Q. I drink lightly about once or twice a week. Do I have to quit alcohol completely while dieting?

In professional social settings, avoiding alcohol can be challenging, and many people assume a small amount won't hinder progress. However, from a Traditional Korean Medicine (TKM) perspective, alcohol easily generates 'Dameum' (phlegm-fluid), which are sticky metabolic wastes. This obstructs the circulation of Qi and Blood, creating an environment where weight gain occurs more easily. Specifically, those with 'Bi-heo' (Spleen Deficiency)—a weakened digestive system—experience a significant drop in metabolic capacity when alcohol is consumed. In such cases, a single drink isn't just about calories; it acts as a switch that shuts down the body's entire fat-burning system. I recommend categorizing your situation as follows: 1. If you experience severe bloating (edema) and slow recovery the day after drinking: I strongly recommend abstinence. You must first clear 'Eo-hyeol' (blood stasis) and metabolic waste for the weight loss treatments to be truly effective. 2. If your condition remains stable and you can maintain your diet after drinking: You may continue with a fixed frequency and amount. In this case, the choice of side dishes is crucial; prioritize proteins and vegetables over high-sugar fruits or fried foods. Ultimately, the key is whether your body has the innate strength to process alcohol. During your visit, I will evaluate your current energy levels and metabolic capacity to provide a customized guideline that doesn't overburden your system.