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This guide walks the legal cash-pay telehealth options that ship to PA, the compounded vs FDA-approved branded distinction, real annualized costs, and where PlexusDx Microdose GLP-1 ($129/mo), Semaglutide Injection ($179$229/mo), and Tirzepatide Injection ($229$309/mo) sit relative to Eden, Ro, TrimRx, Willow, and MEDVi with the optional Precision Peptide Genetic Test anchoring dose decisions to your DNA before week one