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Tacrolimus: In a pediatric patient with idiopathic nephrotic syndrome, clinically relevant increases in tacrolimus concentrations and renal toxicity occurred when berberine was added to control diarrhea (30)

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However, an in-person meeting with a doctor is not suitable or convenient for everyone, making telehealth services like ShedRx potentially helpful

Making semaglutide available privately via community pharmacies will open access to more people than will be able to obtain it on the NHS, since private providers do not need to follow NICE guidance, only the licensed indication, which is as an adjunct to a reduced-calorie diet and increased physical activity for those with a BMI over 30, or a BMI over 27 with at least one weight-related comorbidity