Am I out of Options?

So I’ve been suffering from hyperhidrosis for the last 4-5 years. For context I am 25 I am pretty athletic and in shape I’m 6’1 and weigh 185lbs.

Over the past few years my hyperhidrosis has been so bad to the point even when driving in a car with full AC I still end up with pit stains in a white shirt. Most of my sweating is in my armpits and some in my hands.

I have gone through all of the over the counter antiperspirants(carpe, certain dri,etc) with no avail. I take 4mg of glyco a day orally. I have gotten botox which did not help at all. I even got the miradry surgery where they burn your sweat glands and your arm pits and I still sweat a ton. At this point I am unsure of other options I have so I’m reaching out to see if anyone has had success with something else. Or if I’m stuck dealing with it or wearing black shirts for the rest of my life. Any suggestions are appreciated!