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If it is clear that there is a fear of needles, or if good injection technique may be an issue (e.g., due to limitations with manual dexterity or lack of injection training opportunities), then oral semaglutide would seem a reasonable approach

Advanced Glycemic Control: 1 mg Prefilled Pen: A higher-dose maintenance option for patients needing stronger and sustained blood sugar control after initial treatment phases

Semaglutide is considered a long-term medication

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Tirzepatide is a subcutaneous injection (given just under the skin) administered once per week