📝 Detailed Answer
Having experienced the dizziness and dysfunction of extreme fasting myself, I prioritize balancing the body over simply forcing weight loss.
If you struggle with appetite control and feel chronically heavy, a prescription to treat 'Dameum' (痰飮, phlegm-fluid retention) is ideal. Dameum refers to a state where metabolic waste accumulates and stagnates; clearing this is essential to making the body feel lighter.
Conversely, if you feel short of breath and exhausted with minimal activity, you likely have 'Bi-heo' (脾虛, Spleen Deficiency). This is a state where the Spleen's function is weakened, impairing nutrient absorption and transport. Using appetite suppressants hastily in this state can further deplete your health; instead, a prescription to boost vital energy and elevate metabolism is a priority.
For those prone to swelling due to poor circulation, it is necessary to resolve 'Eohyeol' (瘀血, blood stasis). Eohyeol refers to stagnant blood or residues; resolving this allows for proper circulation and more efficient weight management.
Ultimately, the key is distinguishing whether your weight gain is simply due to overeating or a collapse in metabolic function. Even through a non-face-to-face consultation, I encourage you to undergo a detailed medical inquiry (munjin) to determine the precise direction tailored to your body.