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Improved Exudate Control Utilizing Advanced Moisture Management Dressings for Diabetic Foot Limb Salvage, Surgical and Post Operative Wounds

Improved Exudate Control Utilizing Advanced Moisture Management Dressings for Diabetic Foot Limb Salvage, Surgical and Post-Operative Wounds

Babajide A. Ogunlana DPM, FACFAS, PCWC -Chief of Podiatric Surgery at Memorial Hermann Southwest Hospital in Houston, Texas


Surgical wounds closed with sutures  or staples1 heal by primary intention.  Wounds generated from limb salvage  surgery often cannot be closed  simply by sutures and follow a  healing path like that of a chronic  wound. These surgical wounds can produce large amounts of drainage  which can lead to higher chance for  maceration, breakdown to the  surrounding skin, and even  dehiscence. The wound dressings  utilized need to not only manage the exudate but provide protection to  the surrounding skin while the wound  progresses through the healing  cascade.



A case series study was conducted  consisting of a 15-patient sampling  that underwent potential lower limb-saving surgery, such as flaps, wound  closure, and digit/partial foot  amputation requiring drainage  control.

An advanced moisture management  dressing* was utilized as the primary  dressing for exudate control and  protection to the peri wound. The  technologywithin the dressing wicks  away excess exudate while  maintaining a moist wound  environment2.

Following sharp surgical debridement and wound bed preparation, the moisture management dressings  were applied to the wound and multi-layer compression** was used  when clinically necessary.

Dressing change frequency varied based on drainage levels from once a week (low) to upwards of three times per week (high). The wounds  were examined for exudate amount, quality of the wound bed/peri-wound, overall patient comfort, and  ease of use.



The advanced moisture management dressings were able to handle the varying drainage levels while still  maintaining an optimal environment at the wound and peri-wound skin.

Patients were adherent and overall  wound outcomes improved with this  course of treatment.

Exudate levels managed with this  moisture management dressing  coupled with standard and advanced  wound care treatment protocols,  including serial sharp wound  debridement and edema control,  showed promising results in advancing wound healing in these very complex limb salvage cases.



  • 56 years old AAF with raging gas forming infection in a chronic non-healing diabetic foot ulcer. Was Initially recommended for Right BKA.
  • Emergently taken to OR for Right great toe amputation, partial first ray amputation with wide excisional debridement –Copious amounts of drainage.
  • Xenograft application on 07/27/2020 with non-adherent dressing and moisture management dressing* usage for exudate control.
  • Wound fully healed on 12/31/2021.








  • 56 year old AAM with wet gangrene in both feet for >3 months. Underwent Right foot open TMA, Left foot open TMA of the “gangrene slippers”.
  • Right: Packed with packing strips, non-adherent gauze and moisture management dressing*. Left: non-adherent primary dressing and two (2) moisture management dressings*. 
  • Xenograft application on 02/19/2021 with non-adherent dressing and moisture management dressing* usage for exudate control.
  • Right: Wound progressed towards fully healed.  Left: Wound continues to contract and progress towards healing with continued moisture control from the dressings.









Milliken Healthcare Products, LLC, Spartanburg, SC:

Active Fluid Management Technology


**CoFlex TLC two-layer compression



  1. Dumville JC, Gray TA, Walter CJ, etal. Dressings for the prevention of surgical site infection. Cochrane Database Syst Rev.2016;12(12):CD003091. Published 2016 Dec 20.doi:10.1002/14651858. CD003091.pub4
  2.  Okan et al. The role of moisture balance in wound healing. Adv. in Skin and Wound Care 2007, 20:39-53

Why A Visit To The Podiatrist Is Just As Important As A Trip To The Dentist’s.

Who Is A Podiatric Surgeon?

A podiatrist is a doctor, but not just any doctor but a doctor who specializes in the treatment and care of the lower limbs (with particular attention to the feet and ankles)! 

Doctors of Podiatric Medicine (DPM) are physicians or surgeons who treat the foot, ankle, and related bones and joints of the leg. The title ‘chiropodist’ is an old, outdated way of referring to a podiatrist—which you may have heard before. A podiatrist has the title DPM in front of their name, just like how a regular doctor has the title DR in front of theirs.

The podiatrist who is a specialist in foot surgery is known as a podiatric surgeon. They are certified by the board to handle both diagnosis of general foot health and surgery for disorders of the foot and ankle.

