The secretion of
sweat is mediated by a portion of our vegetative nervous system: the Sympathetic Nervous System. 'Specifically, it is 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 (over active), far higher than needed to keep a constant temperature. This condition is referred to as hyperhidrosis -
excessive sweating. Depending on which part of the chain becomes overactive, different parts of the body become affected.
There are two types: primary/idiopathic HH (unknown cause) and secondary HH (known cause). Secondary HH 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. An over-reactive thyroid gland can be checked for by having a blood test.
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 (Raynauds Syndrome), 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), general.
More definitions:
http://groups.msn.com/ExcessiveSweat...onsabbrev.msnw
Based on research and feedback from forum members, below is a list of the main ways to combat hyperhidrosis;
*Topical Applications - antiperspirants (
For the whole body)
These are the simplest products and often the first line of products to be used by sufferers. For more severe cases they are sometimes not very effective in treating palmar and plantar hyperhidrosis but they are often successful when used to treat axillary hyperhidrosis. Applying the solution to the area every night for a week (use a hairdrier to dry it on) should give noticable results. Most of the roll on applicators contain Aluminium Chloride which is belived to form a 'matrix' in the sweat gland which prevents sweat secretion.
Aluminium Chloride information -
http://www.hyperhidrosisuk.org/aluminium.htm
The roll ons and sprays below should halt most axillary sweating after a few applications, unless in severe cases. When applying these,
apply at night before bed (The body is suppost to sweat less when lying down),
do not overapply and
use a hairdrier to dry the solution otherwise the area will become itchy and inflamed. It has been suggested roll-on applicators may become ineffective over time as the body builds up a resistance to the total blockage after a few years of use.
Driclor (20% aluminum chloride solution).
http://www.netdoctor.co.uk/medicines/100000855.html
Certain dri Roll on applicator.
http://www.skinsite.com/info_hyperhidrosis.htm
Drysol Roll on applicator.
http://www.drugstore.com/qxa1067_333..._is_drysol.htm
http://www.buydrysol.com/
Maxim Roll on applicator.
http://maximteam.com/
http://www.coradhealthcare.com/
Anhydrol Forte Roll on applicator.
http://www.netdoctor.co.uk/medicines/100000141.html
30% Aluminium chloride solution (or stronger)
On prescription and made up by a dermatologist or pharmacist.
Odaban *recommended
A spray - noted to be less irritation than driclor & the other roll on applicators and no gradual resistance from the sweat glands. Primarily for facial and underarm HH.
http://www.odaban.com/
MegaDry antiperspirant Roll on applicator.
http://www.megadry.com/
Dermatolgist who developed megadry:
http://etsandreversals.yuku.com/repl...tml#reply-1052
"The active ingredient is aluminum chlorohydrate which appears to be more effective than aluminum chloride, without any of the side effects."
*Alternative/Misc Topical Remedies (
For the whole body)
Products in the form of wipes or containing some chemicals other than aluminium chloride.
Secure Wipes (topical glycopyrrolate)
*recommended
These are like a tissue or pad which are wiped across the area. The glycopyrrolate prevents synaptic transmission as the "messenger" acetylcholine is inhibited from stimulating receptors on the sweat glands.
Order online:
http://www.pharmacy.ca/
Positive responses to the wipes:
http://www.esfbchannel.com/phpBB2/viewtopic.php?p=2387&
'Sweat-stop' (bodyspray and lotion in Forte and Forte plus+)
*recommended
A spray and a facial lotion used for excessive perspiration.
http://www.sweat-stop.com/en/
PerspireX Underarm Roll On/Hand and Foot Lotion
One product for underarms and a lotion for hands and feet.
http://www.mosquit-ex.co.uk/perspirex/index.html
Lazerformalyde (10% formaldehyde)
A product used for excessive sweating of the feet.
