It's actually simpler than it sounds. A Korean Medicine diet revolves around the concept of constitution (體質). Here's the step-by-step process I explain to patients: **1. Consultation and pulse/tongue diagnosis for constitution identification** First, we sit and talk for about 15–30 minutes. Starting with everyday questions—whether you sweat easily, how your digestion is, whether your hands and feet tend to be cold or hot. At the same time, I take your pulse (脈診) and examine your tongue (舌診) to assess fluid circulation and digestive function. This gives the broad framework of your Sasang constitution (四象體質): Taiyang, Taiyin, Shaoyang, or Shaoyin type. **2. Diagnosing organ deficiency or excess—why your constitution tends to gain weight** Even within the same constitution, patterns differ. For example, spleen deficiency (脾虛) as the main issue, excess phlegm-fluid (痰飲) from poor water metabolism, or liver qi stagnation (肝鬱) from stress. A spleen-deficient person may feel bloated and swell easily even after a small meal—so improving digestive function takes priority over strenuous exercise. **3. Setting lifestyle correction points** Once the constitution and organ state are clear, I give specific advice like 'You must eat breakfast regularly, and warm teas are better than cold drinks.' TKM holds that even the same caloric intake affects metabolism differently depending on meal timing and the food's thermal nature (cold or warm). **4. Choosing treatments—acupuncture, moxibustion, herbal medicine, cupping** Herbal medicine is customized: for spleen deficiency, tonifying spleen (補脾) herbs; for phlegm-fluid, diuretic (利水) herbs; for liver qi stagnation, soothing liver (疏肝) herbs. Acupuncture points are selected to regulate gastrointestinal motility or stabilize appetite centers. All choices depend on constitution and current state, often combining multiple methods at once. **5. Gradual feedback—monthly follow-ups** Usually we meet every 2–4 weeks to reassess pulse, tongue changes, weight trends, appetite, and fatigue, then adjust the plan. The goal is not rapid weight loss but letting the body rebalance at its own pace. **6. Long-term maintenance strategies** As you approach your target, I provide a lasting guideline like 'Your constitution should be cautious with these foods to prevent rebound.' TKM diet care also applies the concept of constitution post-diet, helping lower the chance of yo-yo effects. Every step is flexible, considering your lifestyle, physical strength, and preferences. I never promise 'This will definitely work'—instead, we understand why your body is the way it is and make gradual, sustainable changes without forcing it.