→
Always-ready confidence — no more planning around a single pill
→
Brain-and-body response when intimacy is planned
→
A 36-hour window — spontaneity without the countdown
Treatment is prescribed by a U.S.-licensed physician, dosed for your
specific needs, and shipped privately to your door. With continuous 1:1
medical care and 24/7 access to the
Vigo MD team.
Your monthly price stays locked in — your dose may evolve, but your
bill won't.
⚡
Vital V3 Performance
Based on your assessment, you're a strong candidate for the
Vital V3 Protocol — Vigo
MD's two-part system.
Daily Vital Chews keep you in a low-dose ready state 24/7. V3
stacks apomorphine, sildenafil, and tadalafil for on-demand brain
+ blood flow + stamina when intimacy is planned (works in 10-15
minutes)
You have a
very
high
chance of success with the VItal V3 Performance program.
96%
VERY HIGH
What the
Vital V3 Protocol
does that single-pill solutions can't:
🛡
Always-Ready Baseline — 24/7/365
A daily Vital Chew keeps low-dose tadalafil + vardenafil in your
system. No more planning around a single pill.
🧠
Brain + Body in One Dose
V3 layers apomorphine to engage arousal in the brain while a high
dose of sildenafil + tadalafil to drive blood flow and stamina —
most ED pills only handle half the equation.
⚡
Sublingual Onset — 10 to 15 Minutes
Both V3 and Vital Chew dissolve under your tongue, bypassing the
stomach. You feel it in minutes, not the hour swallowed pills
take.
⌛
Up to a 36-Hour Window
Tadalafil's long half-life means flexibility — intimacy on your
timing, not a 4-hour countdown.
🌿
Vascular Foundation Built In
Vital Chews include vitamin D3 + K2 to support vascular health and
natural testosterone — the long-game most pills ignore.
What's
inside
the Vital V3 Protocol:
4 ED actives + 2 vascular vitamins, split across one daily and one
on-demand product.
V3
ON-DEMAND · SUBLINGUAL
Take when intimacy is planned. Brain + blood flow in a single
dissolvable.
Apomorphine 4mg — D2
dopamine agonist that activates the brain's arousal centers. No
more mental blockages in the bedroom.
Sildenafil 70mg — drives
blood flow and firmness
Tadalafil 20mg — extends
the performance window up to 36 hours + stamina.
Vital Chew
DAILY · MEDICATED GUM
One per day. Builds an always-ready baseline so you're never caught
off guard.
Tadalafil 5mg — keeps a
low background dose in your system
Vardenafil 5mg — adds a
faster-onset PDE5 to round out the response
Vitamin D3 200IU —
supports testosterone and vascular health
Vitamin K2 1mg — partners
with D3 for arterial health
✓
Medication, supplies, and dosing instructions
✓
Pause or cancel anytime — come back when you're ready
✓
24/7 medical support
✓
1:1 access to our team of clinicians
✓
Free express shipping in discreet packaging
✓Our promise to help
you as much (or as little) as you want along the
way
What happens
next?
01
STEP 1
Physician Review
A board-certified clinician reviews your assessment as soon as you
check out — no extra steps from you.
02
STEP 2
Fast Approval
Most plans are approved within hours. All are approved within 24
hours.
03
STEP 3
Discreet Shipping
Once your prescription is approved, your medication ships within 2
business days. Plain packaging, with tracking sent to your inbox.
04
STEP 4
Monthly Refills
No refill check-ins keeps treatment flowing each month. We send
tracking by text and email so you never run out. You can always
increase the number of V3 doses you get per month so you never run
out.
05
STEP 5
Ongoing Support
Questions about dosage, side effects, or progress? You have
unlimited 24/7 access to our care team and licensed clinicians
whenever you need them.
Approval Period11:00
Save up to
$100 Instantly
Flexible month-to-month billing — no long-term contracts. (billed every 25
days so you don't run out)
Cancel anytime, no phone calls required.
24/7 Support + Unlimited doctor communication + Medication all
included.
Choose your treatment preference below.
