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View Poll Results: What remedy have you found most successful for hyperhidrosis?
Topical Applications - Driclor, Odaban etc 361 22.24%
Oral Medications - Ditropan, Probanthine.. 272 16.76%
Iontophoresis 262 16.14%
Botox 110 6.78%
Diet 54 3.33%
Herbal 62 3.82%
ETS surgery 111 6.84%
Other surgery, e.g. liposuction, removal of sweat glands 391 24.09%
Voters: 1623. This poll is closed

 
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Old 04-23-2006
 

The secretion of sweat is controlled by the sympathetic nervous system, specifically, the thoracic sympathetic ganglion chain, which runs along the vertebra of the spine inside the chest cavity. It is believed that in some people (approximately 1% of the population), this system is working at a very high activity level, far higher than needed to keep a constant temperature. This condition is referred to as hyperhidrosis - excessive sweating.

There are two types of hyperhidrosis: primary/idiopathic (unknown cause) and secondary (known cause). Secondary hyperhidrosis can arise from various conditions, for example, endocrine disorders such as hyperthyroidism (overactive thyroid gland), endocrine treatment for malignant disease, menopause, obesity, psychiatric disorders, systemic malignant disease.

Definitions: sweaty hands (palmar hyperhidrosis), sweaty feet (pedal/plantar hyperhidrosis), underarm sweat (axillary hyperhidrosis), facial (forehead, cheeks, neck), facial blushing (Erythrophobia), flushing and cold hands (Raynaud's), truncal (trunk, buttocks), bromhidrosis (odour problems), Gustatory sweating (sweating on the forehead, face, scalp, and neck in response to eating), CS (compensatory sweating/Reflex sweating).


Topical Applications - Antiperspirants

These usually contain aluminium chloride and are often successful when used for underarm sweating.

Driclor Roll on applicator.
www.driclor.org.uk

Certain Dri Roll on applicator.
www.certaindri.com

Drysol Roll on applicator.
www.buydrysol.com

Maxim Roll on applicator.
www.maximteam.com

Anhydrol Forte Roll on applicator.
www.netdoctor.co.uk/medicines/100000141.html

30% Aluminium chloride solution (or stronger)
A prescription made by a dermatologist or pharmacist.

Odaban
A spray - noted to be less irritation than roll on applicators.
www.odaban.com

MegaDry Roll on applicator.
www.megadry.com
The dermatolgist who developed Megadry: http://etsandreversals.yuku.com/repl...l#.UVI7QDfciyM


Alternative Topical Remedies

Products containing some chemicals other than aluminium chloride.

Secure Wipes (topical glycopyrrolate)
These are a tissue which is wiped across the area. The active ingredient is glycopyrrolate.
www.pharmacy.ca

'Sweat-Stop' (bodyspray and lotion)
A spray and a facial lotion used for excessive perspiration.
www.sweat-stop.com

PerspireX Underarm roll On / Hand and foot Lotion
www.perspirex.co.uk

Lazerformalyde (10% formaldehyde)
A product used for excessive sweating of the feet.


Topical Creams and Gels

Glycopyrrolate Cream
Glycopyrrolate is an anticholinergic compound. This topical version is available in the UK from Nova Laboratories in strengths ranging from 0.01% to 10%.

Dehydral Cream
Used on the feet.
www.brandmeds.com/dehydral.html

Hydrosal Gel
A gel containing salicylic acid which is meant to enhance the penetration of aluminum chloride. The absence of ethanol may reduce irritation.
www.hydrosalgel.com


Oral Medications

Oral medications: www.excessive-sweating.net/sweat_oralmed.html

WARNING:
"treatment with Ditropan XL®(i) (oxybutynin extended-release or ER), caused significant memory deterioration. Importantly, the individuals receiving oxybutynin ER failed to notice the change in their memory function. These findings were presented during the 2006 Annual Meeting of the American Urological Association (AUA)."
Article - http://www.eurekalert.org/pub_releas...-nds052306.php

