T-cream isn't recommended for who or what? It's not true. There are advantages and disadvantages. I have been on T-cream for the last 8 months. I am very small frame and short, even so I am passing something like 80% of the time with minimal effort on my part (I mean to say it is mostly how I look). I know of several people on t-cream who are doing very well and a couple who did their whole transitions (4+ years) on t-cream. I started on very low dose, so that I might be considered to be on it for only 6 months.
There is t-cream and t-gel. The gel is commercial and sold under names Androgel, Testim, etc. T-cream is produced in compounding pharmacies, so there may be differences in t-cream sold by different pharmacies. There may be differences in price. Patch isn't necessarily better. I don't know if sublingual is easy to find.
The disadvantages:
Some people do not absorb it sufficiently to work. This is the biggie. It may be slower, at least for some people. It is almost always more expensive. (T-cream tends to cost from $40-150/two months; t-gel is more expensive and is usually accessible to people who have health insurance or something like the NHS covering it). Allergies to the actual cream could develop. I haven't heard of this and you can get alternative creams, but it could happen. There is some concern re: giving T to your partner with it. I don't have a partner, but you can do things like use and put on a t-shirt and so on. I know of several people with partners and small children using t-cream. But still could be a concern. Every day use (also an advantage but you have to use every day, which might not be good for some people for various reasons).
Advantages:
NO needles. Steady dose that is the same without highs and lows of injecting. Can make the dose very individualized-- for instance can really start slow and work up and can cut way down at certain times if that's desired. Some people go to t-cream after transitioning or after hysto.
The disadvantages might outweigh the advantages but it is a good method not requiring needles.
I did a video on t-cream when I was about a month on T. If you don't think it works take a look at one of my later videos. I am also older so I may be slower than someone in their 20s. The video is incorrect in that it only lasts 2 months. I now pay $80 a jar. I still agree with everything else I said.
--Jay