From a pharmacological perspective, the mechanism is straightforward: these drugs mimic the GLP-1 hormone, which stimulates the brain's satiety center and aids insulin secretion. While effective, the human body is highly sensitive to such artificial interventions. From the perspective of Traditional Korean Medicine (TKM), this approach carries the risk of accelerating a state of 'Bi-heo' (Spleen Deficiency). When the Spleen function is weakened (Bi-heo), digestive capacity drops significantly, often leading to lethargy and dizziness. Having experienced the struggle of extreme dietary restriction myself, I understand how taxing this can be on the system. Furthermore, the 'yo-yo effect' experienced after discontinuing the medication is closely linked to 'Dam-eum' (phlegm-fluid retention) and 'Eo-hyeol' (blood stasis). These represent metabolic waste and stagnant blood within the body. When intake is forced down while metabolic function is compromised, the body lowers its metabolic efficiency to conserve energy. Consequently, once the drug's effect wears off, the body becomes more prone to accumulating these waste products. Ultimately, the key is restoring the body's innate ability to regulate itself. Rather than simply forcing a reduction in food intake, a sustainable approach to weight management must involve improving the circulation of Qi and Blood to 'flip the metabolic switch' back on.