I have personally experienced the frustration of trying to lose weight through extreme fasting, only to end up feeling dizzy and unable to function. From that experience, I can tell you that diet herbal medicine is not just about shedding weight, but a process of restoring your body's internal balance. Recommendations vary based on your specific constitution: First, for those with weak digestion and low energy, we must check for 'Spleen Deficiency (Bi-heo).' When spleen function is impaired, nutrient absorption drops, leading to rapid fatigue. For these individuals, a prescription that boosts metabolism is crucial rather than simply restricting calories. If you experience frequent swelling and a heavy feeling in the body, it is likely due to the accumulation of 'Phlegm-Fluid (Dameum)' or 'Blood Stasis (Eo-hyeol).' Phlegm-fluid refers to the stagnation of metabolic waste, while blood stasis refers to poor blood circulation. In such cases, I recommend prescriptions that prioritize improving circulation first. Additionally, some patients suffer from side effects or the yo-yo effect after using conventional weight-loss medications like Saxenda or Wegovy. In these cases, the metabolic system is often exhausted, so the focus should be on recovering the body and gradually improving the constitution rather than using strong stimulants. Even through a remote consultation, it is paramount to accurately identify your current state. I invite you to consult with me to understand the signals your body is sending and decide on the best path forward together.