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Initiation of Pre-Transplant Preparation Using High-Concentration Hydrogen NanoGAS ® Water

— An Adjunctive Treatment to Maximize the Efficacy of Fecal Microbiota Transplantation (FMT) In recent years, interest in fecal microbiota transplantation (FMT) has been growing as a treatment aimed at improving the intestinal environment. Some medical institutions affiliated with the Clinical Research Society for Fecal Microbiota Transplantation have begun using high-concentration hydrogen NanoGAS® water as…

— An Adjunctive Treatment to Maximize the Efficacy of Fecal Microbiota Transplantation (FMT)

In recent years, interest in fecal microbiota transplantation (FMT) has been growing as a treatment aimed at improving the intestinal environment. Some medical institutions affiliated with the Clinical Research Society for Fecal Microbiota Transplantation have begun using high-concentration hydrogen NanoGAS® water as an adjunctive measure to help restore the intestinal environment to a normal state more quickly.

Please check the “Affiliated Medical Institutions” page to find medical institutions that perform high-concentration hydrogen NanoGAS®︎ water enemas. The information for each institution will include the notation “High-concentration hydrogen NanoGAS®︎ water enema: Available.”

Affiliated Medical Institutions:https://fmt.sym-biosis.co.jp/en/medical-institutions/partners

Produced using specialized technology, this high-concentration hydrogen NanoGAS® water possesses unique physical properties distinct from conventional saline solution. It helps regulate the intestinal environment and serves as “soil preparation” to aid in the colonization of bacteria transplanted during fecal microbiota transplantation.

What Is “High-Concentration Hydrogen NanoGAS® Water” with the Strongest Reducing Power?

High-concentration hydrogen NanoGAS® water contains a significantly higher concentration of hydrogen-containing bubbles compared to standard hydrogen NanoGAS® water.

Hydrogen NanoGAS® water is a proprietary technology of Shinbiosis Corporation and is used to prepare bacterial suspensions for fecal microbiota transplantation. It involves applying a special processing method to water—a compound that, despite being ubiquitous, is considered one of the most poorly understood.

Hydrogen molecules are trapped within the bubbles of this water; however, since the size of these bubbles spans both the “nano” and “pico” ranges, they are formally referred to as “nanopico bubbles.” The term “nanopico” is recognized as a registered trademark in Japan.

The Mechanism of High-Concentration Hydrogen NanoGAS® Water

The reason for its remarkably high adjunctive therapeutic effect lies in its powerful reducing potential.

  • Maintenance of a High Reduction Potential: Nanopico bubbles can stably retain hydrogen molecules—which possess powerful reducing properties—within the bubbles for extended periods.
  • Instant Elimination of Oxidative Stress: Thanks to this high reducing power, high-concentration hydrogen NanoGAS® water has the ability to immediately neutralize reactive oxygen species and reactive nitrogen species—which cause inflammation—within the intestinal tract.
  • Role as a “Starter”: By suppressing oxidative stress, it acts as a “starter” to calm excessive activity in the intestinal immune system and simultaneously activate normal metabolic processes (such as the production of short-chain fatty acids).


Supporting the Colonization of Gut Bacteria

Using high-concentration hydrogen NanoGAS® water as a pretreatment for fecal microbiota transplantation (FMT) is expected to efficiently support the colonization of the transplanted bacteria.

“Preparing the Soil” for a Successful FMT

In FMT, high-concentration hydrogen NanoGAS® water plays the following roles.

First, administering high-concentration hydrogen NanoGAS®︎ water via enema neutralizes inflammation (oxidative stress) within the intestinal tract through its powerful reducing power. This immediately establishes a healthy intestinal environment conducive to the colonization of the transplanted bacteria.

About High-Concentration Hydrogen NanoGAS®︎ Water Enemas

Administration Method:

When administering a high-concentration hydrogen NanoGAS®︎ water enema, the dosage and timing are determined based on the physician’s judgment.

Frequency:

  • As a general rule, the initial treatment consists of a single administration. Based on the patient’s response, the physician will then determine whether to continue treatment and, if so, the frequency.
  • In cases of severe oxidative stress, or to maintain an improved condition, repeated administration (via enema or oral intake) may be necessary.

Frequently Asked Questions

Q1: Is high-concentration hydrogen NanoGAS® water a pharmaceutical product?

No, high-concentration hydrogen NanoGAS® water has not been approved as a pharmaceutical product or quasi-drug; therefore, its expected effects and efficacy have not been approved. For this reason, its use must be conducted as a self-funded medical treatment (not covered by Japanese health insurance) at the discretion of a physician.

Q2: Why is high-concentration hydrogen NanoGAS® water administered via enema before a fecal microbiota transplant (FMT)?

