Oral semaglutide (Rybelsus) was not used in FLOW
While smaller needles do exist, they tend to be specialty medical equipment and are both much more expensive and much more difficult to find, so there's unlikely to be a reason you would have them

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Frequently asked questions Is glutamate high in everyone with OCD
Even for people who are struggling with obesity without diabetes, GLP-1 agonists are a powerful tool for supporting long-term body weight management
2021 May 28;10(6):1343