Q. Doctor, I'm having a lot of trouble losing fat specifically from my thighs. What treatments do you usually recommend at a Korean medicine clinic?

To be honest, I remember in my younger days when I focused solely on intense exercise, only to find my legs getting thicker. It was quite a frustrating experience. Speaking from that perspective, thigh fat is often not solved by simply 'eating less and walking more.' The advantage of the Traditional Korean Medicine (TKM) approach is that it focuses on clearing 'stagnation points' within the body. When blood stasis (Eohyeol; stagnant or impure blood) or phlegm-fluid (Dameum; unnecessary metabolic waste) accumulates in the lower body, you may feel as though you aren't losing weight regardless of how much you fast. By resolving these through herbal medicine and acupuncture, circulation is restored, which helps in refining the body line. Of course, there are some drawbacks. Because herbal medicine is tailored to the individual, preparation takes time, and acupuncture requires regular clinic visits. Additionally, some patients may experience a 'healing crisis' (Myeonghyeon reaction), which requires careful monitoring. Ultimately, the recommended method depends on your specific condition. For instance, if you have Spleen Deficiency (Biheo; weakened digestive and absorptive function), you must first replenish your vital energy before weight loss can begin. If edema is severe, we must first address water metabolism. Rather than indiscriminate fasting, I recommend we analyze why your body is storing energy in the lower body and decide on a treatment plan together.