In my clinical experience, patients usually fall into two categories: those who suffered from nausea or yo-yo effects after using Western pharmaceutical weight loss aids like Saxenda, and office workers trapped in a weight-loss plateau due to chronic fatigue and severe edema. Traditional Korean Medicine (TKM) takes a different approach. Rather than focusing solely on calorie restriction, we first clear the 'metabolic waste' accumulated in the body. If there is a significant amount of Blood Stasis (瘀血, eo-hyeol)—where blood circulation is blocked—or Phlegm-Fluid Retention (痰飮, dam-eum)—where bodily fluids fail to circulate—weight loss remains difficult even while fasting. Furthermore, if you are in a state of Spleen Deficiency (脾虛, bi-heo) with weak digestive power and low energy, blindly cutting your diet will only further depress your metabolism and leave you feeling exhausted. The core of a successful telehealth prescription is pinpointing these exact issues. By analyzing seemingly minor details—such as your sleep patterns, bowel regularity, and sensitivity to cold—we can determine where your 'metabolic switch' is turned off. While telehealth offers great convenience, the most definitive diagnosis comes from an in-person pulse diagnosis. If you absolutely cannot visit the clinic, I recommend starting with a thorough consultation. Ultimately, the secret to success is working together to find the right pace and formula tailored specifically to your unique body type.