Many people experience side effects like heart palpitations or insomnia when taking diet medications without a proper diagnosis. In Traditional Korean Medicine (TKM), we don't simply focus on reducing weight; we investigate why your body has become prone to gaining weight. For instance, we need to determine if you have 'Eohyeol' (瘀血, blood stasis) caused by poor circulation or 'Dameum' (痰飮, phlegm-retained fluid) resulting from accumulated waste products. Specifically, those with 'Bi-heo' (脾虛, Spleen deficiency) and weakened digestive functions may experience nausea if given potent herbs, often leading them to give up mid-treatment. While telemedicine relies on questionnaires, a face-to-face visit allows the practitioner to perform pulse diagnosis and abdominal palpation (Bok-jin) to intuitively assess inflammation levels and the degree of edema. This precision minimizes side effects and allows for a prescription tailored to your unique constitution. I recommend visiting the clinic initially to accurately map out your body's condition. Once your state has stabilized, transitioning to non-face-to-face management can be a highly efficient option.