How Viking Alternative Medicine Works — Your First 90 Days on TRT
If you are considering starting TRT with Viking Alternative Medicine, this page explains exactly what the process looks like from your first contact through your first 90 days on protocol. No surprises, no sales pitch — just the clinical workflow.
Step 1: Initial Inquiry and Blood Work Order (Day 1–3)
The process starts with a consultation form and a blood work order. Viking orders a comprehensive hormone panel through a national lab (Quest Diagnostics or LabCorp). You go to a local lab location for a blood draw — most results come back within 24–48 hours.
The panel typically includes:
- Total testosterone and free testosterone
- SHBG (sex hormone binding globulin)
- Estradiol (E2)
- LH and FSH
- Complete blood count (hematocrit, hemoglobin)
- PSA (prostate-specific antigen)
- Comprehensive metabolic panel
- Thyroid (TSH)
Step 2: Physician Review and Protocol Design (Day 3–7)
A licensed physician — not an NP, not an algorithm — reviews your full lab panel. Based on your numbers and your health history, the physician designs your starting protocol. This typically includes:
- Testosterone cypionate dosage (usually 100–200mg per week, injected)
- Injection frequency (weekly, twice weekly, or every other day)
- Whether to include HCG (for testicular function and fertility preservation)
- Whether to include an aromatase inhibitor (anastrozole) based on your E2 baseline
You receive your prescriptions electronically. Testosterone is typically filled at a compounding pharmacy or through your standard pharmacy with insurance.
Step 3: First Injections (Week 2–3)
Viking provides injection training if needed. Most patients do weekly or twice-weekly subcutaneous (SubQ) or intramuscular (IM) injections at home. The first few weeks establish your baseline on protocol.
What to expect early: energy and mood changes typically appear within 2–4 weeks. Libido effects often appear in the 3–6 week range. Body composition changes take 3–6 months.
Step 4: First Follow-Up Labs (Week 6–8)
After approximately 6–8 weeks on your starting protocol, Viking orders follow-up labs. This is when the physician can see how your body is actually responding — total and free testosterone on protocol, estradiol, hematocrit, and any other relevant markers.
This is the step that separates Viking from subscription TRT services: a physician reviews these results and adjusts your protocol if anything is off. Estradiol too high — anastrozole dose gets adjusted. Hematocrit creeping up — dose may be reduced or blood donation recommended. Levels not where they should be — dose increase considered.
Step 5: Ongoing Protocol Management (Month 3 and Beyond)
After your 6–8 week labs are reviewed and any adjustments made, the monitoring cadence moves to every 3–4 months (depending on your stability). Each visit involves lab review and a physician consult.
Patients who need peptide protocols (tesamorelin for visceral fat, BPC-157 for recovery) can discuss those after their TRT protocol is established and stable — typically 90+ days in.
What Most Viking Patients Report at 90 Days
- Testosterone levels optimized to a target range (typically 800–1,100 ng/dL total T)
- Estradiol managed within range (typically 20–30 pg/mL)
- First noticeable changes in energy, mood, and body composition
- Protocol adjusted 1–2 times based on lab results
- Comfortable with self-injection routine
The 90-day mark is when most patients have a stable protocol and can begin evaluating long-term optimization strategies.
Get Started With Viking
The first step is a blood draw. If your labs support TRT, you will have a physician review within days and a protocol within the first week. Start here.
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