Ditropan (Oxybutynin Hydrochloride)

Ditropan XL (Oxybutynin Hydrochloride)

Pro Banthine (propantheline bromide)
http://www.nhs.uk/medicine-guides/pa...line%20bromide

Robinul - 1 mg Glycopyrrolate
http://www.askapatient.com/viewratin...7&name=ROBINUL

Robinul Forte - 2 mg Glycopyrrolate

Avert (Glycopyrrolate) - ranging from 0.5 mg - 2.0 mg
www.pharmacy.ca/

Beta Blockers (Propranolol)
Beta-blockers may be helpful when history indicates that symptoms are precipitated or exacerbated by stress.


Iontophoresis

This involves placing the hands and/or feet into shallow trays filled with water, whilst a small electrical current is passed into metal plates and the water. After initial treatments dryness can last for up to 3 weeks in applied areas. Maintenance treatments should be carried out as required to maintain dryness.
http://www.sweathelp.org/en/hyperhid.../iontophoresis
http://www.nhs.uk/Conditions/Hyperhi...Treatment.aspx

The water in your area can affect the effectiveness of the treatment. Hard water contains more minerals which are an important factor. To increase effectiveness with soft water, baking soda or sea salt can be added.

Studies show Iontophoresis with 0.05% glycopyrronium bromide solution (Glycopyrrolate) (or a stronger concentration) to be significantly superior to tap water in suppression of palmoplantar hyperhidrosis.
http://www.ncbi.nlm.nih.gov/entrez/q...&dopt=Abstract

This solution can be used when tap water iontophoresis is unsuccessful. The solution can be re-used a few times. It can be ordered on prescription in the UK from Nova Laborotories.

Anticholinergics are a class of medications that act by preventing acetylcholine from stimulating receptors on the sweat glands. In this way, anticholinergics shield the sweat gland from the action of acetylcholine. One anticholinergic, glycopyrrolate, is unlike most others in that it does not cross the blood brain barrier and is therefore less likely to produce certain side effects.
http://www.sweathelp.org/English/HCP...olinergics.asp

Possible Future Treatment Administering botox by iontophoresis
This treatment is still in it's early stages. The case study reports it "can be effective up to 3 months with only one treatment".
The case study: http://sweathelp.org/pdf/BTX_ionto_Br_J-Derm_2004_.pdf

Iontophoresis Machines:

Drionic
www.drionic.com/
Drionic instruction manual: www.flickr.com/photos/dryconfidence/6134275872/
Customising the Drionic: www.oocities.org/drionicmods/index.html
(Includes an order form to buy the machine at a reduced price of $100)

i2m laboratories
www.iontophoresis.info/
www.stdpharm.co.uk/iontophoresis-machines
Idrostar instruction manual: http://www.iontophoresis.info/wp-con...nual.Jan10.pdf

R.A. Fischer, MD-1a
R.A. Fischer company: www.rafischer.com/
Unit instructions: www.rafischer.com/share/md1a-manual.pdf
Usage manual: www.rafischer.com/share/md1a-usage.pdf
Safety: www.rafischer.com/share/md1a-infopage.pdf
A prescription is needed to purchase the Fischer.

Idromed 4 / 5
www.iontophoresis-device.com
http://www.hybec.com/hospital/Idromed5Paypal.htm
http://www.beathyperhidrosis.com/idromed4.htm
Idromed 4 operating instructions: http://beatpsoriasis.com/forms/idromedGS.pdf
Review of the Idromed: www.no-ets.com/idromed-hyperhidrosis.html

It has been noted that some Idromed 4 machines are 110V so a step up converter may be needed (US and UK mains are 230V/240V).

IONTEX 3, IONTEX S
http://en.kimetec.com/products/iontophoresis-devices


Other

Botox
Botulinum toxin injections. This is mainly for underarm sweating. The anhidrosis effect usually begins to weaken in 4-6 months.
http://www.sweathelp.org/en/hyperhid...eatments/botox
http://www.hyperhidrosisuk.org/treat...ons/botox.html

Electrolysis
Electrolysis is used for permanent hair removal. A needle is inserted into into the skin and an electrical current destroys the follicle, but the sweat gland can also be destroyed itself.

