top of page
LINE_ALBUM_内装写真_220109_1.jpg

Begin Your
Journey To The Besthealth

We offer a new medical solution that does not rely on medication, but rather on lifestyle modification to eliminate symptoms caused by lifestyle-related factors.

We incorporate Life Style Medicine, exercise and diet prescriptions, which are advocated in modern medicine in the U.S., into our treatment. We provide new options based on medical treatment in a customized manner.

Our clinic is by referral only.

Dr. Shotaro Michishita-

American-style prevention and drug reduction therapy

New Approach

Life Style Medicene

The reality is that modern Japanese medicine can treat illness, but it cannot stop it at the preliminary stage. Preventive medicine has been limited to simply undergoing medical checkups and physical inspections and taking medication as early as possible.

 

In the U.S., including Harvard, physicians are focusing on approaches that improve symptoms rather than just relying on drugs, and this approach is evolving every day. For the first time in Japan, we offer Life Style Medicine, a prescription for lifestyle improvement that is more valuable than drugs, and present concrete figures based on the latest evidence from the four major overseas medical journals. 

489926626994815474Te3CqQXX.jpg

Case Report

青いスーツ
I was able to reduce my hypertension, dyslipidemia, pre-diabetes, and many other lifestyle-related diseases by changing my habits correctly.

Business owner, male in his 50s 

ひびの入ったコンクリート壁

 Symptoms

【カイロプラティック】骨格.PNG
  • Hypertension

  • chronic obstructive pulmonary disease (COPD)

  • Dyslipidemia

  • sleep apnea syndrome

  • Obesity

  • shoulder pain

  • Diabetes

  • herniated disc

  • mild dementia

These symptoms 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
Image by Augustine Wong

​Treatment content

Medical Approach

​ Inspection

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.

Image by Augustine Wong

Drip Treatment

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

​Eat Well

Eat Well

Exercise

Exercise

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.

​Mental Care

Mental care

Build a mindset that reduces stress and calms you down. We offer various approaches such as cognitive behavioral therapy, yoga, and meditation.

There are no drugs that reduce mortality, but dietary habits do. We will provide you with specific meal plans that fit your individual lifestyle.

price

1

Lifestyle prescription + blood test

fat burning drip

Life prescription (diet/exercise prescription/twice a month)

Body composition test (each time)

Fat burning drip (twice a month)

3 types of internal medicine (3 types for the number of months)

Mental care/​Medical consultation

all supplements

Family/employee support

 *30% OFF for employees and family members

  *Free 15 minute medical treatment once a month

Stem cell supernatant

3 months  263,000 yen

​6 months  488,000 yen

1 year   888,000 yen

2

Lifestyle prescription + blood test 2 drips +3 types of internal medicine

Lifestyle prescriptions (diet/exercise prescriptions/twice a month)

Body composition test (each time)

Total infusion (twice a month)

3 types of internal medicine (3 types for the number of months)

Mental care/​Medical consultation

all supplements

Family/employee support

※ companymember·family30% off

*Free 15 minute medical treatment once a month

Stem cell supernatant

3 months  373,000 yen

​6 months  698,000 yen

1 year    1,328,000 yen

Lifestyle prescription + blood test All types of drip +All internal medicines + all supplements

Life prescription (diet/exercise prescription/twice a month)

Body composition test (each time)

Total infusion (twice a month)

Internal medicineall species(Number of months)

Mental care/​Medical consultation

all supplements

family·Employee support

※ companymember·family30% off

*Monthly15 minutes free medical treatment

Stem cell supernatant

3 months  433,000 yen

​6 months  798,000 yen

1 year    1,498,000 yen

3

4

Lifestyle prescription + blood test

All types of drip +All internal medicines + all supplements

Stem cell supernatant

Life prescription (diet/exercise prescription/twice a month)

Body composition test (each time)

Total infusion (twice a month)

Internal medicineall species(Number of months)

Mental care/​Medical consultation

all supplements

family·Employee support

companymember·family30% off

*Free 15 minute medical treatment once a month

Stem cell supernatant(Number of months)

3 months  1,938,000 yen

6 months  3,738,000 yen

1 year      7,228,000 yen

0

​Preventive medical examination

​Inspection review

Screening test​

tumor marker

Three major disease prediction tests

Skeletal structure analysis

body composition test

3か月 1,793,000円

​6か月 3,238,000円

1年  6,138,000円

lifestyle prescription options

​41,800円​

​39,800円

19,800円

21,800円

腸内細菌検査

遺伝子検査(FULL)

ミネラル検査

​心電図検査

lifestyle prescription options

医療機関紹介

医療相談窓口での相談可

体調不良時の薬剤郵送対応(薬代別)

期に1回の血液検査

ビジネスマッチング

500,000円

​※加入後永続会員となります

2

Lifestyle prescription + blood test 2 drips +3 types of internal medicine

Lifestyle prescriptions (diet/exercise prescriptions/twice a month)

Body composition test (each time)

Total infusion (twice a month)

3 types of internal medicine (3 types for the number of months)

Mental care/​Medical consultation

all supplements

Family/employee support

※ companymember·family30% off

*Free 15 minute medical treatment once a month

Stem cell supernatant

3 months  373,000 yen

​6 months  698,000 yen

1 year    1,328,000 yen

0

​Preventive medical examination

​Inspection review

Screening test​

tumor marker

Three major disease prediction tests

Skeletal structure analysis

body composition test

1年  5,650,000円

lifestyle prescription options

月1回点滴追加

360,000円​

lifestyle prescription options

基礎検査・​画像検査

​基礎検査・画像検査・内視鏡

​基礎検査・画像検査・婦人科検査

​脳ドック検査

​内視鏡

270,000円​

​410,000円

360,000円

​45,000円

​150,000円

Flow of treatment

temp_slide02.png

1 診察

保険診療のように型にはまった質問を数分で済ませるものではなく、それぞれのライフスタイルのなかから症状の原因を見つけていきます。

症状の分析、原因の特定に追加検査などが必要な場合は、追加検査を行います。

2  アセスメント(ご提案)

詳細な診察、検査を行うことで、その方々にベストな方針をご提案いたします。

3  治療

アセスメントを元に、生活処方箋、メディカルカイロ、点滴含めた様々な治療をご提供いたします。

具体的なプラン、数値などを共有し、一緒に症状に向き合い伴走していきます。

evidence

エステフィル-スマホ5.png
high blood pressure
論文-肥満症.png

Dyslipidemia/obesity

論文-糖尿病.png

Diabetes

  • 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)

論文-糖尿病.png

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)

論文-糖尿病.png

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)

論文-糖尿病.png

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)

論文-糖尿病.png

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)

論文-糖尿病.png

osteoporosis

論文-糖尿病.png

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)

[References]

  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.
2021 Retired from Jikei University Hospital

2021 Supervised by AFRODE CLINIC

AFRODE CLINIC provides efficient recovery and preventive medicine that does not rely on drugs, with medical care at its core, to people whose daily lives are physically and mentally taxing, such as executives and celebrities. We aim for this area to become a new medical option and take root in the lives of the general public.

489825578259054754smPPjgXX_edited.jpg
ひびの入ったコンクリート壁

​Member Introduction

Specialists in each therapeutic area will take care of your mind and body.

Address

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

Contact

Opening hours

​business days

10:00 am – 6:00 pm

bottom of page