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Begin Your
Journey To The

Our beauty subscription service is based on the premise of a long-term relationship with our patients,Listen to your concerns and choose the best planWe offer monthly plans that are easy to continue.

Our hospital is a referral systemHowever, only patients with this treatment can be treated without a referral from the first visit.

Dr. Shotaro Michishita-


Aesthetic medicine subscription service

New Approach

In addition to blemish treatment, we have prepared a plan that allows you to choose treatments that can be expected to improve skin quality and injection treatments. You can create an Oda maid treatment program that suits you within a fixed monthly fee.



Lifestyle prescription + blood test

fat burning drip

Life prescription (diet/exercise prescription))

Body composition test (each time))

allInfusion (twice a month)

Closing3 types of internal medicine (for several months / 3 types)

ClosingMental support/​medical consultation

ClosingallSupplements (for several months)

ClosingHIFU/radio wave (1 site))

3 months 263,000 yen

​6 months 468,000 yen

1 year 888,000 yen


Lifestyle prescription + blood test + total drip

3 types of internal medicine + mental support

Life prescription (diet/exercise prescription))

Body composition test (each time))

allInfusion (twice a month)

3 types of internal medicine (for several months / 3 types)

Mental support/​medical consultation

ClosingallSupplements (for several months)

ClosingHIFU/radio wave (1 site))

3 months

​6 months   688,000 yen

1 year 1,298,000 yen


Lifestyle prescription + blood test + total drip

All internal medicine + ​mental support

Life prescription (diet/exercise prescription))

Body composition test (each time))

allInfusion (twice a month)

Internal medicineall species(Number of months)

Mental support/​medical consultation

allSupplements (for several months)

ClosingHIFU/radio waves (1 site)

3 months   433,000 yen

​6 months 788,000 yen

1 year 1,498,000 yen

do not rely on medication
Review lifestyle habits from a medical point of view
​health and slimming program

There are no drugs that reduce mortality, but there are dietary habits that reduce mortality. Dietary/exercise guidance with specific numerical values according to individual lifestyles can naturally reduce the risk of lifestyle-related diseases and achieve good health.

Furthermore, by combining HIFU, radio waves, cavitation, etc., it is possible to efficiently and healthily produce effects for partial thinning of the arms, back, abdomen, legs, etc., which can be complex.

I was able to reduce my medications for hypertension, dyslipidemia, pre-diabetes, and many lifestyle-related diseases by changing my habits correctly.

Manager, male in his 50s

​case report


Those who would like to consider

  • ​Those who want to lose weight in a healthy way

  • Those who want to obtain information on the latest foreign papers on health

  • Those who want to deeply understand and face their own bodies

  • Those who already have a lifestyle-related disease and want a solution other than medicine

These problems can be improved without the use of drugs by making appropriate lifestyle changes. We offer tailor-made options based on the latest reliable evidence.

Image by Augustine Wong
Image by Augustine Wong
Image by Augustine Wong

​Treatment content

Medical Approach

Image by Augustine Wong

​ inspection


We give first priority to a detailed medical examination, conduct examinations that suit the individual, and propose the optimal options based on our reliable diagnostic capabilities.


We will mix vitamins, amino acids, etc., according to your physical condition, and provide intravenous drips to increase metabolic efficiency.

​ Meal note

Eat Well

After hearing about your current eating habits, we will specifically present what you eat, what you should eat, and what you should reduce.

Image by Augustine Wong

exercise paper


We present specific exercise methods and amounts that reduce the risk of lifestyle-related diseases. Instead of excessive exercise, we will think together about the content that can be continued.

Image by Augustine Wong



The high-density ultrasonic energy provides a tightening effect on sagging skin and improves the skin's ability to regenerate through collagen regeneration.

radio waves

By improving the flow of blood and lymph, it raises the metabolism of each part and exhibits a synergistic effect in the slimming program.

radio / cavitation

Flow of treatment


1 medical examination

It is not a routine question that can be completed in a few minutes like insurance medical treatment, but we will find the cause of symptoms from each lifestyle.If additional tests are necessary to analyze symptoms and identify the cause, additional tests will be performed.

2  Assessment Planning (Proposals)

By conducting detailed examinations and body composition tests, we propose the best policy for those patients. We will provide guidance on how to improve your eating habits and exercise, and develop a plan to achieve your target weight in a healthy way.