Clothing
Clothing and dress shields are available which prevent sweat soaking through into clothes.
www.kleinertsshields.com
www.sweatguard.co.uk/dress_shields
www.newlifeshirts.co.uk/
www.comfywear.com


Alternative Methods

Diet
Try experimenting by cutting out certain foods (consult a doctor first).

Dried Sage leaves
http://www.drweil.com/drw/u/QAA40095...-Sweating.html

Herbal
Herbal medicines may help. It is best to consult a professional.
www.sweatyhands.proboards.com/thread/203

Acupuncture
http://www.hyperhidrosis.us/hyperhyd...cupuncture.php

Hypnotherapy
http://www.ncbi.nlm.nih.gov/entrez/q...&dopt=Abstract

Therapy
Learning how to deal with anxiety and cope in stressful situations may help.

Anxiety relieving medications
This could help if a patient has a history of anxiety which triggers sweating.

Antihidrosin R32
Homeopathic Formula for Symptoms of Excessive Perspiration
http://www.my-ayurvedic.com/index.ph...product_id=143

COREcontrol to help thermoregulation
As the video on the website shows you would put your hand in the machine and it would work to reduce hot flushing or the general feeling of being too hot.
www.avacore.com


Future Treatments

"Dry Type" Iontophoresis
A new iontophoresis device was manufactured which did not use tap water to control sweating.
http://www.blackwell-synergy.com/doi...ournalCode=dsu

Electrical stimulation of the sympathetic nervous chain
A proposed method of treating palmar hyperhydrosis by 'applying an oscillating electric field to the stellate ganglion'.
http://www.patentstorm.us/patents/6356786-fulltext.html

Genetic Techniques
A UCLA study in 2002 suggests a strong genetic link to hyperhidrosis.
http://www.eurekalert.org/pub_releas...-usf022802.php

Stem Cells
Growing stem cells to repair the damaged sympathetic nervous pathway in ETS patients who suffer with negative side effects.


Surgery

ETS Surgery
Endoscopic Thoracic Sympathectomy. This is generally considered the last resort due to a wide range of possible, sometimes severe side effects. In general terms ETS does not offer a true cure for Hyperhidrosis, but usually moves sweat from one area to another - referred to as reflex sweating. Side effects may be much more serve than this (see ETS & reversals forum link below).
Sympathectomy is performed through small keyhole incisions in the underarm area under general anesthesia. Certain sympathetic nerve ganglia are cut at the 'T1'-'T5' levels in the thoracic cavity depending on the type of hyperhidrosis in question, thus interrupting the nerve signals which ordinarily would stimulate the body's fight-or-flight response.
Another method is ESB/ETS C (endoscopic sympathetic blockade, or sympathectomy clamping method) - clamping the nerves instead of destroying them. This method is to theoretically allow the nervous chain to be restored to its origional state by removing the clamps if undesirable effects develop, or reconstructing the nerve in the future. After quite a short period of time people have reported the sympathetic chain cannot be restored regardless of removing the clamps.

In 2003, ETS was banned in its birthplace, Sweden, due to overwhelming complaints by disabled patients. In 2004, Taiwanese health authorities banned the procedure on patients under 20 years of age.
From wikipedia - http://en.wikipedia.org/wiki/Endosco..._sympathectomy

About ETS: http://www.sweathelp.org/English/HCP...TS_Surgery.asp

Possible side-effects with surgery:www.no-ets.com/sideeffects.html

Pulse radio frequency sympathectomy
The sympathetic nerve is 'zapped' with radio frequencies, instead of being cut or burned as in ETS. The nerve is suppost to grow back, but slightly different to before.
http://etsandreversals.yuku.com/topi...ad-of-ETS.html

