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OK-let's focus on the sweating a bit more. Profuse sweating can either be normal/expected (during exercise, embarrassment, anxiety, fear, deconditioning, mild exertion with obesity), a variant of what is most common for people, or abnormal (hyperhidrosis). Hyperhidrosis typically occurs without any clear triggers or excessive temperature and can either be primary (it stands alone and often begins in adolescence; it is often concentrated in the armpits, hands, feet or groin) or secondary (it is due to/associated with another condition and may begin later in life). In the case of secondary hyperhidrosis, many of the conditions I discussed above would be possible explanations, as would substance abuse. Very rare conditions, such as some neurologic disorders or pheochromocytoma or carcinoid syndrome are possibilities, although these would most certainly be associated with other physical signs like rapid heartrate and breathing, extremely high blood pressure, tremors, flushing, diarrhea. If the sweating is a new problem for you and does not occur at expected times, and especially if it is associated with other symptoms, additional testing would be indicated to assess for any underlying condition.

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