Intramuscular testosterone preparations have been the mainstay of testosterone replacement therapy since the 1950s, and they are one of the most popular forms of testosterone for TRT. Only recently has the usage of testosterone gels (like Androgel and Axiron) surpassed injectable testosterone usage for TRT. As of 2014, approximately 60% of TRT users use testosterone gels, while 35% use injectable testosterone preparations (According to Endo Pharmaceuticals FDA filing for Aveed). With this being said, the surge in testosterone gel usage may largely be attributed to the advertising by the pharmaceutical companies promoting these gels.
Before the Evolution of Combat, when fighting in the aggressive stance , Strength experience was awarded per hit, where is the amount of damage dealt. Fighting using the controlled stance , however, awards Strength experience per hit, where is the amount of damage dealt. For example, a player who hits a 10 would receive 4 Strength experience when fighting in the aggressive stance and Strength experience when fighting in the controlled stance. The amount of experience received when fighting in the controlled stance may be calculated in the same way that experience awarded to the Constitution skill is calculated.
According to the Endocrine Society’s current guidelines, testosterone therapy is recommended for symptomatic men with classical androgen deficiency syndromes aimed at inducing and maintaining secondary sex characteristics and at improving their sexual function, sense of wellbeing, and bone mineral density.  Testosterone therapy is not recommended in patients with breast or prostate cancer, and without further urological evaluation in patients with palpable prostate nodule or induration or PSA > 4 ng/ml or PSA > 3 ng/ ml in men at high risk of prostate cancer, such as African Americans or men with first-degree relatives with prostate cancer. It is also not recommended in patients with hematocrit >50%, untreated severe obstructive sleep apnea, severe lower urinary tract symptoms (AUA/ IPSS score > 19), or uncontrolled or poorly controlled heart failure, or in those desiring fertility.