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For the past year and a half, I’ve been using something incredibly simple for hidradenitis suppurativa: gel antiperspirant. Not a biologic, not antibiotics, not surgery. Just an inexpensive, over-the-counter option that has completely changed how I manage HS in clinic. I published on it, presented it, discussed it with colleagues, and shared it here. Yet I still rarely hear back from others who have actually tried it. That tells me many haven’t, which is frustrating. Sometimes medicine struggles