CT Fluoroscopy
This procedure involves the use of needles to make a puncture through the upper back, using CT guidance a phenol-based medication is injected. This interrupts the nerve tracts and nodes that transmit signals to the sweat glands. As with ETS this procedure should be used as a last resort.
Discussion - http://etsandreversals.yuku.com/forum/viewtopic/id/1915

Excision (Skoog Procedure), Curettage, Axillary Liposuction
"Curettage and Liposuction are similar. With curettage the sweat glands under the skin are removed by scraping. Liposuction removes glands by suction. Curettage is more effective than liposuction as many of the glands are left behind by suction and grow back within 6 months".
The Skoog procedure involves incision and dissection to expose the glands on the underside of the skin. The glands are surgically removed using fine scissors under magnification. The scars are more noticeable with this procedure but it seems to be more effective in making sure all the glands are removed.
Information on procedures: http://www.emedicine.com/plastic/topic530.htm
Doctor's website: http://www.sweaty-armpit.com/bromhidrosiscure.html


Useful Forums and websites

www.etsandreversals.yuku.com ETS & Reversals Discussion Forum

www.esfbchannel.invisionzone.com ESFB Channel Discussion Forum
www.esfbchannel.com ESFB channel

www.sweathelp.org/English/Index.asp International Hyperhidrosis Society

www.ncbi.nlm.nih.gov/pubmed/ pubmed medical articles

http://www.youtube.com/results?searc...&search=Search Hyperhidrosis on YouTube

www.hyperhidrosisuk.org Hyperhidrosis support group

www.no-ets.com/forums/ Very good Forum

www.verysweatybetty.com/forum - 'Sweaty Betty' Forum

www.sweatyhands.proboards.com - Teen Hyperhidrosis Forum

www.wethandsclub.com/forum Wet Hands Club Forum
www.wethandsclub.com Wet Hands Club

http://pub16.bravenet.com/forum/show...88879570&cpv=1 HH support Forum

http://editthis.info/corposcindosis/Main_Page The Effects of Thoracic Sympathectomy

www.truthaboutets.com/Pages/ETSheadlines.html Truth about ETS

http://groups.msn.com/ExcessiveSweat...timonials.msnw ETS TESTIMONIALS

www.hyperhidrosis.ca Includes videos of botox

www.overmatigzweten.nl Dutch Forum
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Old 04-23-2006
Mistryman's Avatar
Newbie User
 

I think this kind of a thread is what this forum has been looking for. Good work, its defo gonna be very useful for alot of people.
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Old 04-25-2006
 

well done Pinker for condensing this into 1 post. 8)

will definately help those researching sweat treatments!
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Old 05-14-2006
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Newbie User
 

aha!! sooo happy i found your post i got driclor aaages ago but didnt know you had to hairdry it and got all inflamed and had to give up haha. yey!
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Old 06-12-2006
drop's Avatar
Newbie User
 

Hello, have you heard about Antihidrosin R32 by Reckeweg ?
http://organicpharmacy.org/products/...9b95c34aae148b

It's a Homeopathic cure for HH. I am going to buy this, I was looking over the web but I didn't find any views about these drops. Do you know anything about it ?

PS. Sorry for my English :wink:
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Old 06-15-2006
drop's Avatar
Newbie User
 

Sure, I will post again btw. I have already ordered it so I will be able to write if it works or not in a few days
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Old 08-01-2006
drop's Avatar
Newbie User
 

Hello again, I promised to tell you a few words about Antihidrosin R32 by Reckeweg which I have used. I think it's a waste of time and money but especially time because you use it and wait for the effects and then you realize that is one big crap :wink:
Nevertheless you had better try it on yourself so you will be really sure

Sorry for my English if I did any spelling error or something please correct me :P because I am still learning.

