top of page
LINE_ALBUM_内装写真_220109_1.jpg

Begin Your
Journey To The Best healthy diet

We are a clinic offering the world's mainstream medical diet.

The most advanced medical treatment overseas does not use drugs in slimming, but rather a lifestyle modification approach based on medical evidence such as diet and exercise.

 

Please experience a customized diet program to change your lifestyle based on inspection and Inspection.

Our clinic is by referral only, but only patients for this treatment can be treated from the first visit.

Dr. Shotaro Michishita-

鶏肉と野菜

Uniqueness of our medical diet

New Approach

Many clinics in Japan offer dangerous treatments such as diabetes medication (GLP injections) and fat-dissolving injections, which can achieve weight loss but only worsen the health condition.

Our clinic eliminates all such approaches and offers a medically healthy diet that combines Life Style Medicine, which is advocated by Harvard University and other institutions, with intravenous drips and cosmetic medicine.

There is no better health-conscious approach to slimming than lifestyle modification, and this is common knowledge in medical journals around the world. Let's not be fooled by transient and unhealthy approaches to slimming, but pursue true health that truly addresses the body and mind.

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

There is no medicine that can reduce mortality, but there are dietary habits that can reduce mortality. Diet and exercise guidance that is tailored to individual lifestyles and provides specific numerical values will not only produce weight loss results but will also naturally reduce the risk of lifestyle-related diseases and help you achieve good health.

In addition, the combination of HIFU, radiofrequency, cavitation, and other techniques can also be used to lose weight in areas such as the arms, back, abdomen, and legs, which can become complex, in an efficient, healthy, and cosmetically pleasing manner.

ハーバード食事写真.png
青いスーツ
I was able to reduce hypertension, dyslipidemia, pre-diabetes, and numerous lifestyle-related diseases by changing my very habits correctly.

Manager, male in his 50s

​Case Report

ひびの入ったコンクリート壁

Those who would like to consider

【カイロプラティック】骨格.PNG
  • ​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

​Treatment details

Medical Approach

Image by Augustine Wong

​ 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.

Infusion

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

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.

Image by Augustine Wong

hyphen

Hifu

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

Image by Augustine Wong

radio waves
cavitation

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

price

1

Lifestyle prescription + blood test

fat burning drip

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

allSupplements (for several months)

HIFU/radio wave (1 site))

3months 263,000 yen

​6months 488,000 yen

1year 888,000 yen

2

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

allSupplements (for several months)

HIFU/radio wave (1 site))

 3months 373,000yen

​6months   698,000yen

1year 1,298,000yen

3

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 medicine all species(Number of months)

Mental support/​medical consultation

allSupplements (for several months)

HIFU/radio waves (1 part)

3months   433,000 yen

​6months 798,000 yen

1year 1,498,000 yen

4

Lifestyle prescription + blood test

total drip​ + all internal medications

Mental support + HIFU

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)

HIFU/radio waves (1 part)

3months 533,000yen

​6months 818,000 yen

partial slimming

HIFU+​Radio waves/cavitation

Abdomen (Waist)/Back/Butt/Thigh

198,000 yen/site

Upper arm/above the knee

168,000 yen/site

3times set

20% OFF

Flow of treatment

temp_slide02.png

1 medical examination

Unlike medical insurance, where questions are answered in a matter of minutes, we will find the cause of your symptoms from your 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.

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 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.

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

​member introduction

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

Address

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

Contact

Opening Hours

​business days

10:00am – 6:00pm

bottom of page