Doctor, for someone with severe obesity like me, which is better: Western medicine or Traditional Korean medicine? Can you give me a recommendation?

I understand the frustration and urgency that comes with severe obesity; weight gain affects both physical health and mental well-being. In TKM, herbal medicine excels at restoring bodily balance. We often address a condition called 'Spleen Deficiency' (脾虛), where the digestive system fails to convert food into energy, causing it to accumulate as fat. Herbal treatments strengthen the Spleen and discharge 'Phlegm-fluid' (痰飮, metabolic waste) to enhance metabolic efficiency. Since movement requires energy, we aim to revitalize your Qi first so you have the strength to be active. However, there are trade-offs. Herbal medicine lacks the instant, dramatic appetite suppression found in Western drugs and requires more time to fundamentally alter your constitution. You must also adapt to the unique taste and aroma of the decoctions. While Western medicine is intuitive and fast, many patients seek TKM after experiencing the 'yo-yo effect,' insomnia, or palpitations. The 'better' choice depends on your current state. If stopping binge eating is the absolute priority, Western medicine may be a temporary tool. But if your metabolism is damaged from repeated diet failures, I recommend TKM to replenish your vital energy and gradually improve your constitution for sustainable health.