The reason the yo-yo effect repeats is not simply weight gain, but that the body's metabolic system has been disrupted. Especially after severe dietary restriction or drug-based diets, the Spleen and Stomach (biwi) function weakens, so the body cannot properly absorb energy from food, and instead the residue accumulates as Phlegm and Fluid Retention (dameum—unnecessary moisture and waste in the body). This state is called Spleen Deficiency (biheo—reduced digestive and energy-production capacity), and when Spleen Deficiency is present, the constitution becomes prone to yo-yo effects no matter how little you eat. At our Baekrokdam Korean Medicine Clinic, we take a phased approach to prevent the yo-yo effect: **Weeks 1–2 (Adaptation period):** We assess the degree of Spleen Deficiency and Phlegm and Fluid Retention by checking your pulse, tongue coating, and abdominal examination. At this stage, we use herbal medicine to warm the Spleen and Stomach (geonbi geodam—strengthening the Spleen and dispelling phlegm) and emphasize regular meal timing — 'always eat breakfast, keep dinner light.' You may feel hungry and dizzy at first — I also struggled with hunger in the early phase. **Weeks 2–4 (Transition period):** As the body gradually adapts, the Phlegm and Fluid begin to dissolve. During this time, we may add herbs that resolve Blood Stasis (eohyeol—circulation disorders). Patients often say, 'Digestion is better and my body feels lighter.' However, the goal is not rapid weight loss but slow stabilization of weight. While I cannot give specific numbers due to medical regulations, most people notice gradual changes in waist circumference or body fat percentage from the 2nd to 3rd week. **After 1 month (Stabilization period):** Once Spleen Deficiency and Phlegm and Fluid Retention improve, this is the final stage toward a yo-yo-free constitution. At this point, we supplement Qi and Blood (gihyeol) while training you to completely change lifestyle habits — for example, how to adjust after a binge, or replacing sugar cravings with warm tea when stressed. Our emphasis is that 'dieting is not about finishing, but about maintaining.' Patients who visit consistently often maintain a healthy weight without yo-yo effects even after 3–6 months. Korean Medicine weight management focuses not on rapid loss but on correcting the body’s root cause to prevent rebound. If you are exhausted from side effects or the yo-yo effect, a consultation may be helpful.