In my own experience during my studies, I learned the hard way that prioritizing 'efficiency' over fundamentals often leads to setbacks. While telehealth is convenient, the core of Traditional Korean Medicine (TKM) lies in 'direct clinical observation.' The causes of weight gain vary significantly by individual. Some suffer from circulation blockages due to Eohyeol (瘀血, blood stasis), while others have a sluggish metabolism caused by Dameum (痰飮, abnormal fluid retention or phlegm). For instance, if a patient with Biheo (脾虛, Spleen deficiency)—characterized by poor digestive power and low energy—is prescribed strong appetite suppressants without a proper diagnosis, they are highly likely to experience dizziness or lethargy. I vividly remember feeling lightheaded myself when I pushed my diet too hard without considering my body's state. Only by meeting in person to perform pulse diagnosis (Jinmaek) and tongue diagnosis (Seoljin) can we accurately determine the specific medicinal herbs required for your current state. Please view this process not as simply losing weight, but as flipping the 'metabolic switch' of your body back on. I strongly recommend an initial in-person consultation to create an accurate 'map' of your constitution. Once you reach the maintenance phase, you can fully enjoy the convenience of telehealth. Let's work together to find the most comfortable and effective path for you.