3  Treatment and follow-up

Based on the assessment, we offer a variety of treatments including lifestyle prescriptions, intravenous drips, and oral medications.We will share concrete plans, numerical values, etc., and face the symptoms together and accompany them. By repeating feedback for about 3 to 6 months, we will improve your life together with you and achieve healthy weight loss.


high blood pressure
  • Antihypertensive effect brought about by exercise does not require antihypertensive drugs (1-1)(1-2)

  • When systolic blood pressure is 143 mm Hg or less, antihypertensive drugs are unlikely to be effective (1-3)

  • 3 g daily salt reduction is comparable to antihypertensive drugs (1-4)

  • Excessive salt restriction is unnecessary. Lowest risk of death with sodium intake of 4,500 mg and salt intake of 11.4 g (1-5)



  • People who spend a lot of time sitting have a higher risk of dying. On the other hand, running a total of 4 hours a week can offset the risk of death (2-1)

  • Moderate to vigorous exercise for 40 minutes per week reduces the risk of death by approximately 40% compared to those who rarely exercise (2-2).

  • ​Mediterranean diet good for long-term weight loss and lowest rebound (2-3)



  • Lifestyle improvement is more effective than administration of metformin (an antidiabetic drug) for patients with prediabetes and impaired glucose tolerance (3-1)

  • Replacing trans fatty acids with polyunsaturated fatty acids is the best way to reduce the risk of developing diabetes (3-2).

  • When looking at the course of type 2 diabetes with a lifestyle prescription, it led to a reduction in medical expenses of 803 dollars a year on average compared to conventional medical care. (3-3)


chronic obstructive pulmonary disease (COPD)

  • Regular exercise prolongs COPD 4-year survival. In COPD, the prognosis is significantly different depending on whether exercise is performed or not. (4-1)

  • Regular exercise reduces the risk of hospitalization and death in COPD patients by 30%. (4-2)


irritable bowel syndrome

  • If there is a definite diagnosis based on symptoms, there is no difference in accuracy with blood, stool tests, and colonoscopy. In other words, it is only a medical examination, and no additional examination is necessary. (5-1)

  • A low-FODMAP diet and a gluten-free diet may improve symptoms. (5-2)


Transient ischemic attack

  • Vigorous exercise at least 3 times a week or moderate exercise at least 5 times a week is effective. (6-1)

  • Vegetables, fruits, brown rice, and low salt intake are the basics of a diet for stroke prevention. (6-2)

  • Reducing carbohydrate intake by 5% and replacing it with saturated fat reduces the risk of stroke by 20%. (6-3)

  • People who work long hours have a higher risk of stroke. (6-4)


stable angina

  • Vegetables, fruits and beans reduce mortality from non-neovascular diseases. Eating 50g or more of processed meats, such as sausages, each day increases the risk of coronary artery disease by 40%. (7-1)

  • Daily exercise can reduce cardiovascular risk. Excessive exercise on weekends and holidays is counterproductive. (7-2)




Sleep apnea syndrome (SAS)

  • A 20-minute walk a day can prevent fractures.

  • Strength training improves bone density and leg muscle strength even after menopause. (8-1)

  • Diet + aerobic exercise reduces bone density. A combination of strength training is necessary. (8-2)

  • Balance exercises are the most effective way to prevent falls. (8-3)

  • SAS is greatly influenced by body weight. 10% weight gain increases AHI by 32%. Conversely, a 10% weight loss was associated with a 26% reduction in AHI.A diet-and-exercise weight-loss program can completely cure SAS without the use of CPAP. (9-2)

  • Oral and hypopharyngeal muscle training (Myofunctional Therapy (MT)) improves sleep index. (9-3)


  1. high blood pressure

    1. Effects of the DASH diet alone and in combination with exercise and weight loss on bloodpressure and cardiovascular biomarkers in men and women with high blood pressure: the
      ENCORE study. Arch Intern Med 2010 Jan 25;170(2):126-135.


    2. Appel LJ, Moore TM, Obarzanek E, Vollmer WM, Svetkey LP, Sacks FM, et al. A clinical trial of the effects of dietary patterns on blood pressure. N Engl J Med 1997 Apr17;336(16)1117-24

    3. Lonn EM, Bosch J, Lopez-Jaramillo P, Zhu J, Liu L, Pais P, et al. Blood-PressureLowering in Intermediate-Risk Persons without Cardiovascular Disease. N Engl J Med2016 May 26;374(21):2009-2020

    4. Bibbins-Domingo K, Chertow GM, Coxson PG, Moran A, Lightwood JM, Pletcher MJ, et al. 
      Projected effect of dietary salt reductions on future cardiovascular disease. N Engl J Med 2010 Feb 18;362(7):590-599.


