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  • "Everyone's armpits stink."

  • That's rude.

  • Not mine.

  • "Sweating is a good way to detox."

  • May I have that one?

  • Go for it.

  • Ooh, this is a good one.

  • "Smelly foods only affect your breath."

  • This is false.

  • Hi, I'm Dr. Michelle Henry.

  • I am a board-certified dermatologist

  • practicing in Manhattan, New York, and I'm the founder

  • of Skin & Aesthetic Surgery of Manhattan.

  • Hi, I'm Dr. Dhaval Bhanusali,

  • board-certified dermatologist here in New York City.

  • And today we'll be debunking myths about body odor.

  • Dermatologists are the skin experts.

  • So who knows more about sweat glands than us?

  • "Sweat is smelly."

  • So, this is not true.

  • So, we actually have two types of sweat.

  • We have sweat that comes from our eccrine glands,

  • and so those are the glands that are everywhere,

  • and it helps us with thermoregulation.

  • So it helps to cool us down when we're working out

  • when we're getting too hot.

  • And then we have apocrine glands.

  • So those are sweat glands that we see in areas

  • like the underarms, the groin, the chest,

  • all of the areas that we sometimes

  • associate with being smelly.

  • But the actual sweat from the apocrine glands

  • does not smell.

  • Why does that area smell?

  • It's the bacteria in those areas.

  • So the bacteria in those areas

  • will use what the gland produces as food.

  • And it's the byproduct of that

  • that actually smells stinky.

  • That was the most beautiful description

  • of sweat I've ever heard in my life.

  • Thank you, I try.

  • So, fun fact:

  • There are thousands of types of bacteria

  • and fungus and yeast

  • and things like that on your body.

  • It's completely normal. It's part of our microbiome.

  • So, some quick tips to remember

  • to help with the smelly odor.

  • So, No. 1, it's OK to shower every day, I promise you.

  • No. 2 is eat a healthy diet.

  • You know, if your body is not producing at an optimal level,

  • it will tell you, it will show you,

  • and you will smell it. If anything becomes excessive,

  • there are certain medical conditions that do cause it.

  • It's OK to go check out and make sure.

  • "Everyone's armpits stink."

  • That's rude.

  • Not mine.

  • That is a myth. There's actually 2% of the population

  • that has a special mutation.

  • I believe it's the ABCC11 gene.

  • They don't have smelly odors.

  • So not everybody's armpits stink.

  • There are a lot of different treatments

  • for treating "smelly armpits."

  • No. 1, showering.

  • Using antibacterial soap is probably

  • the easiest hack for all of it.

  • We have oral medications we can give,

  • we can have prescription antiperspirants,

  • and we even use Botox.

  • I know, I know, you're going to be thinking,

  • "Botox? That's for the other stuff."

  • You actually can use Botox

  • to minimize the sweating in the area.

  • It only lasts about three months or so,

  • so you have to kind of come in regularly,

  • but often our patients just do it

  • in the spring or summertime

  • and then kind of do their own thing during the wintertime,

  • and usually they're fine.

  • "Smelly feet mean bad hygiene."

  • No, this is incorrect.

  • Smelly feet means smelly feet.

  • It doesn't mean bad hygiene.

  • We know that we're producing sweat everywhere

  • and that sweat then becomes bacteria food.

  • Well, the feet are a really unique area.

  • It's one of the highest concentrations

  • of sweat glands on the body.

  • And although there are more eccrine glands

  • than the apocrine glands,

  • it's still creating a moist environment.

  • It's the perfect breeding ground for bacteria and yeast.

  • And because our feet are often enclosed in shoes,

  • in dark areas, that's literally yeast food.

  • So this is why we see a lot of fungus

  • and a lot of yeast on the feet.

  • And because of this, the feet are going to

  • be a little bit more prone to having a smell.

  • Agreed. And it's a very common thing.

  • We see a lot of our athletes, gym rats,

  • all those people in between.

  • The one thing I tell my patients:

  • Always make sure you wash your feet when you shower.

  • Using antibacterial soap is actually a great idea.

  • Just make sure everything is cleansed

  • and you pat dry as quick as possible

  • before you put on a pair of fresh socks.

  • Yes. Socks are important as well.

  • So wearing cotton socks that are absorptive

  • and they're going to kind of wick away

  • that moisture from the feet, that helps a ton.

