E, Hashim A, Ramacci MT, Lajtha A (1992) Acetyl-l-carnitine releases dopamine in rat corpus striatum: an in vivo microdialysis study