@dolsen4045 I have the same. I had the thermoregulatory sweat test at Mayo, and they said I have 85% anhydrosis - I sweat from my knees down and from my elbows down, and a little on my neck and forehead, and that's it.

Do you run an elevated temperature? I do - 99 to 101 depending on how hot I get and how much I exert myself. Sometimes I can be in a cool place but busy doing things and will find my temp is 99.6 or something. It goes up and down all day long.

My cardiologist told me I need to be very careful to avoid heat stroke as it is easy to develop when your body doesn't cool itself well, and it can have permanent effects.

The neurologist at Mayo said: 1) Stay in the shade and preferably the A/C. 2) Use a neck fan. Amazon sells some that look like headphones and are actually reasonably attractive. 3) Use a cooling towel. I found Walmart sells some nice ones that don't get drippy and that store in their own antibacterial container so they stay wet for a long time. 4) If you must exert yourself outside, wear a wet T-shirt - it will do the same thing that sweating does to chill you by evaporation.

Have you learned any other helpful tricks?