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. 
Awareness and educational efforts are working to help prevent anabolic steroid abuse in schools and communities. The Adolescents Training and Learning to Avoid Steroids (ATLAS) and the Athletes Targeting Healthy Exercise and Nutrition Alternatives (ATHENA) programs, funded by the NIDA, and supported by the Oregon Health & Science University programs is teaching athletes that they do not need steroids to build powerful muscles and improve athletic performance. These programs provide weight-training and nutrition alternatives, increase healthy behaviors, less likelihood to try steroids, and less likelihood to engage in other dangerous behaviors such as drinking and driving, use of marijuana and alcohol , and and improved body image. Bother Congress and the Substance Abuse and Mental Health Services Administration endorsed these model prevention programs. 4
Within the hierarchy of fitness (SEE: above pyramid) there are three primary elements. Diet appears at the base because of its foundational importance to the whole of fitness, reaffirming the age old axiom "You are what you eat". A diet goes, so goes health and the body. In the center we find weight training, an activity that provides the necessary stimulus for muscular change. Weight training is a greater, or more impacting component than cardiovascular (aerobic) work because when properly employed it literally becomes a part of the body via increased muscle density and mass. Since muscle requires more fuel (calories) for operation, lifting weights can transform the body into a round-the-clock calorie burning machine, enhancing its ability to process foods, mobilize stored fat, and function better. Atop the pyramid sits cardio training, which is great for improving heart health and endurance, but considered more of a polish or icing with regard to aesthetics as it only burns calories (and when internal conditions are right, fat) during, and for a very short time after the activity. Unfortunately, and for reasons to be discussed later, women tend to focus more on the top of the Fitness Pyramid spending numerous hours a week performing cardio activities. Can you imagine a person trying to meet all of their daily nutritional requirements through vitamin supplementation? Well vitamins and supplements are to diet, what cardio is to fitness… complimentary. As illustrated by the arrows, the components of the pyramid exhibit a reciprocal relationship. This means that when diet is well managed, less weight lifting and cardio required. Similarly, better balance within the first two areas reduces the need for cardio work. However, the inverse is just as true in that a sloppy diet and/or lackluster weight training necessitates more cardio output.