*Topical creams/gels
Glycopyrrolate cream
Glycopyrrolate is an anticholinergic compound, also found in Secure wipes, Avert tablets and Glycopyrrolate solution (iontophoresis). This is available in the UK from nova laborotories in strengths ranging from 0.01% to 10%.
http://www.socialphobiaworld.com/postt16795.html
http://www.esfbchannel.com/phpBB2/viewtopic.php?t=2993
http://hyperhidrosiscare.com/Skin_Hy...is_Article.htm
Dehydral Cream (
Feet)
http://www.brandmeds.com/dehydral.html
Order online -
http://www.pharmacy.ca/
Hydrosal Gel *recommended
A new first-line topical gel treatment for excessive sweating. Developed by dermatologists, the gel contains salicylic acid which, as well as having antiperspirant properties of its own, is meant to enhance the penetration of aluminum chloride. The absence of ethanol also reduces irritaion.
http://www.hydrosalgel.com/index_en.html
http://www.esfbchannel.com/phpBB2/vi...t=hydrosal+gel
*Oral Medications
Ordered by prescription (recommended) or over the Internet. These are often unreliable as they are not specifically for HH, but some people have success. Robinul (avert) is the most popular and has the least side effects.
Oral medications:
http://www.excessive-sweating.net/sweat_oralmed.html
Oral Medications:
http://www.sweathelp.org/English/PFF...edications.asp
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.subscriberx.com/.SRX?Serv...ialect=English
Robinul (Glycopyrrolate) - 1 mg Glycopyrrolate
http://www.askapatient.com/viewratin...7&name=ROBINUL
Glycopyrrolate side effects:
http://www.gicare.com/pated/glycopyrrolate.htm
Robinul Forte - 2 mg Glycopyrrolate
Avert (Glycopyrrolate) - ranging from 0.5mg - 2.0mg
Order online -
http://www.pharmacy.ca/
Beta Blockers (Propranolol)
'Beta-blockers (e.g. propranolol) may be helpful when history indicates that symptoms are precipitated or exacerbated by stress.
*Iontophoresis *recommended
(
For hands & feet, also underarms and trunk area)
This involves placeing the hands and/or feet into shallow trays filled with water, while a small electrical current is passed into metal plates and the water. After 5-10 initial treatments dryness can last up to 3 weeks in applied areas. The idrostar, i2ma, iomax 4, Drionic, idromed 4 and IONTEX machines also enable the armpits to be treated and also the trunk and buttocks in the case of the Drionic.
Be sure to rest hands and feet on the plastic grills (if supplied) otherwise a direct connection will be made with the metal and not through the water. Remove any metal such as watches, belts or earings.
"
Maintenance treatments" should be carried out weekly or monthly as required to maintain constant dryness or 'sweat relief'.
"Complete abolition of sweating was found to last one to two weeks and sweating quickly returned without maintenance therapy." - ets & reversals forum
http://www.sweathelp.org/English/PFF...tophoresis.asp
http://www.sweathelp.org/English/HCP...tophoresis.asp
The water in your area can affect the effectiveness of the treatment. Hard water contains more minerals which is an important factor. To increase effectiveness with 'soft water',
baking soda (Bicarbonate of soda) or
Sea salt can be added to water to aid electrolytes (tiny particles that help the electric current travel through the water and into the skin).
Map of hard and soft water regions in the uk:
http://www.dwi.gov.uk/pubs/hardness/index.htm#4
You may want to custon build your own trays, for example use a deep container so the whole foot can be treated and not just the soles of your feet. You may want to use a small container just large enough to treat your hand, so if you are using glycopyrrolate solution you do not have to use excessive amounts. All that is needed is the tray and a stainless steel/aluminium metal strip to act as the electrode. Search ebay for "aluminium plates" or stainless steel.
Information here on tray modifications: (thanks to superyou ESFB channel forum)
http://www.esfbchannel.com/phpBB2/vi...968&highlight=
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.
Article -
http://www.ncbi.nlm.nih.gov/entrez/q...&dopt=Abstract
Some more information -
http://no-ets.com/forums/viewtopic.php?t=21
British NHS information -
http://www.addenbrookes.org.uk/resou...%20consent.pdf
This solution is used as an alternative when tap-water iontophoresis is not fully effective at reducing palmoplantar sweating. Glycopyrrolate is an anticholinergic*. The solution can be re-used a few times.
It can be ordered on prescription in the UK from Nova Laborotories Ltd in England. Dr Andrew Twitchell, Tel: 0116 2643783 or 0116 2230100 ext. 3783 is the main contact.
If you are treating both hands and feet, you may need to treat each side on a separate day if the side effects are intense. There are various possible side effects but the main ones will be a dry mouth and throat, and possibly eyes and nose. Worse side effects are more likely with tablets or strong concentrations which contain higher doses of the drug.
