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Commenting on the MHRA approval, Rani Khatib, consultant pharmacist in cardiology and cardiovascular research at Leeds Teaching Hospitals NHS Trust, said: The data for GLP-1 agonists being of benefit for reducing cardiovascular outcomes and also impacting positively on kidney function [is] growing. However, he warned that supply of semaglutide was a big challenge that needed addressing not just nationally but globally, with off-label use and private prescribing putting huge pressure on the system