📝 Detailed Answer
In Traditional Korean Medicine, obesity is not simply a fat problem but rather an internal imbalance such as Spleen Deficiency (biheo), Dampness-Phlegm (seupdam), or Blood Stasis (eohyeol). Herbal medicine works to correct this balance, regulate metabolism, and stabilize appetite. I myself have experimented with just herbal medicine without exercise. Indeed, initial weight loss can occur with herbal medicine alone, especially for those with edema or poor digestion. However, there are clear drawbacks. Without exercise, muscle mass decreases, lowering basal metabolic rate, leading to slower weight loss or easy rebound (yoyo effect). Also, if lifestyle habits are not corrected, weight may return after stopping the medicine. The advantage is improving overall body condition to make dieting easier; the disadvantage is that it cannot maintain muscle strength as effectively as exercise. Ultimately, the approach depends on the patient's condition, lifestyle, and goals. For those unable to exercise, starting with herbal medicine combined with dietary control can be an option; if possible, even light activity is better long-term. We do not force exercise but work together to find a balanced approach suitable for the patient.