In my practice, I typically see two patterns. First are those who experienced nausea or the 'yo-yo effect' from Western pharmaceutical diets. These patients often suffer from Spleen Deficiency (脾虛), meaning their digestive function is weakened. For them, further fasting is counterproductive; instead, we focus on replenishing Qi to boost the basal metabolic rate. Second are those who feel they gain weight even from drinking water. This is often due to the accumulation of Phlegm-Fluid (痰飮) and Blood Stasis (瘀血), which obstructs circulation. Phlegm-Fluid refers to accumulated metabolic waste, and Blood Stasis refers to stagnant, non-circulating blood. We must first clear these 'stagnant waters' to accelerate weight loss. Telemedicine is not simply about shipping medicine; it involves a meticulous review of medical questionnaires and visual inspection of the complexion and tongue (tongue diagnosis/설진) via video to determine the patient's constitution. While I honestly admit it is not identical to an in-person visit, we have built a rigorous system to maximize prescription precision. Since the speed of response varies by constitution, I encourage you to start with a mindful approach, observing how your body gradually transforms.