  • "Your signature scent never changes."

  • This is incorrect.

  • And so, just like we are dynamic beings,

  • we're changing, our hormones are changing,

  • our microenvironment's changing,

  • our diets are changing,

  • and all of these things play a really critical role

  • in how we smell. You know?

  • As we get older and our hormones change,

  • you know, we all know that teenage boys smell

  • a little bit different than they smelled when they were 6.

  • I kind of wish they could put those, like,

  • new-baby smells in a bottle.

  • Oh, that would be amazing.

  • It's best smell ever.

  • That's my favorite smell.

  • Remember, a baby's covered in amniotic fluid

  • for months and months and months and months.

  • So you have this certain scent

  • that people equate to that new-baby smell.

  • Also, as we get older,

  • our skin barriers tend to deteriorate a little bit

  • and there's more oxidation

  • of certain things on our skin itself.

  • So that "old-person smell," hate to say that,

  • is actually due to changes in how our skin

  • is protected from the environment around us,

  • and the oxidation of these certain chemical compounds

  • can actually cause a specific scent.

  • So next time you go visit your grandparents

  • and things like that, just keep that in mind.

  • The more you've been around a certain smell,

  • the more you get used to it, right?

  • And so it's really when your body

  • kind of hits up the shock system,

  • where you smell something you're not used to smelling,

  • that's when you kind of form an opinion about it.

  • So just remember,

  • if there's something you don't necessarily agree with,

  • does not mean that it's incorrect.

  • It's just your perception of that odor

  • and everything kind of going around

  • that really forms your opinion of it.

  • "Sweating is a good way to detox."

  • May I have that one?

  • Go for it.

  • I don't like that.

  • So, this is a huge myth.

  • So, you know, our body is an amazing machine,

  • and 99% of how we detox

  • is through our liver and our kidneys.

  • And that's why it's really important

  • to keep those organs very safe.

  • That's how we get rid of all of the negative toxins

  • and byproducts in our bodies.

  • Your body's job is to kind of maintain this equilibrium,

  • keep this steady state.

  • And that's what the sweating does.

  • It helps you kind of keep this normalized temperature.

  • And so if you do go up too much,

  • it's its way of bringing it back down.

  • And while I love a great sauna,

  • it's amazing for my mental health,

  • it's amazing for my relaxation,

  • I know that when I go to a sauna,

  • I'm not going there to detox.

  • So it's really important that we understand that.

  • We have really effective ways to detox our body,

  • and sweating is not one of them.

  • How crazy are some of these,

  • like, the marketing around some of these things?

  • I mean, it's believable! Sometimes I have to ask myself,

  • like, "I have to revisit my medical-school books!"

  • "You won't sweat if you put on deodorant."

  • Hm.

  • This is a myth.

  • So, there is a big difference

  • between deodorant and antiperspirant.

  • Deodorant helps to mask the odor.

  • So it helps to reduce the smell.

  • Antiperspirants will actually help to reduce sweating.

  • They contain aluminum-based ingredients

  • that will clog those pores, those glands,

  • and help to reduce sweating.

  • One thing about natural deodorants is that sometimes

  • they can have a lot of salts and other ingredients

  • that can be a little bit harsh on the skin.

  • So sometimes it's a little bit of trial and error

  • to find the right natural deodorant for you.

  • Deodorants with ingredients like ceramides

  • to help to protect and fortify the skin barrier.

  • Deodorants with ingredients like vitamin B5,

  • which helps to soothe the skin and reduce inflammation.

  • Ingredients like coconut oil,

  • which also can help to kind of soothe the skin.

  • Use it for two weeks and decide if it's good for you or not.

  • The idea becomes, once you find a good deodorant,

  • stick to it. If you keep switching things up

  • and moving things, you're going to have

  • more of an inclination for having a reaction

  • or having some issue with tolerability.

  • And here's a fun hack for you.

  • If you're using an antiperspirant,

  • you can actually put it on at nighttime

  • to get a better overall result

  • and less sweating throughout the course of your day.

  • Henry: At nighttime, our sweat glands are not as active,

  • so that those aluminum-based ingredients

  • can actually clog the pores a little bit better.

  • Put it on during the day when you're already active,

  • then something's blocking them

  • and they can't really settle as well as they can at night.