For a podiatrist to work in any state, they have to be licensed. This license has to be renewed every few years or they won’t be able to work. It is also necessary for them to keep themselves informed about the current news and developments in their field in order to give the best care available to their patients. They may do this by attending training seminars or reading journals.


The education of a podiatrists begins with four years of undergraduate study followed by a four year course in an accredited podiatric medical school, which is then marked as complete by three to four years of residency at a hospital where they put their knowledge to practice and gain more experience in the field.

To be deemed qualified by the American Board of Podiatric Medicine, a podiatrist needs to pass all the required exams set by the board. Some podiatrists can also choose to take on more specialized roles that focus on specific areas of treatment, such as foot & ankle reconstruction or plastic surgery—to name a few.

This stringent process ensures that every podiatrist has the necessary knowledge to properly care for your feet.


Care of The Feet

Podiatrists care for patients of all ages, shapes and sizes (not only old folks have problems with their feet!). Because of this it is expected that they would be able to provide treatment for a variety of different foot conditions in the same way you would get treated by your family doctor.

Some areas that a podiatrist can be specialized in are listed as follows:
  • Sports Medicine
  • Reconstructive Surgery
  • Podiatric Diabetology (treating the foot conditions that occur with diabetes)
  • Podopediatrics (foot problems in children)
  • High-risk Wound Care [and more…]

If you have a persistent pain in your feet it might be necessary to see a podiatrist but even if your foot doesn’t hurt, it’s a good idea to have your feet checked once in a while. A podiatrist can safely remove the calluses on your feet and clip your toenails correctly (to avoid getting ingrown nails). A podiatrist will also be able to tell you what kind of shoe is best for the shape of your feet (in order to avoid unnecessary discomfort).

Common conditions of the feet include

Calluses Infections Of The Foot (Athletes’ Foot) Fractures or Broken Bones
Ingrown Toenails Arthritis Correcting Walking Patterns
SmellyFeet Foot Injuries Bunion Removal
Flat Feet Sprain Skin/Nail Diseases
Blisters & Warts Hammer Toes Tumors
Corns & Bunions Cast Ulcers
Ligament/Muscle Pain Prosthetics Wound Care
Orthotics to support/strengthen the foot (braces and insoles) Casts Amputation

Risk Factors

Certain health conditions may cause or make you prone to foot problems, These include:

  • Heart Disease or Stroke
  • Arthritis
  • Obesity
  • High Cholesterol Levels
  • Diabetes
  • Poor Circulation

Diabetic patients are more susceptible to having foot problems. Carefully observing any change in how your feet feel or keeping a record of the symptoms regarding your feet can help with future diagnosis. Treating the underlying condition itself can also help alleviate foot pain.


It would be best to let your podiatrist know if you have any symptoms of foot complications caused by diabetes:
  • Sharp/Burning Pain
  • Sores & Ulcers
  • Cracking Skin
  • Dry & Cracking Toenails
  • Tenderness
  • Calf (back of the lower leg) pain during walks

It might be necessary to see both a podiatrist and your usual doctor (or family doctor) if you start having pains or get an injury in any part of the foot. You are also likely to pay visits to other specialists for further treatment if physiotherapy can help relieve your symptoms. Your feet need to be examined by your doctor (podiatrist or otherwise) to discover the reason for your pain.


Tests and scans for foot pain include:

  • A Blood Test
  • X-ray
  • CT scan
  • Nail Swab
  • MRI scan
  • Ultrasound


Reasons To See A Podiatrist

  1. Flat feet: It might be necessary to wear orthotics (orthopedic support) like arch supports or foot braces to reduce pain (in the case of flat feet) and to give support to weak/injured foot ligaments. Molds of your feet are taken to ensure that your orthotics fit just right!
  2. Nail Infection: If the pain in your foot is a result of a health condition, your usual doctor might be able to give treatment. For example, a fungal nail infection can be treated with antifungal medication.
  3. Gout or Arthritis: These two conditions can cause you to feel pain (in your feet and toes). Treatment of gout and arthritis will alleviate this pain.
  4. Diabetes can damage the nerves in your feet. This often leads to pain, numbness, and sores on your feet and legs. If your foot issues are because of diabetes, you’ll need to see both a podiatrist and other doctors who specialize in treatment of the nerves and blood vessels.
  5. Joint pain/problems: It might be necessary to see a podiatrist (and other doctors specializing in the treatment of bones) to treat an ankle or knee problem. Long-term physical therapy may also be required to strengthen the muscles and joints in your legs.


