Hello XXXXXXX

Thanks for posting on HCM

I have read carefully the description of your problem and I will try to present the solution to the problem in very simple terms so that you can go about it gradually.

You should start by trying to identify the cause to your body odor. Since you mentioned that you bathe regularly and that has both beneficial and non-beneficial effects. The benefits are that your sweat pores are kept open ( with good perspiration), bacteria are killed and most body substances/toxins ( eliminated from the body) are washed off. The non-beneficial is that you also kill the natural bacteria/fungal flora that protects the body and keeps it in equilibrium with the outside environment.
Attempting to cover body odor (B.O) with perfume does not work as the perfume does not eliminate the odor.
Eating large amounts of foods such as asparagus and garlic can also lead to body odor. Avoid such foods for 48 hours to test whether they are the culprits.
Do also avoid polyester clothes, wear only cotton.
One other trick: If you bathe daily and still find odor a problem, use deodorant soap or an antiperspirant-free deodorant. Natural deodorants are advised.

Body's XXXXXXX toxic load is important. You understand that your skin is the largest detoxification organ and so use of high sugar diet and antibiotics increase your body's toxic load level and hence elimination through your skin, causing BO. If you are taking any drugs presently especially if antibiotics, I'll suggest you check with a doctor if the drug is paramount for the condition you are having before you can continue or not. Antibiotics for bacteria and yeast infections destroy the natural flora and cause body odor as earlier mentioned. If the white patches on your body are due to fungi infection, i suggest you use topical antifungi agents to treat that (consult with a doctor or dermatologist to confirm). Use of antiseptic soaps (soaps that destroy microorganisms on the body) is also discouraged.
Use high probiotics to help in balancing colon bacteria and yeast in gut. Diet can also play a role in body odor. If you are eating an unhealthy diet, you increase the toxic load to all organs.

Sticking your nose in your underarm is not an indicator of whether you're really producing an odor or have a problem. Ask someone you trust if they can smell you from a reasonable social distance—1 or 2 feet away. If the answer to the question is yes, start by adopting a more rigorous hygiene routine: Shower daily, change your clothes consistently, and wash clothes thoroughly (I believe you have already done that per your mentioning). But if the person can not sense the order from 1 or 2 feet away from you or even at a closer distance, then it is most probable that you are suffering from olfactory reference syndrome (ORS) which spans more than a century ago. The core symptom is preoccupation with the belief that one emits a foul or offensive body odor, which is not perceived by others. This syndrome is associated with substantial distress and disability. You will need consultation with neuropsychiatrist.

In rare cases, though, a genetic disorder, known as trimethylaminuria, may be the cause. People with this condition produce a sporadic "garbagelike" odor after consuming choline-rich foods—eggs, certain legumes, saltwater fish, and organ meats, for example. If you think you have trimethylaminuria, try eliminating choline-rich foods, and talk with your physician.

Hope this was helpful and let me know with follow-up how it goes for you.

Kind regards
Dr Nsah

---