Q. Doctor, why does it feel like I gain the weight back so quickly even after getting procedures like fat-dissolving injections?

Many patients struggle with the feeling that their weight returns despite various treatments. The core issue is often that the body's innate 'ability' to burn fat is compromised. From a modern medical perspective, high insulin resistance or elevated inflammation levels can significantly reduce the efficacy of fat-dissolving injections. In Traditional Korean Medicine (TKM), this state is viewed as the accumulation of Dam-eum (痰飮, phlegm-fluid retention) and Eo-hyeol (瘀血, blood stasis). Dam-eum refers to the stagnation of metabolic waste, while Eo-hyeol refers to debris caused by poor blood circulation. When these block the body's pathways, fat cannot be efficiently excreted and instead lingers in the system. Furthermore, if a patient suffers from Bi-heo (脾虛, Spleen Deficiency), where the digestive and transformative functions are weakened, the metabolic rate drops sharply. Therefore, enhancing 'metabolism' is more critical than mere 'decomposition.' Rather than just removing visible fat, the priority should be creating an internal environment where your body can burn fat spontaneously. We need to identify exactly where your metabolic 'switch' has been turned off.