Protocol Style Typical Dosage Monthly Limit Purpose / Rationale Primary Risks Standard "On-Demand" 1.5mg – 2.0mg 8 times Used only before planned activity. Allows for full receptor recovery. Acute nausea, projectile vomiting, and transient high blood pressure. Microdosing (Daily/EOD) 0.25mg – 0.5mg 15–20 times Aims to build a "floor" of libido while staying below the nausea threshold. High risk of Hyperpigmentation (skin/mole darkening) due to cumulative exposure. The "Social" Protocol 1.0mg – 1.25mg 10–12 times A middle ground for those who are sensitive to the "Standard" dose side effects. Cumulative systemic load; potential for reduced receptor sensitivity over time. Clinical Max Cap Varies Strict 8 The FDA-recommended limit for Vyleesi to prevent permanent skin changes. Permanent darkening of gums, face, and existing freckles.