    5. Sacks FM, Svetkey LP, Vollmer WM, Appel LJ, Bray GA, Harsha D, et al. Effects onblood pressure of reduced dietary sodium and the Dietary Approaches to StopHypertension (DASH) diet. DASH-Sodium Collaborative Research Group. N Engl J Med2001 Jan 4;344(1):3-10.

  2. Dyslipidemia/obesity

    1. Ekelund U, Steene-Johannessen J, Brown WJ, Fagerland MW, Owen N, Powell KE, etal. Does physical activity attenuate, or even eliminate, the detrimental association of sittingtime with mortality? A harmonized meta-analysis of data from more than 1 million men and women. Lancet 2016 Sep 24;388(10051):1302-1310.

    2. Wen CP, Wai JP, Tsai MK, Yang YC, Cheng TY, Lee MC, et al.
      physical activity for reduced mortality and extended life expectancy: a prospective cohort
      study. Lancet 2011 Oct 1;378(9798):1244-1253.


    3. Arem H, Moore SC, Patel A, Hartge P, Berrington de Gonzalez A, Visvanathan K, et
      al. Leisure time physical activity and mortality: a detailed pooled analysis of the dose-
      response relationship. JAMA Intern Med 2015 Jun;175(6):959-967.


    4. Larsen TM, Dalskov SM, van Baak M, Jebb SA, Papadaki A, Pfeiffer AF, et al. 
      Diets with high or low protein content and glycemic index for weight-loss maintenance. N Engl J Med 2010 Nov 25;363(22):2102-2113.


    5. Schwarzfuchs D, Golan R, Shai I.
      Four-year follow-up after two-year dietary interventions. N Engl J Med 2012 Oct 4;367(14):1373-1374.


  3. Diabetes

    1. Bibbins-Domingo K, Chertow GM, Coxson PG, Moran AE, Lightwood JM, Pletcher MJ, etal. Reductions in cardiovascular disease projected from modest reductions in dietary salts.N Engl J Med 2010 Feb 18;362(7):590-599

    2. Salmeron J, Hu FB, Manson JE, Stampfer MJ, Colditz GA, Rimm EB, et al. 
      Dietary fat intake and risk of type 2 diabetes in women. Am J Clin Nutr 2001 Jun;73(6):1019-1026.


    3. Yates T, Haffner SM, Schulte PJ, Thomas L, Huffman KM, Bales CW, et al. 
      Association between change in daily ambulatory activity and impaired cardiovascular events in people with glucose glucose tolerance (NAVIGATOR trial): a cohort analysis. Lancet 2014 Mar 22;383(9922):1059-1066.


  4. chronic obstructive pulmonary disease (COPD)

    1. Waschki B, Kristen A, Holz O, Muller K, Meyer T, Watz H, Magnussen H.
      Physical activity is the strongest predictor of all-cause mortality in patients with COPD. CHEST 2001 Aug;140(2):331-342.


    2. Garcia-Aymerich J, Lange P, Benet M, Schnohr P, Anto JM. 
      Regular physical activity reduces hospital admission and mortality in chronic obstructive pulmonary disease: a population based cohort study. Thorax 2006 Sep;61(9):772-778.


  5. Irritable Bowel Syndrome​

    1. Han MAT, Altayar O, Hamdeh S, Takyar V, Rotman Y, Etzion O, et al. 
      Rates of and Factors Associated With Placebo Response in Trials of Pharmacotherapies for Nonalcoholic Steatohepatitis: Systematic Review and Meta-analysis. Clin Gastroenterol Hepatol 2019 Mar;17(4):616-629.e26.


    2. Floch MH, Narayan R. 
      Diet in the irritable bowel syndrome. J Clin Gastroenterol 2002 Jul;35(1 Suppl):S45-52.


    3. Halmos EP, Power VA, Shepherd SJ, Gibson PR, Muir JG. 
      A diet low in FODMAPs reduces symptoms of irritable bowel syndrome. Gastroenterology 2014 Jan;146(1):67-75.e5.