When To See A Podiatrist

The foot is a small but complex part of the body, comprising 26 bones—and a number of joints, ligaments, tendons and muscles.

All of these make your feet the perfect limb to help you be active and mobile, while also supporting the weight of your entire body.

Foot pain limits your movement. It can make you walk with a limp and your unbalanced gait can eventually affect your hips, back and spine. Other health conditions damage your feet if they aren’t treated on time.

See a podiatrist if your foot hurts persistently or you get a painful injury. Urgent medical care may be required if you have any of these symptoms persist for more than a few days:

Notify your podiatrist or family doctor immediately if you are able to walk or put weight on your foot.

Podiatrists are specialists of the foot who spent years studying and training just to help keep your feet healthy. Getting your feet examined by your podiatrist (even when you have healthy feet) helps prevent future foot problems… And if your feet do have a problem, they will diagnose it and craft the best treatment plan tailored to you.

Book a  time with Dr. Babajide Ogunlana 

Spotting Diabetes (Mellitus) Early: Signs and Symptoms

Diabetes (Mellitus) Early: Signs and Symptoms

There are signs that let you know if you have diabetes mellitus and give you a chance to start treatment early before things get too detrimental. These signs depend on what kind of diabetes mellitus you might have. Diabetes means “excessive urination” and mellitus means “honey”, these two words together means “sweetness in urine” or in other words “sugar/glucose appearing in urine”. There are many forms of diabetes mellitus that are due to different causes.

Diabetes may be primarily—caused by another disease, or secondary—caused by damage of the pancreas by another disease. Approximately 98% of diabetes patients have primary diabetes mellitus, the idea behind this article is to help learn about the two kinds of primary diabetes: Type 1 and Type 2 diabetes.

Insight and self-consciousness, makes it mainstream to ponder the wholeness of our health. There is an abundance of social media influencers advertising “eating plan” and “exercise regimen”. Lifestyle apps that keep you healthy by reminding you to drink water, recommending what best to eat and at what time and ensuring you have enough breaks during the day.

Considering all these general mindfulness being the “in thing” in our society, it is alarming to see that so many people don’t understand the inner workings of their own bodies. So many people go through everyday life,  experiencing the symptoms of diabetes but take it as a normal occurrence because a large number of the symptoms do not present as dangerous on their own, and that in itself is its danger. Understanding and recognising some early symptoms of diabetes can help us understand when we need to seek some form of medical consultation.

Early Symptoms Of Diabetes

The most common signs of diabetes mellitus (both type 1 and type 2) are frequent thirst, excessive urination and increased hunger. The excess glucose (sugar) in your blood that isn’t absorbed into your body due to diabetes is diluted by water and gotten rid of by the kidneys. This is the reason for frequent urination.

Because a lot of water is accompanying the glucose on the way out, the body gets dehydrated. You become thirsty and drink a lot of water to replace what was lost. Basically, glucose and other nutrients and food groups necessary for daily life from your everyday meals. Because there is now less glucose in your body (it has been flushed out), you start to feel hungry and crave food to compensate for the lack.

This leads to a cycle of always eating and drinking without actually getting any of the benefits. Controlling your blood glucose levels and keeping them optimal makes it possible to live life normally, eating and drinking whenever you wish without a condition forcing you to.

It is sad to see that these symptoms are so often written off as ‘normal’, but it is understandable. A busy person will not think thirst or a little nausea is a big deal, and even the more severe symptoms closely resemble the symptoms of a common cold or flu that goes away on its own after some days of rest and many bowls of chicken soup.

Not enough people realise that all these signs are hinting at the body’s inability to absorb glucose, which is caused by a lack of or resistance to insulin—the hormone that transports glucose to where it’s needed. To be on the safe side, if after being sick your thirst still lingers, a visit to the doctor should be the next thing on the list. One single blood test can clear years’ worth of doubt.

The human body extracts glucose from food to use it as fuel. Every process in the body requires it, like how a car needs gas to run. The cells, tissues and organs get the glucose that’s digested in the stomach after it has been transported out by insulin. Therefore, without insulin, there would be no energy for you to do work. The body would stop functioning properly.

