Ma Huang is indeed a core ingredient in weight loss herbal medicine, but if not handled properly, it can lead to the side effects you mentioned. Rather than focusing solely on 'losing weight,' we take a safe, systematic approach: 1. Assessing Vital Energy (Qi): We first check for 'Bi-Heo' (Spleen Deficiency), a state where weakened spleen function leads to low energy. Using Ma Huang when energy is too low can cause the heart to overwork. 2. Removing Metabolic Waste: We first clear 'Dam-eum' (phlegm-fluid/unnecessary moisture) and 'Eo-hyeol' (blood stasis). Forcing metabolism while these pathways are blocked can cause dizziness and fatigue. 3. Personalized Prescription: We finely adjust the concentration of Ma Huang based on your heart rate, sleep patterns, and general tension levels. Having gone through my own trial and error early in my career, I believe finding the optimal dose that the body accepts comfortably is far more important than an aggressive prescription. 4. Gradual Adaptation: We do not start with a strong dose; instead, we monitor your response and adjust the dosage gradually to allow your body to adapt. Ultimately, the safety of herbal medicine depends less on 'what is in it' and more on 'how it is regulated.' If you have concerns, the most accurate way to ensure safety is to visit the clinic so we can evaluate your current condition together.