I remember from my younger days trying to force weight loss through intense exercise, only to end up with knee injuries rather than results. Having gone through that trial and error, I truly understand your frustration. In Traditional Korean Medicine (TKM), lower body obesity is viewed not simply as a fat accumulation problem, but as a 'stagnation of circulation.' Let me honestly outline the strengths and weaknesses of the treatment path I recommend. First, the core of herbal medicine and acupuncture is to correct the body's imbalance. By removing 'Dameum' (痰飮, accumulated metabolic waste) and improving the flow of 'Eohyeol' (瘀血, blood stasis or stagnant blood), the heaviness in the lower body is noticeably reduced. In particular, those with 'Bi-heo' (脾虛, Spleen Deficiency)—where the body's digestive and transport functions are weakened—often suffer from severe edema. Addressing this significantly boosts diet efficiency. The downside is that unlike some Western diet pills that cause an immediate drop in numbers by forcibly suppressing appetite, TKM requires time to create a 'body state primed for weight loss.' It is a fundamentally different approach. Furthermore, using herbal medicine that doesn't match your constitution can cause further swelling or discomfort, which is why a precise diagnosis is indispensable. Ultimately, the answer depends on your current state. Some only need to reduce fat, while others must first clear blocked circulatory pathways. I invite you to visit the clinic so we can investigate together exactly why your lower body feels heavy.