  • "Antiperspirant is dangerous."

  • So, what do you do when you hear all these people

  • say that aluminum causes cancer

  • and it's dangerous and all that kind of stuff?

  • Yes. So I give them a little science lesson.

  • So, the presence of an ingredient

  • does not necessarily mean causation.

  • For instance, during the winter months,

  • I start drinking tea. It makes me feel warm.

  • I also tend to get colds in the winter months.

  • Does that mean the warm tea caused my cold?

  • So the presence of something or the correlation

  • does not always mean causation.

  • So, what we see is that when we biopsy breast tissue,

  • breast tissue that's in the area around the underarm,

  • which is a common area where we do see breast cancer,

  • we will see aluminum there in that tissue.

  • It's there because it's adjacent

  • to where we're using aluminum-containing ingredients.

  • However, currently we do not have data

  • showing that it causes cancer.

  • And while many feel that they're uncomfortable with that,

  • they can choose to use other options.

  • But right now we do not have data showing

  • that aluminum-containing ingredients

  • specifically contribute to breast cancer.

  • So, why aluminum?

  • Well, aluminum is currently the only FDA-approved

  • antiperspirant ingredient.

  • That's not to say that there aren't

  • other alternatives out there for you

  • if you're more comfortable choosing them.

  • But it's just always important to educate yourself

  • and continue to monitor the data moving forward.

  • And part of our job as doctors

  • is to understand where the fear comes from

  • and then look for alternatives, right?

  • Really, you should only do what's comfortable for you

  • and what you feel you're OK doing on a day-to-day basis.

  • So if you block all the sweating from the armpit area,

  • do you sweat in other places more?

  • Well, that is another common question.

  • I get that a lot when we do Botox in those areas.

  • The truth is we have so many sweat glands

  • that it kind of just distributes evenly.

  • And so the idea becomes, again,

  • the sweat does come out at some point somewhere.

  • We just minimize the amount in an area

  • where the bacteria might be feeding on it

  • to create more of the odor or the scent.

  • Ooh, this is a good one.

  • "Smelly foods only affect your breath."

  • False. So, we know that foods can affect your breath,

  • but it can also affect your body.

  • We know that some of those foods,

  • especially those cruciferous foods,

  • like cabbage, cauliflower, broccoli,

  • can affect how we smell overall.

  • That produces sulfuric acid.

  • So that's similar to that rotten-egg smell

  • that we all know. And the same with red meat.

  • There are some studies showing

  • that those that eat a lot of red meat

  • may smell a little bit different.

  • Eating lots of fish will produce a byproduct

  • called trimethylamine.

  • That's right? Trimethylamine. Bhanusali: Impressive.

  • And so that's a very characteristic smell.

  • Alcohol produces acetic acid, which you can also smell.

  • Then we do excrete components of our food,

  • which then will interact with the bacteria,

  • and we will smell differently because of that.

  • So there might be certain foods

  • that might alter your smell in some way, shape, or form,

  • but just remember, always have a healthy, balanced diet,

  • and don't let the scent of what may come afterwards

  • dictate any part of that.

  • As a girl who loves cauliflower pizza

  • and all things cauliflower,

  • I have yet to let that cruciferous smell

  • keep me from eating it. I don't think I smell. No?

  • Bhanusali: No, not at all. Henry: Thank you.

  • But listen, cauliflower pizza?

  • No joke, that is so good. Henry: No joke.

  • Generally, I've learned in life,

  • everybody is different, and it's OK to accept that.

  • I think what we're highlighting

  • more than the fact that this smell is good or bad

  • is that this smell is different.

  • To someone else, it smells like home.

  • It smells like all the goodness that they know.

  • And so we need to always keep that perspective

  • when we encounter new people and new environments,

  • because it's a personal experience.

  • I like that idea of smelling like home.

  • I'd like you guys to take away

  • that being a little stinky sometimes is normal.

  • It's a part of being a human.

  • It's a part of the human experience.

  • Be kind to yourself. Be kind to others.

  • But also, if you find that it's outside

  • of what's normal for you, talk to your dermatologist.

  • Talk to your family physician.

  • Figure out what's going on. But give yourself grace,

  • because we're all a little stinky sometimes.

"Everyone's armpits stink."

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