I truly understand how you feel, as I also suffered from the futile struggle of reckless fasting in the past. Especially for office workers in their 30s to 50s, simply starving leads to loss of energy and dizziness, making daily life impossible. From a Traditional Korean Medicine perspective, I have identified two primary options tailored to your needs. First, Korean herbal medicine serves to restart the body's stalled engine. In a state of 'Spleen Deficiency' (Bi-heo), where digestive and spleen functions are weakened, non-physiological waste products called 'Phlegm-fluid' (Dam-eum) accumulate, making it difficult to lose weight even when eating less. In this case, herbal medicine aids circulation and significantly boosts systemic metabolism. However, it requires the dedication to take it three times a day and involves a process of finely tuning the prescription to suit your specific constitution. On the other hand, procedures like lipolytic acupuncture or pharmacopuncture are excellent for directly targeting problem areas. They resolve 'Blood Stasis' (Eo-hyeol), where blood stagnates and fails to flow, and help break down fat cells in those specific regions. They are also convenient to receive during a busy daily schedule. Nevertheless, there are clear limits to resolving root causes—such as overall metabolic decline or appetite control—through procedures alone. If your body always feels heavy, you suffer from severe edema, and your metabolism has dropped, you should take herbal medicine. Conversely, if your weight is somewhat under control but you are struggling with stubborn fat in specific areas, acupuncture is much more efficient. In fact, the best approach is to meticulously check your current vitality and combine both methods appropriately. Ultimately, the answer lies within your current constitution and lifestyle habits.