miraDry for moderate underarm sweating — overkill or worth it?

So I've been down the iontophoresis rabbit hole (shoutout to whoever posted those three-week notes — super helpful), and now I'm curious about miraDry. My derm mentioned it in passing for underarms, but I got shy and didn't ask enough follow-ups because the appointment was running late and I was sweating through my paper gown. Classic.

What I'm trying to figure out:

• For moderate underarm sweating, is it overkill? Like, am I jumping to the nuclear option before I've really optimized other stuff?
• The "permanent" claim makes me both hopeful and suspicious. What's the realistic longevity? Anyone need touch-ups?
• Cost is obviously a thing. Did insurance cover any portion, or was it fully out-of-pocket?
• Downtime during school — how much swelling are we talking? Could I realistically do this during winter break and be fine for spring semester?
• And the big one: did it change anything about your body odor situation? I've read mixed things.

My hands are a separate disaster that miraDry won't fix, so I'm still doing iontophoresis research for those. But if I could stop the underarm mental math — carrying backup shirts, strategic cardigan placement, avoiding gray — that alone feels life-changing.

Also just generally: how did you decide when you were "done" trying other treatments? I feel like I'm stuck in this loop of "maybe I just haven't found the right clinical-strength antiperspirant routine" versus actually pursuing something more definitive.

Columbus is cold now and I'm still sweating. Send help, or at least your honest miraDry experiences.

— Hannah (she/her), senior year, too many color-coded notes