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Q. Is there a way to prevent yo-yo dieting?

A.

Check that your weight loss was not too rapid; slower reduction reduces rebound. Ensure natural appetite regulation improves—in TKM, resolving Spleen Deficiency (pi xu) is key. Verify that lifestyle changes have become daily habits, not just 'diet mode.' Regular TKM pattern identification can assess residual Phlegm-Fluid (tan yin) or Blood Stasis (yu xue), which hinder metabolism.

📝 Detailed Answer

Yo-yo effect is not just about regaining weight—it stems from the body 'remembering' a starvation state. In TKM, this is viewed through Spleen Deficiency (pi xu) and Phlegm-Fluid (tan yin). Spleen Deficiency means the spleen's function is weakened, impairing nutrient absorption and transport; extreme dietary restriction further depletes spleen qi, causing the body to store energy aggressively when normal eating resumes. Additionally, accumulated Phlegm-Fluid obstructs metabolic flow and fat breakdown, while Blood Stasis (yu xue) impairs circulation and waste elimination. Prevention centers on gradual change: using herbal medicine, acupuncture, or moxibustion to tonify the spleen and resolve Phlegm-Fluid and Blood Stasis can lower the body's weight set point. Rather than rapid loss, repeating pattern identification every 2–3 months to stabilize the constitution is often more effective. Individual variation exists, so an in-person diagnosis is recommended.
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Dr. Yeonseung Choe

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