Water can be mixed in to reduce side effects, but this also reduces effectiveness.
*
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 the 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
Note: you can also crush robinul/avert tablets and add to water instead of using this solution, however this may not be as effective due to undissolved particles.
New/future treatment Administering botox by iontophoresis
This treatment is still in it's early stages.
The case study reports this "Can be effective up to 3 months with only one treatment". No numbness of the thumb or other joints reported.
The anhidrosis period given suggests the botox is a much stronger method, this could be positive for people with very severe sweating. This could be a good alternative as tap-water treatment is very time consuming, and has limited effect in some people, whilst glycopyrrolate produces undesirable side effects and its effect is also limited in some people.
The case study:
http://www.sweathelp.org/PDF/BotoxDe...tophoresis.pdf
Article:
http://www.sweatsolutions.org/SweatS...nCode=95129982
Discussion:
http://www.esfbchannel.com/phpBB2/vi...?p=23269#23269
Iontophoresis Machines:
Information, discussion and pictures on iontophoresis machines:
http://www.esfbchannel.com/phpBB2/viewtopic.php?t=2595
Drionic
http://www.drionic.com/
Drionic instruction manual:
http://groups.msn.com/hyperhidrosis/...tructions.msnw
Buttock electrode option:
http://groups.msn.com/hyperhidrosis/...79904306153269
http://www.drionic.com/amputee_sweat.htm
Customising the Drionic:
http://www.geocities.com/drionicmods/index.html
(Includes an order form to buy the machine at a reduced price of $100)
i2m laboratories
Idrostar, i2ma, iomax 4
i2m website:
http://www.transpiration.biz
http://www.i2m-labs.com/p_gb/index.htm
STD Pharmaceuticals:
http://www.stdpharm.co.uk/default.asp?page=machines
Idrostar instruction manual:
http://www.ajgruppen.no/brukerveiled...g_idrostar.pdf
Idrostar/general Iontophoresis accessories:
http://www.iontophoresis.info/idrostar-accessories.html
i2m machines can be bought from STD Pharmaceuticals, England. People buying i2m iontophoresis machines through treatment on the British NHS may have the cost subsidised when the machine is purchased from STD Pharmaceuticals.
I reccommend buying rechargable batteries with a power rating of 1500 - 2700mAH for the battery powered machines.
R.A. Fischer, MD-1a
R.A. Fischer company:
http://www.rafischer.com/
Unit instructions:
http://www.rafischer.com/share/md1a-manual.pdf
Usage manual:
http://www.rafischer.com/share/md1a-usage.pdf
Safety:
http://www.rafischer.com/share/md1a-infopage.pdf
Save $25:
http://www.sweathelp.org/English/CMN...wsID=61&Nav=MP
A prescription is needed to purchase the Fischer.
Idromed 4
To buy:
www.beathyperhidrosis.com/idromed4.htm ($899 US free global delivery)
To buy:
www.iontophoresis-device.com/ (470 Eur). 'child friendly' device available.
To buy:
www.hybec.com/hospital/Idromed4.htm (£255.00 ex VAT)
Instruction manual:
http://www.drhoenle.de/pdf/hoenle_idromed_engl.pdf
Treatment protocol:
http://iontophoresis.de/treatment.htm
Idromed PS machine discussion:
http://www.esfbchannel.com/phpBB2/viewtopic.php?t=2555
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).
Idromed 5
http://iontophoresis-device.com/swea...dromed-dc.html (€485)
IONTEX 3, IONTEX S
http://en.kimetec.com/products/iontophoresis-devices
Homemade Iontophoresis
http://www.esfbchannel.com/phpBB2/viewtopic.php?t=2438
Video:
http://www.youtube.com/watch?v=Cc0pj2tf6_4
Video:
http://www.youtube.com/watch?v=WjPTacmAi3o
* Also check ebay for iontophoresis machines at cheaper prices.
*Other
Botox (
Underarms, less so for hands & feet)
Botulinum toxin injections. Specifically for axillary hyperhidrosis.
*recomended
The responses have been as long as 1 year, but in most cases the anhidrosis effect begins to weaken in 4 months. It is usually very expensive unless covered by insurance. It may be used on the hands and feet but with less effect than the armpits. Injections in the hands and feet have been reported to be painful. Slight numbness of the thumb has been reported (caused by injection or diffusion of molecules into thenar muscle). This can account for a slight loss of grip.
