Based on my clinical experience, two common patterns emerge. Patients with Spleen Deficiency (脾虛, Bi-heo), characterized by weak digestive function, may initially feel a loss of energy, but their overall condition improves as edema decreases. Conversely, those with an accumulation of Phlegm-Fluid (痰飮, Dam-eum) or Blood Stasis (瘀血, Eo-hyeol)—metabolic waste products—often report feeling heavy or stiff in the early stages. Some patients mistake these reactions for side effects, but they are often natural signals that the body is undergoing a metabolic shift. Of course, this isn't universal; those with a naturally sensitive constitution may react more intensely to small changes. This is why I frequently check in with you after prescribing medication. Through my own journey from relying solely on theory to practicing clinically, I've learned that the most accurate answer lies in the patient's subjective sensations. Our goal is not merely to suppress appetite, but to ensure your body's metabolism is functioning properly. Please feel free to share your experiences so we can find the optimal balance for your specific body type.