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The Micro-Dose Protocol

Micro-dose daily. Ready 24/7 without timing a pill.

B12, K2 and D3 plus a 5 mg micro-dose of tadalafil, in one tablet next to your morning coffee. Ready 24/7, 365. If prescribed by a US-licensed provider.

5 mgMicro-dose, daily
24/7Ready, 365 days
1Tablet. Done.
Choose your plan

Every plan: provider review with no consult fee, free discreet shipping, same price every renewal.

Prefer to pay monthly?

Renews at the same price until you cancel. Important safety information

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You optimize everything else

One tablet next to your morning coffee. Done.

You dial in sleep, training and bloodwork. Then sex comes down to a strong pill and a stopwatch.

This slots in next to your vitamins, and it builds up over about 5 days.

What's inside

Four actives. One daily tablet.

Tadalafil5 mg

A prescription micro-dose. Blood flow, around the clock.

Vitamin B121000 mcg

Energy and nerve health.

Vitamin K2200 mcg

Healthy calcium use, with D3.

Vitamin D33000 IU

Bone and immune health.

"Micro-dose" here means 5 mg of tadalafil a day. Compounded medications are not FDA-approved.

What it costs

From $2.12 a day

PlanYou payPer day
Buy 2, get 1 free$218today$2.42
Buy 4, get 2 free$436today$2.42
Buy 7, get 5 free$763today$2.12
3-month plan$89per 28 days$2.97
Month to month$109per 25 days$3.63

One tablet is one day, so your price per dose and per day are the same. Charged only if prescribed.

Compare

Micro-dose daily vs. an on-demand pill

Micro-DoseOn-demand tadalafil
Tadalafil per dose5 mg10–20 mg
Plan sex around itNoYes
Headache, per the prescribing informationReported less oftenReported more often
Added B12, K2, D3YesNo

Prescribing information for tadalafil: once-daily 2.5–5 mg vs as-needed 10–20 mg, from separate trials. Individual results vary.

The science

Why longevity routines are paying attention

ED can be an early warning sign

In a long-term study of men, erectile dysfunction was linked to a higher later risk of heart disease, with the biggest jump in younger men.

Inman BA et al. Mayo Clin Proc. 2009;84(2):108–113.

Tadalafil and blood-vessel function

In a small study of 32 men at higher heart risk, tadalafil (20 mg every other day for 4 weeks, a higher dose than this protocol) improved a measure of blood-vessel function.

Rosano GM et al. Eur Urol. 2005;47(2):214–220.

Being studied in cancer research

After lab research in mice, small early trials have studied whether tadalafil can help the immune response in some head and neck cancers. This is research only, not a treatment.

Serafini P et al. J Exp Med. 2006;203(12):2691–2702 · Califano JA et al. Clin Cancer Res. 2015;21(1):30–38 · Weed DT et al. Clin Cancer Res. 2015;21(1):39–48.

Research is ongoing and doesn't show that the Micro-Dose Protocol prevents or treats any disease. Vigo MD providers prescribe tadalafil for erectile dysfunction only, not to prevent or treat cancer or heart disease. Individual results vary.

How it works

2 minutes of questions. Zero waiting rooms.

  1. Check outYour card is held, not charged.
  2. Answer 2 minutes of health questionsA US-licensed provider reviews them and decides.
  3. Ships if prescribedCharged and shipped in a plain box. Not prescribed? The hold is released.
Couple relaxing together in the evening

Ready on a Tuesday morning. Ready on a Saturday night.

Choose my plan

FAQ

Questions, answered

Is this a supplement?
It's built like one: one tablet a day with B12, K2 and D3. But it also contains tadalafil, a prescription medication, so a US-licensed provider has to review your health questions and decide it's right for you.
What does micro-dose mean?
Here it means 5 mg of tadalafil a day, a quarter of the top 20 mg on-demand dose.
I'm in my 20s or 30s. Is this for me?
Erection problems aren't only an older man's issue. If you're 18+ and have trouble getting or keeping an erection, a provider can review your health questions and decide whether daily tadalafil is right for you.
Will I be ready again faster?
A steady daily level may help you be ready again sooner, but it differs from man to man. Individual results vary.
Does it prevent cancer or heart disease?
No. Low-dose tadalafil is being studied in early research, but Vigo MD providers prescribe it for erectile dysfunction only. It isn't a treatment or prevention for any other condition.
Can I take it with my stack?
Tell your provider about everything you take, including creatine, protein powders, fish oil and pre-workouts. They check for interactions. Never take it with nitrates, riociguat or poppers.
How does billing work?

Prepaid plans. Buy 2 get 1, Buy 4 get 2 and Buy 7 get 5 are paid once for 3, 6 or 12 months. Supplies ship every 3 months. When the term ends it renews at the same price until you cancel.

Monthly plans. Month to month bills every 25 days and you can cancel any time. The 3-month plan bills every 28 days with a 3-payment minimum and ships 90 days of supply with the first payment.

Why do I pay before the health questions?
So you can lock in your plan in one step. Checkout only places a hold on your card. You answer the health questions right after, and the hold becomes a charge only if a provider prescribes.
What if I'm not prescribed?
The hold on your card is released and you pay nothing: no consultation fee, no penalty.
Are compounded medications FDA-approved?
No. Compounded medications are made by a licensed US pharmacy for the patient, if prescribed. They are not FDA-approved and are not reviewed by the FDA for safety, effectiveness or quality. A provider decides whether one is right for you.
Is this safe with my other medicines?
Your provider checks your answers for interactions. Never take these medicines with nitrates (such as nitroglycerin), riociguat or poppers. Tell your provider about every medicine and supplement you take.
Can I drink alcohol with it?
Heavy drinking can lower blood pressure and make side effects like dizziness more likely. Ask your provider what is safe for you.
What are the side effects?
The most common are headache, flushing, a stuffy nose, indigestion and dizziness. Get medical help right away for an erection lasting more than 4 hours, chest pain, or sudden vision or hearing loss.
Is my information private?
Your health answers go only to the medical team. They are never used for advertising.
How is it shipped?
Free, in plain packaging with nothing on the outside about what's inside.
How do I cancel?
In the billing portal at vigomd.com/bill or by email at support@vigomd.com. No hoops. Refunds follow our Cancellation & Refund Policy at vigomd.com/refund-policy.
Who shouldn't take this?
Anyone taking nitrates, riociguat or poppers. Anyone with a heart attack in the last 3 months or a stroke in the last 6. Anyone told to avoid sexual activity for heart reasons. Your provider screens for these in your health questions.

Important safety information

Prescription treatment is available only if a US-licensed provider decides it is right for you after reviewing your health questions. Compounded medications are not FDA-approved and are not reviewed by the FDA for safety, effectiveness or quality.

Do not take this treatment if you take nitrates in any form (pills, sprays, patches or ointments), riociguat, or recreational nitrites (poppers); the combination can cause a sudden, dangerous drop in blood pressure. Tell your provider if you have heart problems, low or high blood pressure, liver or kidney problems, or take alpha-blockers.

Get medical help right away for an erection lasting more than 4 hours, chest pain, fainting, or sudden loss of vision or hearing. Common side effects include headache, flushing, a stuffy nose, indigestion, back or muscle aches and dizziness. Individual results vary.

This information does not replace a conversation with your provider.

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