Hi: I wanted to let you know that you are not alone in this crisis. I also suffer from TMAU and yes TMAU is not a hygiene problem as most sufferers tend to have OCD about hygiene. I know that people that suffer from it bathe incessantly but as you know External cleansing is not the issue. You can bathe and 5 minutes later you have the same situation. Plus the stress and the shame makes the condition worse. I know that I have to see a therapist because it can be unbearable. I also live in NYC and I am forced to take public transportation. The amount of stress and anxiety I experience every day is enough to make one crazy. It has interfered in every aspect of my life. Luckily I have a great boss that although I know he knows and people don't hide their expressions and you absolutely know they are talking about you. I have contemplated talking to my boss and perhaps working some days from home to alleviate the anxiety. It is just hard to bring up.