Hi everyone, welcome back. So, one of our subscribers recently asked us if we thought Botox would be helpful for HS. I thought this was a great question, especially since Botox has been used for hyperhidrosis, or excess sweating. It works by blocking the nerves responsible for activating the sweat glands.

While there isn’t a lot of research looking at Botox for the management of HS, I found a handful of small case studies that did show a benefit. The HS patients in the Botox studies had failed to respond to other medical management.

After being treated with Botox injections, each of the patients went into complete remission anywhere from 3 months up to a full year. It’s important to know that the patients did eventually have a return of their HS lesions and required additional Botox injections.

So, how does Botox work for HS? Well, we don’t know for sure, but there are a few theories. First, Botox can drastically reduce sweating. A moist environment in the folds of the underarm, breasts and groin can cause skin irritation and bacterial overgrowth. So, if we can decrease sweating, it makes the environment less favorable for HS.

As we’ve mentioned in our other videos, HS starts with clogging of the hair follicles that rupture and lead to inflammation that then affects the sweat glands. It has been suggested that Botox prevents the follicle from rupturing in the first place which would then stop any material from leaking out and causing inflammation.

So, even though we only have information from a few case studies, it’s quite impressive that all of the HS patients treated with Botox had a period of complete remission. It seems like Botox could be a potential tool for the management of HS, although it’s important to know that Botox does not treat the underlying cause of HS.

We still need to work on the diet and lifestyle factors like correcting insulin resistance and addressing infections and toxins. If you want more tips and information, check out our other YouTube videos.

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And for anyone interested in the research, I’ve linked to the studies below. Thank you for watching. I hope this was helpful.