International HH society article:
http://www.sweathelp.org/English/PFF...injections.asp
Article:
http://www.beautybeforeage.com/botox/botox_nosweat.htm
Video about botox (international Hyperhidrosis society):
http://www.sweathelp.org/English/palmer_mov.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. The drawback of this method is sweat glands are very numerous especially in the hands, so it may take a long time to destroy enough to notice a difference.
http://www.socialphobiaworld.com/pos...97.html#144697
*Alternative methods
"Anti sweat" for HH
A herbal pill to be taken for 3 weeks which claims to cure hyperhidrosis.
Website -
www.anti-sweat.com
Discussion topic -
http://www.esfbchannel.com/phpBB2/viewtopic.php?t=1077
A poster's success with compensatory sweating
Apple Cider Vinegar, raw, organic honey and distilled water
http://groups.msn.com/ExcessiveSweat..._Message=20420
Diet
Try experimenting by cutting out certain foods. Certain foods and drinks, nicotine, and smells can trigger a response. Caffeine in tea and coffee will trigger sweating, possibily even in small amounts (e.g. caffine in chocolate). Check if you are hypoglycemic:
http://www.esfbchannel.com/phpBB2/viewtopic.php?t=936
Taking iron tablets with a banana
http://www.socialphobiaworld.com/postt7122.html
Dried sage leaves
Discussion topic:
http://www.esfbchannel.com/phpBB2/viewtopic.php?t=775
Article:
http://www.sweatsolutions.org/SweatS...nCode=29354836
Herbal
Herbal medicines may help. It is best to consult a professional.
http://www.socialphobiaworld.com/postt9354.html
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
A forum member explains how he takes certain medications to relive periods of worry. He says it relieves his social anxiety disorder which in turn reduces excessive sweating occuring.
http://groups.msn.com/ExcessiveSweat...90079758067619
Antihidrosin R32
Homeopathic Formula for Symptoms of Excessive Perspiration
http://organicpharmacy.org/products/...9b95c34aae148b
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.
http://www.avacore.com/about.html
*Clothing
Certain types of long lasting and disposable clothing and dress-shields are available which prevent sweat soaking through into clothes, leaving noticable marks and uncomfortable moisture.
www.kleinertsshields.com
www.dressshields.com
http://www.newlifeshirts.co.uk/
www.comfywear.com
*Other/possible 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
http://www.esfbchannel.com/phpBB2/viewtopic.php?t=486
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. The
last resort. This is a procedure that generates conflicting opinions due to a very diverse range of possible 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. But side effects may be much more serve than this as told by post-ETS patients (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/burned/cauterised/severed 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. ETS is generally more successful for hand sweating than for plantar hyperhidrosis and facial blushing. Sufferers with widespread HH have an increased risk of compensatory sweating. Compensatory sweating can almost be expected because ETS does not solve the problem of excessive sweating but relieves it from the area being treated. 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
ETS information by odaban:
http://www.odaban.com/surgery-hyperhidrosis-ets.html
Anti ETS board:
http://groups.msn.com/ExcessiveSweatHH/antiets.msnw
Videos of ETS and Hyperhidrosis:
http://www.youtube.com/ExcessiveSweating
Possible side-effects with surgery:
http://www.no-ets.com/sideeffects.html
http://www.esfbchannel.com/phpBB2/viewtopic.php?t=602
More side effects and news reports:
http://www.drionic.com/surgery.htm
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
http://www.socialphobiaworld.com/postt17650.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. It involves two injections in the third vertibrae for the hands and two in the lombar region for the feet to destroy the nervous pathway. It has been branded by some as 'chemical Sympathectomy'. This is a dangerous procedure like ETS and should be used as a last resort as the effects of destroying nervous pathways can be difficult to reverse to this date.
