At distances where Cat.6A is even an option the demands on the fiber are very low. And it uses less power than the BASE-T PHY. The cable at least without integrated power is very thin as well, unless you can't respect it enough to not kink it, in which case you'd want a thicker one just to prevent you from being able to break the fiber.
And you get much better future proofing with SMF. And if you do need a long fast run, SMF is what you want.