    4. Biesiekierski JR, Newnham ED, Irving PM, Barrett JS, Haines M, Doecke JD, et al. 
      Gluten causes gastrointestinal symptoms in subjects without celiac disease: a double-blind randomized placebo-controlled trial. Am J Gastroenterol 2011 Mar;106(3):508-14; quiz 515.


  6. Transient ischemic attack

    1. Kivimaki M, Jokela M, Nyberg ST, Singh-Manoux A, Fransson EI, Alfredsson L, et al. 
      Long working hours and risk of coronary heart disease and stroke: a systematic review and meta-analysis of published and unpublished data for 603,838 individuals. Lancet 2015 Oct 31;386(10005):1739-1746.


    2. Micha R, Penalvo JL, Cudhea F, Imamura F, Rehm CD, Mozaffarian D. 
      Association Between Dietary Factors and Mortality From Heart Disease, Stroke, and Type 2 Diabetes in the United States. JAMA 2017 Mar 7;317(9):912-924.


    3. Turan TN, Nizam A, Lynn MJ, Egan BM, Le NA, Lopes-Virella MF, et al. 
      Relationship between risk factor control and vascular events in the SAMMPRIS trial. Neurology 2017 Jan 24;88(4):379-385.


  7. stable angina

    1. Antithrombotic Trialists' (ATT) Collaboration, Baigent C, Blackwell L, Collins R, Emberson J, Godwin J, et al. 
      Aspirin in the primary and secondary prevention of vascular disease: collaborative meta-analysis of individual participant data from randomized trials. Lancet 2009 May 30;373(9678):1849-1860.

    2.  Miller V, Mente A, Dehghan M, Rangarajan S, Zhang X, Swaminathan S, et al. 
      Fruit, vegetable, and legume intake, and cardiovascular disease and deaths in 18 countries (PURE): a prospective cohort study. Lancet 2017 Nov 4;390(10107):2037-2049.


  8. osteoporosis

    1. Curtis JR, Delzell E, Chen L, Black D, Ensrud K, Judd S, et al.
      The relationship between bisphosphonate adherence and fracture: Is it the behavior or the medication? Results from the placebo arm of the fracute intervention trial.J Bone Miner Res. 2011 Apr:26;683-688

    2. Robertson MC, Gillespie LD. 
      Fall prevention in community-dwelling older adults. JAMA 2013 Apr 3;309(13):1406-1407.


    3. Villareal DT, Aguirre L, Gurney AB, Waters DL, Sinacore DR, Colombo E, et al. 
      Aerobic or Resistance Exercise, or Both, in Dieting Obese Older Adults. N Engl J Med 2017 May 18;376(20):1943-1955.


    4. Watson S, Weeks B, Weis L, Harding A, Horan S, Beck B. 
      High-Intensity Resistance and Impact Training Improves Bone Mineral Density and Physical Function in Postmenopausal Women With Osteopenia and Osteoporosis: The LIFTMOR Randomized Controlled Trial. J Bone Miner Res 2019 Mar;34(3):572.


  9. Sleep apnea syndrome (SAS)

    1. Camacho M, Certal V, Abdullatif J, Zaghi S, Ruoff CM, Capasso R, et al. 
      Myofunctional Therapy to Treat Obstructive Sleep Apnea: A Systematic Review and Meta-analysis. Sleep 2015 May 1;38(5):669-675.

    2. Peppard PE, Young T, Palta M, Dempsey J, Skatrud J. 
      Longitudinal study of moderate weight change and sleep-disordered breathing. JAMA 2000 Dec 20;284(23):3015-3021.

Representative doctor: Shotaro Michishita

2015 Graduated from Jikei University School of Medicine
2017 Jikei University School of Medicine University Hospital / Neurosurgery

2019 Established Re.habilitation Co., Ltd.
2017 Retired from Jikei University Hospital

2021 Supervised by AFRODE CLINIC

AFRODE CLINIC provides efficient recovery and preventive medicine centered on medical care that does not rely on drugs for business owners, celebrities, and other people who are burdened both physically and mentally in their daily lives. We aim to make this area a new medical option and take root in ordinary life.


​member introduction

Specialists in each therapeutic area ​ face your body and mind.


BASE Jingumae B1F, 3-5-7 Jingumae, Shibuya-ku, Tokyo


Opening Hours

​business days

10:00am – 6:00pm



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