Yeah for me specifically I do think PATM is related to the sebum on my skin. I unfortunately have lost the genetic lottery when it comes to this condition. I have extremely oily skin ever since puberty. This seems to be concentrated on my face and scalp. When I first noticed PATM reactions seven years ago I realized my face was giving off a foul, almost cheese-like odor. It was disgusting. I would test this by rubbing my fingers under my chin, or rubbing my forearm across my forehead and smelling it. I also sweat alot, and when sweat mixes with the oil, the smell becomes even worse.
My reactions have gotten better over the years, but I still get them and it still severely affects my day-to-day life. I quit school because of this. It does make sense to me that PATM is likely related to the gut. Before getting PATM or the oily skin odor, my diet was terrible. I would drink myself to death every weekend, and ate all the fast food in the world. I also didn't have a limit in how much I ate. I was overeating every single day.
I think we’re closer than ever to figuring this out
It would also explain why smells stuck to our clothes because of sebum and oil over production.
I also have very oily skin and sebum over production. Thanks for the article this is eye opening.