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>> WE'RE GETTING A BREAK FROM
THE HEAT TODAY IN HOUSTON.
YOU JUST KNOW THAT'S NOT GOING
TO LAST FOREVER.
WHEN I DOES GET HOT, WE SWEAT.
IT'S AN ANNOYING NUISANCE, BUT
FOR SOME IT IS A REAL PROBLEM.
JOINING US IS A BOARD CERTIFIED
BOARD DERMATOLOGIST.
DOCTOR, WHAT DOES EXCESSIVE
SWEATING BECOME A MEDICAL ISSUE?
>> THE FINE LINE IS WHEN OUR
SWEATING BASICALLY EXCEEDS OUR
BODY'S NORMAL SWEATING TO
MAINTAIN THERMOREGULATORY
FUNCTION.
SO THERE'S WAYS YOU CAN MEASURE.
TYPICALLY A SWEAT MARK SHOULD BE
FIVE CENTIMETERS.
WHEN IT EXCEEDS THAT, YOU HAVE
EXCESSIVE HYPERHYDROSIS.
>> YOUR BODY IS TRYING TO COOL
OFF ANAND SOMOMETIMES THERE'S
TOO MUCH.
IT'S MAKING YOU LOOK YUCKY.
>> EXACTLY.
>> WHAT ABOUT OVER THE COUNTER
PRODUCTS?
LATELY S SOME OF THE POPULAR
BRANDS ARE ADVERTISING CLINICAL
STRENGTH, AND IS THAT A HIGHER
DOSE?
>> IT'S A HIGHER PERCENTAGE OF
ALUMINUM ZIRCONIUM.
THE PEOPLE EXCEED THOSE.
THEY NEED TO PURSUE A SURGICAL
INTERVENTION.
>> SURGICAL.
DOCTOR, JUST THINKING, ARMPIT
AND SURGICAL IS SCARING ME.
TELL MEME WHAT TYPES OF
INTERVENTION OPTIONS PEOPLE HAVE
TO CONTROL THAT?
>> WE KIND OF GO UP A TREATMENT
LADDER.
AT AN INITIAL VISIT, I'D
PRESCRIBE A PRESCRIPTION
DEODORANT OR A PILL WHICH CAN
BLOCK THE SWEATING.
IT HAS SIDE EFFECTS LIKE DRY
MOUTH.
THEN THERE'S OTHER MINOR
SURGICAL INTERVENTIONS.
MINIMALLY INVASIVE LIKE BOTOX
WHICH IS SHOWN TO BE VERY
EFFECTIVE.
>> SO THE BOTOX WOULD BE GETTING
A LITTLE NEEDLE STICK IN THE
AFFECTED AREA.
HOW LONG DOES IT LAST?
>> USUALLY IT WILL LAST ANYWHWHE
FROM SIX MONTHS TO A YEAR.
WE'RE SEEING AN AVERAGE OF SEVEN
MONTHS IN MOST INDIVIDUALS.
IT'S ABOUT 15 TO 20 SMALL POKES.
IT'S NOT PAINLESS, BUT IT'S NOT
THAT BAD.
PEOPLE ARE THRILLED.
ABOUT TWO TO FOUR WEEKS AFTER
THE INJECTIONS, THEY REALIZE
THTH'RE NOT SWEATING AS MUCH.
THEY CAN WEAR THEIR CLOTHES.
THEY'RE NOT EMBARRASSED.
THEY CAN GO TO WORK WITHOUT
BEING CONCERNED.
>> WHAT ABOUT IF YOU -- MOST
PEOPLE HAVE PROBLEMS SWEATING
FROM THE TYPICAL AREAS, YOUR
UNDERARMS.
SOME PEOPLE SWEAT IN WEIRD
PLACES.
YOU HAVE BROW SWEAT.
ARE THERE CASES WHERE PEOPLE
HAVE EXCESSIVE SWEATING IN OTHER
AREAS?
>> IF YOU LOOK AT THE RESEARCH,
THERE'S CLUSTERS.
PEOPLE WITH FOCAL PRIMARY
HYPERHYDROSIS CLUSTER INTO THE
HANDND OR INTO MORE OF A GROIN
AREA, FACIAL, SCACA SWEATING
GROUP.
THEY RESPOND TO TAKING THE PILLS
OR YOU CAN BOTOX IN OTHER AREAS
AS WELL, INCLUDING THE SCALP AND
FACE TO HELP THEM.
>> VERY INTERESTING.
I HOPE THIS ANSWERED A LOT OF
QUESTIONS FOR YOU.
OUR ADVICE IS MAKE AN