Regards [/b]
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Old 08-04-2006
drop's Avatar
Newbie User
 

Thanks Pinker
My HH problems are mainly on armpits, sometimes face :wink: I use Etiaxil it's similar to Certain Dry, Odaban etc. which are unavailable in Poland but it causes skin irritation and itch. I wonder if Odaban is easily available in Manchester because my uncle works there and he would be able to send me it. However, I noticed that I sweat when my pulse grows because when I am relaxed and calm I don't sweat.
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Old 08-06-2006
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Stumbled across the site and is very informative. I suffer from exessive sweating from the face and now armpits. It causes great embaressment and now find I avoid places where I know it is going to happen. I can be sitting down watching TV and I will start to sweat. I have been to my GP last year and he sent me to a spe******t, who said there is nothing wrong with me!!! So I sat back and have tried to deal with it!! Searching through lots of sites, I have come across the two products for under arm sweating....Dri Clor and Odaban. Have tried Driclor for the past 2 nights and suffered from extreme irritation and loss of sleep!!!! Didn't know you needed a hair dryer! Anyway, the test was last night when i went to a party, which I was dreading as usual, and I must admit that my arm pits were drier than normal!!!! Have just ordered Odaban, before I found this site and hope the irritation is less (have heard on other sites it is less).
It looks like I have found the solution to the under arms, but my real pain is the face!!!! I get red very easily and then the sweating starts!! Like I said, I could just be watching TV (with a fan on).
Any suggestions on facial sweating that I may have missed would be greatly appreciated!!

Sorry for the long first post, but it is good to get it off my chest!!!!

Regards

Andy
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Old 09-25-2006
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Newbie User
 

Hola!

I suffer from cranial (facial) hyperhidrosis since I can rembember...

The only thing that helped me copy with it is Ditropan. I use 5mg tablet in the morning and 5 mg in the evening, and I am sweat free...

I can actually do things normal people do, like going to a club, bar, etc... without "looking weird" and having "brain rain" attacks.

I just don't like the fact that I will be probably taking this for the rest of my life...

I have tried maxim before, but it just irritated my skin and didn't help at all...

Has anybody found anything else that worked for facial seating...?
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Old 11-22-2006
metalogue's Avatar
Newbie User
 

New Antiperspirant for Hyperhidrosis

I've been using this antiperspirant for my heavy sweating, try it out... It works for normal to excessive sweating, and I've included two other links that have tons of info about hyperhidrosis (definitions, treatments, etc.).


http://www.megadry.com

http://www.megadry.com/excessive-sweating-info.html

http://www.megadry.com/hyperhidrosis-studies.html
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Old 11-30-2006
metalogue's Avatar
Newbie User
 

Hey Pinker,

Actually, there's no itching yet... That was really one of the selling points from me... All the testimonials from people who had heavy sweating claim that it's completely worry free. So I tried it and it neither smells like anything or does feel like much.

You apply it at night and it just works. It kinda changed my life, so I tell everyone on all the forums that I belong on, to check it out.

Metalogue, over and out!

Check out the testimonials:

http://www.megadry.com/no-sweat-testimonials.html
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Old 01-13-2007
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Copay for Doctor's Visit $20
Cost of Prescription $5
Dry, Confident Handshake PRICELESS

I suffered from Hyperhidrosis for many years. My hands, feet, and armpits would literally drip sweat constantly. I know that many of you can relate!! I tried nearly everything, and I was considering the nerve surgery (I figured being sweat-free was worth risking paralyzation - shame on me!).

I was doing some research online and came across a post from a guy that tried Ditropan. I figured it was worth a try! That was over TWO YEARS AGO!! I have been 95% sweat free since I started this medication! I cannot tell you how it has changed my life for the good!

No more wiping my hands on my jeans until my jeans were soaked; no more huge, wet armpit stains; no more avoiding all social situations because of the fear of soaking wet handshakes; no more damp socks and shoes; no more ruined papers.....shall I go on?!

I asked my Family Physician about getting this medication. He's the one that put me on it. I get "Oxybutynin" which is generic for Ditropan. (I found out that the generic actually works better. If you cannot get the generic, choose Ditropan over Ditropan XL. The regular Ditropan works better.) I take 5 mg of Oxybutynin each night.

