Hello, please see below,There are a variety of techniques to decrease sweating: Botox- Botox is helpful in that it can decrease the production of sweat but not odor. It typically lasts about 6 months in the under arm area. Miradry- Miradry uses microwave energy to destroy apocrine and eccrine glands. It is better at eccrine gland destruction than apocrine and is currently only used on the underarm area. RF needling- Can be used anywhere on the body and can destroy both apocrine and eccrine glands. Has become the procedure of choice in my practice for hyperhidrosis due to its effectiveness. Nerve ablation-Not commonly performed anymore as side effects are often worse than treatment and effectiveness is often limited. Oral medications- Too many side effects to be effective. Topical medications- Works by blocking glands. Many patients state how not effective mechanism. Best, Anil Shah