Your approval is reserved for
11:00
Choose
your treatment preference below:
Your selection will be reviewed by your physician.
✓ Currently Selected
V3 + Vital Chews Combo
$198$249
✓ 5 ED active ingredients + 2 natural enhancer vitamins
✓ Daily readiness + on-demand power
✓ 24/7 clinical support included
$0 Due Today
Only pay when your prescription is approved and written (within 24
hours). Just a temporary authorization today.
If you don't experience the full benefits of the Vital V3
Performance Program we'll give you your money back. It's that
simple.
What makes
Vigo MD different?
5 + 2
ED active ingredients + vascular vitamins
36 hr
Per-dose performance window
24/7
Daily Chew baseline — no planning
100%
Discreet, plain packaging
The results
speak for themselves
★★★★★
"The daily Chew is the part I didn't know I needed. I'm not staring
at the clock anymore — I'm just ready, whenever."
— Mike R., 47Verified Customer
★★★★★
"What sold me on V3 was hitting both sides at once. Most ED stuff
feels mechanical. This actually feels natural — head and body show
up together."
— James T., 52Verified Customer
★★★★★
"I message the team, a real person responds. They adjusted my dose
twice without making me jump through hoops. Worth it for that
alone."
— Daniel K., 39Verified Customer
Outcomes vary based on individual factors including lifestyle and
adherence to the prescribed program. Testimonials reflect individual
experiences and are not guarantees of specific outcomes.
Frequently Asked Questions
How does Vigo MD work?
Vigo MD connects you with US-licensed physicians who specialize in
men's health. Complete a quick assessment, get matched with a doctor
who actually listens, and — if prescribed — receive your medication
delivered directly to your door. No long wait times. No awkward
in-person visits.
How do I know this is safe?
Your prescription is written by a US-licensed physician who reviews
your complete health history. Medications are dispensed from
US-based licensed pharmacies and shipped discreetly. Your health is
always the priority.
How does the signup process work?
Complete your assessment (about 5 minutes)
Provider reviews your information within 24 hours
If approved, prescription is sent to a US-licensed pharmacy
Medication ships in discreet packaging — arrives in 2 days
Ongoing 1:1 support from your care team, every step of the way
Is the packaging discreet?
Yes. Every package ships in plain, unmarked packaging. Nothing on
the outside identifies the contents.
You receive a 4-week supply of medication, billed every 25 days so
your second shipment arrives before you need it. Pause or cancel
anytime, no phone calls or hoops.
What if I need to cancel?
Cancel anytime in your patient portal or by emailing
support@joinnalena.com. No phone calls required, no hassle.
How is it shipped?
Your order ships via 2-day delivery in plain, discreet packaging.
You'll receive tracking by email.
What's actually in V3 and Vital Chews?
V3 (on-demand sublingual)
contains apomorphine 4mg, sildenafil 70mg, and tadalafil 20mg.
Apomorphine is a D2 dopamine agonist that engages the brain's
arousal centers; sildenafil and tadalafil are PDE5 inhibitors that
support blood flow.
Vital Chew (daily medicated gum)
contains tadalafil 5mg, vardenafil 5mg, vitamin D3 200IU, and
vitamin K2 1mg. The low-dose PDE5s keep a baseline in your system;
D3 and K2 support vascular health and natural testosterone.
Combined, the protocol delivers 4 distinct ED actives plus 2
supporting vitamins across one daily and one on-demand product.
What are the potential side effects?
The PDE5 inhibitors in V3 and Vital Chew (sildenafil, tadalafil,
vardenafil) can cause headache, flushing, nasal congestion, or mild
stomach upset — most patients find these resolve as the body
adjusts. Apomorphine in V3 can cause mild nausea (taking it with a
small amount of food helps). Your provider screens for
contraindications — including nitrate use, certain heart conditions,
and severe vision/hearing issues — before prescribing. Message us
24/7 if anything feels off and we'll adjust.
What if I experience side effects?
Contact your Vigo MD care team immediately — we're available 24/7 to
adjust dosage, provide guidance, or escalate as needed. You're never
left figuring it out alone.
