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Transdermal patches (adhesive patches placed on the skin) may also be used to deliver a steady dose through the skin and into the bloodstream. Testosterone-containing creams and gels that are applied daily to the skin are also available, but absorption is inefficient (roughly 10%, varying between individuals) and these treatments tend to be more expensive. Individuals who are especially physically active and/or bathe often may not be good candidates, since the medication can be washed off and may take up to six hours to be fully absorbed. There is also the risk that an intimate partner or child may come in contact with the application site and inadvertently dose himself or herself; children and women are highly sensitive to testosterone and can suffer unintended masculinization and health effects, even from small doses. Injection is the most common method used by individuals administering AAS for non-medical purposes. 
If you’re to avoid Nolvadex side effects, if you’re a breast cancer patient simply use the SERM as directed by your physician; that’s fairly simple. Then we have performance enhancement, and in this case, you’ll be using the SERM without such guidance and as with all performance based items at your own risk. Of course, keeping the dosing proper will always serve you best, and proper dosing will vary depending on the point of use. For on-cycle gynecomastia protection, most men will find 10mg per day to be effective if it’s going to be effective; if this doesn’t work, you’ll probably need an Aromatase Inhibitor. As for post cycle use, you will need a larger dosing that tapers down over the course of four to six weeks. In most cases, a total dosing of 40mg per day for a couple weeks, followed by half that amount for a couple weeks and then a 10mg dosing per day for a week or two is perfect.