Besides iontophoresis, botox, and ets will there be a cure for severe palmer hyperhidrosis? nothing else works for me

Sympathectomy : Endoscopic Thoracic Sympathectomy is a Surgery I have assisted in to treat hyperhidrosis at UCLA. Studies show it is a viable treatment option. My advice is to carefully weigh how much it affects your life and choose a profession and future where it will not affect your work. Read: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2749196/

Aluminum chloride: Try 35% or 50%. Be sure you apply to completely dry skin. Many people get result from 20% AlCl.......always apply to completely dry skin........then apply disposable plastic gloves and secure for several hours or over-night.