Many people notice a significant shift in their bodies after their late 30s. While skipping a meal might have worked in your 20s, in your 40s it often leads to dizziness and fatigue without any actual weight loss. I fully understand this frustration as it is a common experience. The core of weight loss in your 40s lies in addressing 'Bi-heo' (脾虛), or deficient Spleen function. When the digestive and absorptive capacity declines, it easily leads to the accumulation of 'Dam-eum' (痰飮)—phlegm-fluid retention or metabolic waste—which creates a constitution where weight is difficult to lose. Therefore, I recommend herbal medicine to remove 'Eo-hyeol' (瘀血, blood stasis) to clear stagnant energy and boost overall metabolism. The advantage of this approach is that it allows for natural appetite control without the need for forced starvation, enabling you to manage your weight without draining your vital energy. The greatest appeal is that we complement your body's weaknesses while losing weight. Of course, there are considerations. If you are sensitive to the unique scent or taste of herbal medicine, you may need an adjustment period. Additionally, because every individual reacts differently, a precise tuning process of the herbal dosages is essential at the start. Ultimately, the right answer depends on your current physiological state. Some patients require a potent prescription to jumpstart metabolism, while others must prioritize restoring their general vitality first. I encourage you to visit the clinic so we can analyze your current condition together.