Q. I've tried weight loss injections like Mounjaro and other Western medications, but I'm terrified of the yo-yo effect. How does a Korean medicine clinic structure its weight management process?

Hello, I am Dr. Choi Yeon-seung of Backrokdam Korean Medicine Clinic. Many people are tempted by new drugs like Mounjaro, and I deeply understand that desperation as I once struggled with various diets myself before becoming a practitioner. The primary concern with such drugs is the 'yo-yo' or rebound effect that hits once the medication is stopped. Instead of forcing the body into submission, our clinic follows a four-step process to create a constitution that burns fat naturally. First, we clear 'Damyum' (痰飮, Phlegm-fluid) and 'Eo-hyeol' (瘀血, Blood stasis). These are metabolic wastes and stagnant blood that hinder circulation. Much like clearing a clogged drain before pouring more water, we must remove these toxins so your metabolism can function properly. Second, we address 'Bi-heo' (脾虛, Spleen Deficiency). If you gain weight even while eating less than others, your Spleen function—responsible for digestion and nutrient transport—is likely weakened. By strengthening this system, we ensure that the food you consume is converted into energy rather than stored as fat. Third, we control 'Wi-yeol' (胃熱, Stomach Heat). If you struggle with 'false hunger' or constant cravings, it may be due to excessive heat in the stomach. Cooling this internal heat allows you to feel naturally satiated with appropriate portions without the stress of suppressing your appetite through willpower alone. Finally, we enter the 'Consolidation Phase' to prevent the yo-yo effect. Maintenance is more important than the initial loss. We focus on protecting your Basal Metabolic Rate (BMR) and stabilizing your body until it recognizes the new, lower weight as its 'set point.' I encourage you to visit us for a personalized diagnosis rather than struggling alone.