In my clinical experience, patients generally fall into two main types: those who can't control their appetite and those who eat very little yet still can't lose weight, which is frustrating. In the latter case, Traditional Korean Medicine views this as a condition of phlegm-fluid retention (痰飮, dam-eum), where metabolic waste accumulates in the body and stagnates metabolism—like trash piled up on a road blocking traffic. Others have spleen qi deficiency (脾虛, bi-heo), where the spleen's function is weak, impairing nutrient absorption and energy conversion. Forcing dietary restrictions on such individuals only drains their vitality further, leading to a vicious cycle of binge eating—what I call 'digging a hole.' I realized through study that if the body's engine is off, stepping on the accelerator doesn't help. When blood stasis (瘀血, eo-hyeol) from poor circulation is also present, the body feels heavy and bloated. So rather than obsessing over weight loss alone, we prioritize clearing blockages and replenishing deficient energy with appropriate herbal prescriptions. However, response speed and patterns vary widely depending on constitution and lifestyle habits. Rather than relying on 'what worked for others,' accurately reading the signals your body is sending right now seems to be the fastest path forward.