The only noticeable side effect (besides the decreased sweating!) is fatigue. Which is why I take my pill right before I go to bed. It took about 2 - 3 weeks before I noticed a major difference so stick with it! After your sweating decreases, your anxiety lessens, which causes you to sweat less, which causes you to think about it less.....it's a wonderful positive cycle!!!

Please feel free to email me with any questions! I'd like to help as many people as possible as this medication has definitely helped ME!

Christy [/b]
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Old 02-06-2007
dg
dg's Avatar
Newbie User
 

You can't be worring all the time.
sweatlessforlife.com has a great shoe that helps with HH. :wink:
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Old 02-08-2007
Doggie's Avatar
Newbie User
 

Hi,

Great information on hyperhidrosis here. I have been using Idromed for over a month now, but no obvious effect! So, I thought adding glycopyrrolate solution might help... anyone know where can I order this online?

I know maybe Nova Laboratories has it, but calling there number (are they in the UK) is not very convenient. I perfer if there's a website where I can order it.

Also, anyone know where I can get the topical glycopyrrolate in lotion or cream form??

Thanks :P
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Old 02-21-2007
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Newbie User
 

Hi my name (if isn't obvious enough) is Darren. I'm from Ireland & have had HH since about 15. I had the ETS when i was about 18-19 & experienced severe CS. Unfortunately in my quest to solve the CS i came across a doctor called Dr. Timo Telaranta from the Privatix Clinic (look it up) Anyhow he told me the ETS-Reversal would significantly reduce my CS with no return of the sweating to the hands. That was when i was about 21-22. It was bullshit. I travelled to Finland, had the operation at a cost to my parents of $20,000.00 and i have had no relief with the CS. It was a con.
Anyhow i'm 29 now & take Robinul 1mg tablets. They worked quite well for the first few years along with maxim. Hot days was hard. Unfortunately i've built up somewhat of a tolerance to the Robinul over the years.
I've tried ditropan (good few years ago) but as they cross the brain/blood barrier i found them very uncomfortable & nthey just made me feel weird. I never took them at night though. Do they have an accumulative effect? I'm intersted in trying them at night. could you tell me about dosages anyone. I'm also about to order secure wipes 3% to try on my back & chest & underarms. If anyone has any advice i'a appreciate it. Well done on the info for the site, really helpful.
Thanks,
Darren
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Old 02-27-2007
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Hi Pinker,
thanks alot for the reply, i appreciate it, you've put so much into this tread its unreal! I sent my receipt from the Privatix Clinic to the tax office over here and don't think i got it back. Do you think there's an avenue i try? Maybe thats a question for that website you attached. Thanks again. I'll be starting a new tread about the secure wipes & ditropan in the next day or so. Now i'm off to watch the mighty Reading beat Man Utd!
Darren
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Old 02-28-2007
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Newbie User
 

Utd. were a disgrace & come sat. 12:45 the Pool will give em a lesson!
On a more serious matter unfortunately back to the drab aul HH, i was hoping to get some feedback on the ditropan question but there's been nothing so far. I might copy & paste the same post to the msn HH site.
Later
Darren
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Old 03-03-2007
 

pinker...it seem's you know a lot...can you tell me why there's such a big difference between antiperspirants...I tried 4 different antiperspirants, till I found one who worked...so what's wrong with the others (what's the difference) cause I thought they are all more ore less the same...
Pete
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Old 03-03-2007
 

hey pinker...
I tried the most famous antiperspirants. first megadry, then maxim, then odaban till I finally tried sweat-stop. megadry didn't really work like odaban and maxim didn't work at all. sweat-stop forte plus, which I'm using is really dependable and keeps me 100% dry
It took me a long time to find the right product for me, but now I don't care anymore about changing clothes and stuff like that...i'm really happy...it has changed my whole life. sounds weird but it's really like that...I hope that everyone will find the right product for himself...i can really recommend sweat-stop. I hope that you can answer me why there's such a difference between the antiperspirants pinker...
thanks Pete
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