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An individual can smell strongly despite sweating little, while another may sweat profusely without smelling much
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Patients with MSMD are highly susceptible to various pathogens, including Salmonella , Candida , Histoplasma , Coccidioides , and other bacteria and viruses (38)

Shaking the vial instead of swirling
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Dressing in layers, wearing breathable fabrics, avoiding spicy food and avoiding excess alcohol and caffeine may also assist