Article:
http://www.medicalnewstoday.com/medi...p?newsid=34310
Discussion on the procedure:
http://p069.ezboard.com/fetsandrever...icID=236.topic
Excision (Skoog Procedure), curettage, Axillary Liposuction (
Underarms)
"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 surgeon can see where glands have been removed, and where they have not. 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
Discussion on curettage:
http://groups.msn.com/ExcessiveSweat...97953964563359
Surgical techniques (particularly ETS surgery) may result in severe compensatory sweating/Reflex sweating (CS), amongst other side effects:
Side effects by songboy123:
http://groups.msn.com/ExcessiveSweat...30616930409852
Conclusion
Surgical techniques should be the very last option due to the associated risks and the fact that the procedures are difficult to reverse. ETS should be the very last option and should try to be avoided. In my opinion, the best and safest treatments for hyperhidrosis are:
Palmar&Plantar - Iontophoresis / Glycopyrrolate Iontophoresis, oral medicaition, topical applications, botox injections
Axillary - roll-on antiperspirants, Odaban, hydrosal gel, oral mediction, Botox injections, curretage/liposuction
Facial - Secure wipes, Sweat-Stop Aloe Vera Lotion plus+, Hydrosal gel, antiperspirants, oral medication
Truncal - Secure wipes, Hydrosal gel, antiperspirants, oral medication, Drionic machine with truncal iontophoresis device
Useful Forums (message boards)/Sites
http://etsandreversals.yuku.com ETS & Reversals Discussion
Forum
http://www.esfbchannel.com/forum/index.html ESFB Channel Discussion
Forum
http://www.esfbchannel.com/index.php ESFB channel
http://www.esfbchannel.com/forum/v01.html Old ESFB channel
Forum (read only)
http://www.sweathelp.org/English/Index.asp International Hyperhirosis Society
http://www.ncbi.nlm.nih.gov/pubmed/ pubmed medical articles
http://www.youtube.com/results?searc...&search=Search Hyperhidrosis on
YouTube
http://www.youtube.com/ExcessiveSweating
http://groups.msn.com/hyperhidrosis/siteentrance.msnw "Hyperhidrosis" Very informative website
http://groups.msn.com/hyperhidrosis/yourwebpage4.msnw 'Hyperhidrosis'
Forum
http://client4.addonchat.com/sc.php?id=222661 "Hyperhidrosis
Chat"
http://www.hyperhidrosisuk.org/ Hyperhidrosis support group
http://groups.msn.com/ExcessiveSweat...sageboard.msnw Excessive Sweat-HH, MSN
Board
http://groups.msn.com/ExcessiveSweatHH/ Excessive Sweat HH site
http://no-ets.com/forums/ A good
Forum, lots of information
http://no-ets.com/ VERY informative site
http://www.verysweatybetty.com/forum/ - 'Sweaty Betty
Forum
http://www.sweatyhands.proboards79.com/ - teen hyperhidrosis
Forum
http://www.wethandsclub.com/forum/ Wet Hands Club
Forum
http://www.wethandsclub.com Wet Hands Club
http://pub16.bravenet.com/forum/show...88879570&cpv=1 HH support
Forum
http://www.hhsupport.150m.com/index.html HH support
http://www.esfbchannel.com/phpBB2/viewtopic.php?t=2595 Iontophoresis pictures and information
http://editthis.info/corposcindosis/Main_Page Treatise; The Effects of Thoracic Sympathectomy in Humans
http://www.truthaboutets.com/Pages/ETSheadlines.html Truth about ETS
http://groups.msn.com/ExcessiveSweat...timonials.msnw ETS TESTIMONIALS
http://dailystrength.org/c/Hyperhidrosis/forum daily strength
Forum
http://groups.msn.com/BodyOdorSupport Bromhidrosis (body odor) site
http://groups.msn.com/BodyOdorSupport/messageboard.msnw Bromhidrosis
Message board
http://www.hyperhidrosis.ca/ Information packed site & videos of botox
http://www.sweathelp.org/PDF/Mayo_Cl...erhidrosis.pdf Diagnosis and Treatment of Hyperhidrosis
http://www.overmatigzweten.nl/ Dutch
Forum
http://www.geocities.com/columbian1029/meds101.html HH Medications
http://www.neurotoxininstitute.org/c...erhidrosis.asp About HH and treatments
http://www.mf.uni-lj.si/acta-apa/act...-1/altman.html Treatment of palmoplantar hyperhidrosis
http://www.sweatsolutions.org/PDF/AA...hidrosis%20%22 Palmoplantar Hyperhidrosis: A Therapeutic Challenge (pdf file)
Please post about any remedies not listed above and links to sites/forums[/i][/url]