Q. Doctor, can I eat hamburgers while I'm on a diet? I try to pick the 'healthier' options, but why am I not losing any weight?

I often encounter patients asking if 'just one burger' is acceptable during weight loss consultations. From a clinical perspective, hamburgers are primary triggers for 'blood sugar spikes.' The refined flour in the buns and the high-sugar sauces cause a surge in insulin, which signals the body to store energy as fat rather than burning it. In TKM, we interpret this through the concepts of 'Biheo' (Spleen deficiency) and 'Dameum' (phlegm-fluid). The 'Spleen' in TKM governs digestion; when it is weakened by processed foods, it fails to transform nutrients into vital energy, leading to the buildup of sticky waste products (Dameum) throughout the body. Furthermore, the additives in processed patties can cause 'Eohyeol' (Blood Stasis), which impairs blood quality and circulation, eventually lowering your basal metabolic rate. While you can mitigate damage by removing sauce or adding vegetables, the priority in TKM is restoring Spleen function so your body can efficiently discharge waste and break the cycle of weight retention.