The unique combo of continuous thirst, frequent urination, and sudden weight loss are key signs of an increased amount of glucose in the blood. These three symptoms are common in both type 1 and type 2 diabetes. Type 1 and Type 2 diabetes are different branches of the same disease. They are both caused by problems regarding insulin.This difference between the two types is the reason why the rest of the symptoms begin to vary after the early stages.

In Type 1 diabetes, the pancreas does not produce enough insulin to transport all the glucose you eat to where it is needed, so the rest remains in the blood.

In Type 2 diabetes, the pancreas produces enough insulin but the body does not recognise it so it cannot use it, and that causes the glucose to remain in the blood.

Symptoms Of Type 1 Diabetes

Type 1 diabetes happens suddenly and at any age in life—but usually it occurs before the age of 40. It happens when the pancreas stops secreting insulin. It is caused by degeneration of the cells of the pancreas, damage to the pancreas due to autoimmune diseases, congenital disorder of pancreas cells or destruction of those cells by viral infection.

what is dka (diabetic ketoacidosis)?
Diabetic Ketoacidosis)?

When it occurs in infancy or childhood, it is called ‘juvenile diabetes’. It can take weeks or months for the pancreas to completely stop secreting insulin, but eventually a normal, healthy person will become insulin-deprived and their glucose levels will shoot up to dangerous levels. A patient with Type 1 diabetes will become dependent on insulin injections for treatment so Type 1 diabetes is also called Insulin-dependent diabetes mellitus (IDDM).

Since the body can’t access the glucose in blood, it begins to find alternate sources of energy and starts breaking down fat and muscle. The end products of this are ketones (ketoacids).

The abundance of these acids makes the blood more acidic and leads to acidosis. This will cause fatigue, lack of appetite and confusion.  

When the ketone level in your blood is very high, your heart will begin to beat faster and your breathing rate increases. Your breath will have a sweet, fruity smell because of the many ketones present in the bloodstream—and at this stage the amount would have reached a life-threatening level that can cause unconsciousness.


Symptoms Of Type 2 Diabetes

Type 2 diabetes is caused by a partial deficiency of insulin caused by the body’s cells not being able to receive the hormone even after it has been produced. It is the more common type of diabetes and usually occurs after the age of 40. Only a few forms of it actually required insulin as treatment. It can be controlled by taking oral hypoglycemics (drugs that make the body more receptive to insulin/increase insulin production). Because of this, this type of diabetes is also called noninsulin-dependent diabetes mellitus (NIDDM).

Insulin Resistance can be caused by genetic factors, stress or lifestyle changes. Examples of these lifestyle changes are bad eating habits and lack of physical activity that leads to obesity. Physical activity helps a person burn glucose and makes their body more sensitive to insulin while being overweight increases insulin resistance (scientists aren’t completely sure why).

A patient with Type 2 diabetes does not need insulin in the beginning because the pancreas overproduces to compensate for the unreceptive cells—this is the reason why Type 2 diabetes often goes unnoticed for years. But eventually, the pancreas isn’t able to keep up and the glucose builds up in the blood even with insulin being constantly produced. Eating healthy, cutting back on sweets and losing excess weight helps control the glucose levels in a person with type 2 diabetes. Early treatment positively impacts and maintains a good quality of life.

Spotting Diabetes (Mellitus) Early: Signs and Symptoms

Complications Of Diabetes Mellitus

Diabetes Foot

Prolonged hyperglycemia (high blood glucose levels) damages the retinas of your eyes (which spoils your vision). When caught early, this condition is manageable, but if left untreated, Diabetic Retinopathy will cause permanent damage to the retina of the eyes. Not only this, high glucose levels can damage the kidneys (Diabetic Nephropathy) and nerves (Diabetic Neuropathy) of the body as well as hypertension and heart attack.

A person with diabetes is more prone to getting fungal infections, and when they are infected it is quite hard to treat. Yeast grows from sugar and is naturally occurring in the body but when too much yeast accumulates it causes pain and itching. It grows in moist and warm places like the mouth, the folds of the skin, the genitals, the eyes and the foot (especially the toenails).

Without treatment, such infections can lead to blindness or become life-threatening when the yeast manages to get into the bloodstream of a patient who has a depressed immune system and spreads to other parts of the body.

The high blood glucose also causes slow wound healing due to lack of energy and the neuropathy of the nerves will prevent you from feeling pain sensations, so a lot of tiny wounds become ulcers and if left untreated can cause problems later on.

