Before becoming a practitioner of Korean Medicine, I also struggled with dieting—going through cycles of starvation and binge eating, feeling dizzy while the scale wouldn't budge. I understand that frustration deeply. Therefore, I don't just prescribe medicine; I first analyze your current physiological state. If your primary struggle is an inability to control appetite that disrupts your daily life, non-face-to-face prescriptions are a very efficient alternative. However, I take a different approach in the following two cases: 1. If you experience significant bloating and a feeling of heaviness, we must address 'Dameum' (痰飮, phlegm-fluid retention). This is a state where waste products accumulate and block the circulation of Qi and Blood. In this case, a prescription that promotes circulation is more important than simply suppressing appetite. 2. If you have weak digestion and fatigue easily, you likely have 'Bi-heo' (脾虛, Spleen Deficiency). When the Spleen function is impaired, nutrient absorption and transport are inefficient. Using potent appetite suppressants in this state can further deplete your vital energy. For those in these categories, it is much safer to visit the clinic for a pulse diagnosis and constitutional analysis. If you are unsure whether you need 'simple appetite control' or 'improvement of the internal bodily environment,' please let me know. We will find the most comfortable and effective method together.