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Basics & Causes
Basics & Causes

Q. I've even been careful about choosing the right kind of bread for my diet, so why am I not losing weight as expected?

A.

Weight loss isn't just about choosing low-calorie bread; it depends on your 'insulin response' and 'digestive efficiency.' From a nutritional view, refined carbs spike blood sugar and trigger insulin, leading to fat storage. From a TKM perspective, a weakened Spleen (Bi-heo) creates metabolic waste (Dam-eum), slowing down your metabolism and causing weight plateaus.

📝 Detailed Answer

I have actually been there myself, struggling through a diet of only salads and whole-grain bread, only to find that my body felt more bloated and lethargic. It is incredibly frustrating to look in the mirror and see no change in weight despite all that effort. From a modern medical perspective, if your insulin resistance is high, your body cannot effectively use carbohydrates for energy, even from low-calorie bread, and stores them as fat instead. It is like putting high-quality fuel into an inefficient engine; the car still won't move forward. In Traditional Korean Medicine (TKM), this is viewed as 'Spleen Deficiency' (Bi-heo). This refers to a state where the digestive and absorptive functions of the Spleen are weakened. When this happens, food is not properly converted into energy, and a sticky metabolic byproduct called 'phlegm-fluid' (Dam-eum) accumulates in the body. When this Dam-eum combines with 'blood stasis' (Eo-hyeol), which obstructs blood circulation, your overall metabolism slows down. This creates a constitution where you don't lose weight even if you eat very little. Ultimately, 'whether your body is prepared to burn it' is more important than 'what you eat.' Rather than blindly cutting bread calories, the priority should be waking up your stagnant metabolic functions and restoring your digestive health. Let's examine your current physical state together to find the right approach.
#cause-explanation #cause-chain
Dr. Yeonseung Choe

Expert Verified

Dr. Yeonseung Choe

Chief Director

Last reviewed 2026.05.12

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