For this reason, it is always good to pay close attention to the state of your body and catch these signs and symptoms before they progress too far and become deadly. Early intervention and correction of elevated blood glucose can promote proper circulation and healing while preventing the onset of all these complications.


Juvenile Diabetes:

Young children aren’t able to properly convey the changes that occur in their bodies due a lack of understanding or communication skills. Because of this, it’s hard for parents to tell whether their children are suffering from Type 1 diabetes, especially since the symptoms are so easy to miss—being very hungry and very thirst are easily noticeable signs but these are also just the normal behaviours of growing children and shouldn’t be a cause for alarm. 

The following are some behaviours observed in children with Type 1 diabetes:

  • Getting yeast infections (thrush).  
  • Acting out of character. Being moody or restless. Having mood swings. 
  • Losing weight despite having frequent meals.
  • Feeling tired, dull and lacking strength to play.
  • Peeing more, or even wetting themselves despite having been toilet trained.
  • Having a sweet smelling breath

If while watching their children grow, parents notice any of these symptoms of elevated blood glucose levels in their infants, toddlers or young children they should immediately seek their pediatrician’s guidance.

Type 1 diabetes can strike at any age. The sudden pause in Insulin production leads to a rapid rise in glucose levels which can quickly become Diabetic Ketoacidosis (DKA). Catching these signs early can ensure that insulin is given promptly and the quality of life is preserved. 


When to See a Doctor

The symptoms of diabetes in the early stages can easily be confused as a minor illness, so it can be hard to pinpoint exactly whether you, or someone you care about, has it. But that’s okay.

If you are want to confirm whether what you have been experiencing could have been diabetes, you can ask yourself these questions:

  • After getting a cold or the flu. Do you recover quickly? Do you still feel sick?
  • Have you noticed any cuts and grazes that seem to be taking longer than usual to heal?  
  • Do you experience numbness and tingling in your hands or feet? Is this a recent development or a long term condition?
  • Have you always wrestled with yeast infections, or are recurring infections a new struggle?
  • Have you noticed weight loss you can’t explain? Are you overweight?
  • Have you felt thirstier, or found yourself drinking more than usual in recent weeks or months?
  • Have you noticed any changes in your vision?


Catching It Early Makes All The Difference

If you are concerned about your health, visit your physician and tell them your concerns. A simple test strip or lab draw, can supply you both with a wealth of information about if necessary, treatment can be started. Early diagnosis and treatment by a professional makes all the difference between managing your condition and having to suffer unknowingly.

Since 2012, our goal at mySugr has always been to make diabetes suck less for people within the diabetes community.  We have long endeavored to educate, advocate, and elevate the global working knowledge of living life with both type 1 and type 2 diabetes to the fullest. Utilizing our combination approach of sound coaching and advancing tech, we’ve made huge strides at creating an environment that lets all people with diabetes maintain optimum health while living their best life!


Diabetetic And Unaware

According to the World Health Organization (WHO), the number of people with diabetes rose from 108 million in 1980 to 422 million in 2014—”About 422 million people worldwide have diabetes, the majority living in low-and middle-income countries, and 1.6 million deaths are directly attributed to diabetes each year.”

According to the American Diabetes Association, in 2018, 10.5% (34.2 million American adults) of the American population had diabetes. 24.8 million were diagnosed and 7.3 million were undiagnosed. And 1.5 million Americans are diagnosed with diabetes every year.

This means that right now millions of people walking around with a dangerously high amount of glucose in your blood, experiencing complications and receiving no treatment for them. We hope that everyone reading this gains an understanding of diabetes, whether they have it or not.

We know that it is improbable to reach everyone, but if you can help spread awareness and educate those around you on the symptoms of early stage diabetes, that means an increased awareness in your community, which can reduce the number of undiagnosed diabetic patients in your direct environment.

If you have a family member or relative who has been diagnosed as being diabetic, to be on the safer side, you should visit your doctor to discuss the possibility of being at risk. A bi-annual blood test can provide a constant baseline for your doctor to monitor for any unusual increase in blood sugar levels. 


Dr. Babajide Ogunlana

If you or your child struggle to maintain a healthy weight, ask your doctor and/or your child’s pediatrician for pre-screening and lab work to look out for early signs of diabetes. By working hand in hand to achieve optimum health, you and your medical team can be proactive partners in warding off any symptoms of diabetes before they begin to damage peripheral systems.

