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. 
We are becoming quite tired of these senseless and premature steroid deaths. Nasser’s death immediately followed the death of Matt Duval. Matt Duval was another bodybuilder with too much body weight relative to his vertically-challenged frame. Unlike Nasser, Matt didn’t achieve the same level of notoriety with competitions limited to amateur Junior National competitions and ad hoc guest posing appearances. We offer no kind words to describe either Matt Duval or Nasser El Sonbaty following such horrible deaths. In his absence, Nasser adversely affected the lives of family members, American & German friends, and a global fan base. The enormity of their structures was influential to young generations determined to initiate steroid cycles even though they would become too addicted to observe Nasser’s final outcome and deviate from their destructive behavior. For these reasons, we offer no ‘Rest In Peace’ sentiments. Rather, we say “It Is What It Is”.