I have used it with a shelter501 mk3 cart at 0.5mv and now with a ZYX rs30 at 0.24mv. This really needed very little change in setup, I increased gain from -3db to 0db and loading at 470ohm. This gave me my best sq to my ears. Obviously the more gain you run the more chance you risk of distortion or excess hiss/noise at the speakers without music playing.
I did a test changing to +6db just to see and I think I could live with the hiss if I needed to. But I think even a very lomc in the 0.12mv area should only need +3db gain at most.
But your results could differ considerably in your system.