If you or your child have other genetic factors (such as other auto-immune conditions), you should ask your doctor for pre-screening lab work to rule out any signs of diabetes. Auto-immune conditions tend to breed additional auto-immune conditions. Still, by creating a team-work approach to full-body care, you can provide a protective screening system that stands sentry against the early warning signs of diabetes. In this way, you can begin any treatment at the earliest possible opportunity and set the stage for successful long-term health.




African Women’s Health Project International #AWHPI – Fight Cancer Global.

Join Dr. Babajide Ogunlana this month of October, on the African Women’s Health Project International #AWHPI in collaboration with Fight Cancer Global. AWHPI 2020 Learn Pink Breast Cancer Awareness campaign initiative for the entire month of October.

Throughout the month of October on each Monday, we will be disseminating vital information via all our Social Media platforms, and will be making and sharing videos relating to the fight against Breast Cancer. Additionally, we are showcasing our AWHPI Learn Pink Breast Cancer Awareness campaign Champions.
We are delighted to have the partnership collaboration of Fight Cancer Global – the leading global corporation on the fight against Cancer with operations in over Sixty Countries worldwide!
foot odour

Foot Odour and Smelly Feet

The feet actively supporting the rest of the body, tend to be covered up all day. Thereby restricting the follow of air that helps reduce sweat and decrease bacteria activity on the feet.  Which can cause the feet to smell worse than other parts of the body. Smelly feet and foot odour can become problematic and if not treated accordingly leads to not only embarrassing moment, but affect your self confidence and freedom to wiggle those feet of yours

At one point in time we all tend to sweat and perspire on the feet  due to several reasons like those listed below. When these sweat itself can not evaporate then it leads to smell or stinking feet. This is usually caused by skin bacteria breakdown and secretes. Fungal infection, such as Athletes’ feet and other factors listed below can cause foot odour. 

To help prevent this condition of smelly feet or foot odour at the office, during sport practice, at your loved ones home or just simply stretching your feet out at garden or when having a picnic at the park. Dr. Babajide Ogunlana has a few tips: 

  • Avoid  the use of shoes that are tight to the feet as this can help reduce heat that makes the feet sweat and feed the growth of bacteria. Doing this also helps to avoid you developing conditions such as  bunions, toes fungus and corns and callus.
  • Clean your feet regularly with soap and water at least once a day and more if you do rigorous activities such as exercising, running , sport and walking. Take your time to dry your feet thoroughly afterwards, especially between your toes.
  • Have an extra pair of shoes so that you can rotate your shoes daily. This will give them a chance to air and dry at least 24 hours before the next wear. You can use Clean Sweep an antimicrobial Shoe Protection Shield, clinically proven to inhibit the growth of odor-causing bacteria, fungus, and mold. In your shoes at the end of the day after wearing them. Antiperspirant spray  or deodorant can help your feet stay dry or the use of foot powder to absorb sweat from your feet.
  • Use wool or cotton socks  preferably  and not nylon,  as they help to  absorb moisture better. Change your sock at least once a day, use sports socks and medicated insoles that are made to keep feet dry, and special antibacterial socks, which have a deodorising effect for your feet and shoes.
  • Avoid going barefoot in public space and communal facilities like gyms, bathing places and swimming pools. It is very easy to pick up germs, such as bacteria, fungus, and warts
  • Wear flip flops and when practicing yoga, clean your feet with antiseptic wipes or hygienic baby wipes in case you don’t have access to a shower right after class.
  • Good foot hygiene is essential , keep toenails trim and clean and remove callused skin with a foot file. Get a foot soak like using a salt bath, tea soaks or apple cider vinegar will help with callused skin and bacteria.


  • Reduce and if possible avoid the consumption of refined carbohydrates. Instead, take a balanced diet, with enough fruits & veggies and plenty of water.  

Condition that can lead to such foot odour and smelly foot are; 

  • Fungal Infection
  • Standing All Day 
  • Overactive Sweat Glands
  • Genetics
  • Injury Due To Structural Tissue
  • Bacterial  Breakdown On Skin
  • Hormonal Changes
  • Daily Stress
  • Poor Personal Hygiene 
  • Wearing Same Shoe Everyday Without Airing Them
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