Q. Why is it so hard to lose just my belly fat? I'm also curious about what the abdominal obesity index actually means.

Hello, I am Dr. Yeon-seung Choi from Baengnokdam Clinic. Even as a practitioner, I often find myself concerned about a bulging belly after late-night snacks, a struggle many professionals in their 30s to 50s can relate to. Abdominal obesity metrics are essentially indicators of visceral fat levels. From a Western medical perspective, the mechanism is clear: refined carbohydrates and alcohol cause blood sugar spikes and excessive insulin secretion. This leads to 'insulin resistance,' where surplus energy is stored as 'toxic' visceral fat between organs rather than subcutaneous fat. Traditional Korean Medicine (TKM) identifies three main causes for this. First is 'Biheo' (Spleen Qi Deficiency), where the digestive system's 'engine' lacks the power to burn energy. Second is 'Damyum' (Phlegm-fluid), where undigested residues turn into sticky waste in the abdomen. Finally, 'Eo-hyeol' (Blood Stasis) obstructs circulation, making the abdomen cold and further slowing metabolism. Because abdominal obesity stems from a compromised metabolic system, it cannot be fixed by starving yourself. You must clear the accumulated Damyum and Eo-hyeol while revitalizing your internal energy. I recommend a thorough assessment of your body's circulation rather than struggling with hunger alone.