Sentara Healthcare , based in Norfolk, VA, celebrates more than 125 years in pursuit of its mission to improve health every day. Sentara is an integrated not-for-profit system of 12 hospitals in Virginia and North Carolina, including a Level I trauma center with Nightingale Regional Air Ambulance . The Sentara family also includes four medical groups, ambulatory campuses, post-acute care services, the physician-led Sentara Quality Care Network , the Sentara College of Health Sciences , Optima Health Plan members in Virginia, Alabama and Ohio, and a team of professionals nearly 28,000 strong. Sentara is strategically focused on continuous improvement in quality, safety, innovation and the patient experience.
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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.