Q. I'm in my 40s, and I've noticed that starving myself doesn't work for weight loss like it used to. How does a Korean medicine clinic approach dieting?

I completely understand the frustration; as I entered my 40s, I realized my body didn't respond the same way it once did. I've experienced that heavy feeling and dizziness even after eating very little, so I truly empathize with the challenges of weight management in your 40s. In Traditional Korean Medicine (TKM), we don't simply focus on calorie restriction, but on removing the factors that obstruct metabolic flow. Our process generally follows these steps: 1. Constitutional Diagnosis: We identify where the flow of energy (Qi) is blocked. In particular, we check for 'Spleen Deficiency' (Bi-heo, 脾虛), a state where weakened spleen function leads to poor digestion and nutrient absorption. 2. Removal of Metabolic Waste: We clear 'Phlegm-Fluid' (Dameum, 痰飮—abnormal accumulation of fluids) and 'Blood Stasis' (Eo-hyeol, 瘀血—stagnant blood). Clearing these obstructions is essential for restarting the metabolism. 3. Metabolic Activation: Using customized herbal medicine, we increase core body temperature and naturally raise the basal metabolic rate. This allows the body to utilize energy efficiently without the need for extreme fasting. 4. Lifestyle Correction: We suggest a diet and activity level tailored to your current physical strength. Overly rigorous plans often lead to the 'yo-yo effect' (weight regain). Ultimately, the core is the balance of 'emptying and filling.' By accurately understanding your body's condition, you can manage your health and weight much more comfortably and sustainably.