The yo-yo phenomenon of regaining weight after dieting—frankly, I’ve experienced it too. It’s common to gain back more than before within months after stopping medications like Wegovy or Saxenda. In Traditional Korean Medicine, this is viewed as Pi-Xu (Spleen Deficiency). When Spleen function is weak, food cannot be properly digested and absorbed, leading to fluid retention and edema. If blood stasis (Eohyeol) is also present, metabolism slows, creating a vicious cycle. Our approach isn’t simply to reduce weight but to transform the constitution itself. Phase 1 (weeks 1–4): Reinforce Pi-Wei function with herbal medicine. We use Sajeol-eum (四七飮) as a base to improve intestinal motility, combined with Tae-eumin Sogalgitang if needed to boost metabolism. Acupuncture focuses on Hegu (LI4), Zusanli (ST36), and Tianshu (ST25) to regulate bowel movement and stabilize appetite. Phase 2 (weeks 4–8): This is when weight visibly decreases. However, stopping here is insufficient. TKM views this period as one in which Qi circulation increases and Phlegm-Fluid (Dam-eum) is reduced. It’s essential to establish an exercise routine suitable for body type and gradually reintroduce a normal diet. Phase 3 (weeks 8–12): As target weight approaches, slow down the rate of loss and manage the body’s stabilization. If you continue aggressive reduction at this stage, you risk rebounding. We focus on adequate protein intake, sufficient sleep, and strategies for long-term weight maintenance. In summary, rather than rapid loss, concentrating on constitutional change is key. Through personal experience of trial and error, I learned that quick short-term weight loss damages the Pi-Wei, triggering yo-yo effects. At Baekrokdam Clinic, we diagnose Pi-Wei status and prescribe constitution-based herbal combinations. If you’re interested, I recommend an initial consultation.