In my clinical practice, patients generally fall into two main categories. The first group consists of those who previously viewed weight loss as a matter of 'willpower' and resorted to extreme fasting. These patients often present with Spleen Deficiency (脾虛), characterized by weakened digestive function and low energy. When they fast indiscriminately, they experience severe lethargy and dizziness. For these individuals, I prioritize prescriptions that replenish vital energy (Qi) and boost metabolic rates first. The second group includes those struggling with the 'yo-yo effect' or side effects from conventional weight-loss medications. These cases often involve Phlegm-Fluid (痰飮)—the accumulation of metabolic waste—or Blood Stasis (瘀血), where circulation is obstructed. If we simply suppress the appetite in this state, the body often rebels. Therefore, my focus is not merely on 'how much to lose,' but on 'how to clear the stagnation' within the body. It is important to note that the medication does not work like magic for everyone. Some may experience mild palpitations, while others might find their digestion becomes so efficient that managing meal portions becomes a new challenge. The key is the process of meticulously observing your body's reactions and refining the prescription. Let's work together to find the optimal balance that fits your specific body type.