I started straight with 0.5mg every day, and never had any sides besides some drowsiness or lethargy. I take it before bed and it helps with sleep. I like prami way better than dostinex as far as sides are concerned, and I've used dosti for 15 years for prosexual effects. On-cycle, I go extremely low on test, so I use the prami to avoid ED and maintain sexual function. 0.5 mg every day has been very effective. It doesn't do anything for libido, but that's not a concern for me.
I like the prami so much that I'm planning to try a Deca-only cycle this winter with virtually no test. Based on my experience with prami, I hypothesize that I'll be able to maintain sexual function with heavy Deca and 1-1.5mg prami per day. The experiment may end in failure, but we'll see how it goes.