Many patients worry about symptoms like palpitations or insomnia associated with Ma Huang. In my early years of practice, I relied too heavily on theory, but clinical experience taught me that every patient reacts differently. Therefore, we focus on balancing the body rather than simply forcing weight loss. 1. Dosage Adjustment by Constitution: While Ma Huang aids metabolism, it can be counterproductive for those with Spleen Deficiency (脾虛), where energy levels are already low. We diagnose your current health status first to fine-tune the dosage. 2. Concurrent Waste Removal: It is not enough to simply 'burn' fat; we must also clear Phlegm-Fluid (痰飮, internal metabolic waste) and Blood Stasis (瘀血, stagnant blood). This approach softens the body's reaction to the medicine and reduces overall strain. 3. Gradual Adaptation Process: We do not start with high-potency formulas. We allow the body time to adapt, gradually increasing the strength of the prescription in stages. 4. Real-time Feedback Integration: If you experience palpitations or tremors, please let us know immediately. The core of TKM weight loss is the immediate modification of the prescription to minimize discomfort. Ultimately, 'who prescribes it and how' is more important than 'what is in it.' I encourage you to visit the clinic for a detailed constitutional consultation to address any concerns you may have.