High-concentration hydrogen NanoGAS® water plays a crucial role in “preparing the soil” to increase the clinical response rate (success rate) of FMT.

Q3: Is it effective for constipation and diarrhea?

Both conditions are believed to involve oxidative stress in the intestines. Evidence suggests that neutralizing oxidative reactions with high-concentration hydrogen NanoGAS®︎ water may alleviate both constipation and diarrhea. In particular, for patients prone to constipation, high-concentration hydrogen NanoGAS®︎ water may stimulate intestinal peristalsis. However, please be aware that the expected effects and benefits have not been fully verified.

Q4: What are the risks and precautions associated with using high-concentration hydrogen NanoGAS® water?

Very rare risks that have been reported include abdominal distension (bloating), changes in bowel habits, mild fatigue, and vomiting. If you experience any changes in your physical condition, please consult a doctor immediately.

Conclusion

Due to its powerful reducing properties, high-concentration hydrogen NanoGAS® water is expected to serve as an effective adjunctive treatment for improving the intestinal environment, particularly for enhancing the success rate of fecal microbiota transplantation.

Patients interested in this treatment are encouraged to consult with a medical institution affiliated with the Clinical Research Society for Fecal Microbiota Transplantation.

Costs vary by medical institution.

Please check the affiliated medical institutions page to find facilities that perform high-concentration hydrogen NanoGAS® water enemas. Each institution’s profile will indicate “High-concentration hydrogen NanoGAS® water enema: Available,” so please look for this notation.

Affiliated Medical Institutions: https://fmt.sym-biosis.co.jp/en/medical-institutions/partners

Related Articles

▶︎ Here, we introduce “Hydrogen NanoGAS Water” as a dietary supplement.

▶︎ We have applied for a utilitypatent regarding highconcentrationhydrogenNanoGAS® water enemas.【Press Release】Notice ofPatent Application forTechnology Related to HydrogenNanoGAS® Water

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  • 城谷昌彦医師|IBS・潰瘍性大腸炎のQOLを変えるFMT治療の現在地

    日々の診療の中で、従来の標準治療だけでは十分に対応しきれない慢性的な消化器疾患。特に、潰瘍性大腸炎や過敏性腸症候群(IBS)を患う人々は、検査数値や画像所見だけでは見えにくい深い不安と、生活上の大きな制限を抱え続けている。 城谷バイオウェルネスクリニックの城谷昌彦医師が「腸内フローラ移植(FMT)」という新たな治療領域に関心を持った大きなきっかけ―――それは、他でもない先生自身が回腸嚢炎の治療法の一つとしてFMTを自ら受けた経験にあった。 自ら患者としてFMTを体験した医師は、臨床でNanoGAS®-FMT(水素ナノバブル水を用いた腸内フローラ移植)をどう活かし、患者の人生をどう変えているのか。そして、なぜ今、期待ばかりをあおることなく「慎重なエビデンスの検証」を訴え続けるのか。 「医療の成果は、単に症状や検査数値の改善だけではありません。患者さんが本来取り組みたかったことに再び向き合えるようになること、将来に前向きな気持ちを持てるようになることこそが、非常に大切な成果なのです。」 城谷医師の医療哲学と、2026年9月に開催される「第10回 一般財団法人腸内フローラ移植臨床 学術大会」に向けた見どころに迫る。 数値や画像には映らない「患者の不安」に向き合う 自らがFMTを受けた経験―――腸内細菌という「切り札」 「私自身、回腸嚢炎に対する治療法の一つであるFMTを大学の治験を通じて受けたことが、腸内フローラ移植に関心を持つ大きなきっかけでした」と、自らの患者体験と、消化器専門医としての深い葛藤を振り返る。 日々の診療において、従来の標準治療だけではどうしても対応しきれない患者の症状や経過に向き合うことは決して少なくない。中でも、潰瘍性大腸炎やIBS(過敏性腸症候群)の患者は、内視鏡検査や血液検査の数値だけでは測れない「いつお腹が痛くなるか分からない」「外出や外食が怖い」といった日常生活上の制限や精神的な不安を常時抱えている。 「腸内フローラを整えることは、単なる消化器症状の改善にとどまらず、患者さんのQOL(生活の質)を根本から向上させる可能性を秘めている」。自らの体験と臨床での実感から、腸内細菌へのアプローチを従来の治療を補完する「切り札」の一つとして見出すようになった。 NanoGAS®-FMTという新たな選択肢の可能性 大学の治験でFMTを受けたものの、大きな改善は見られなかったが、その可能性を感じることはできたという。数あるFMTの中でNanoGAS®-FMTを導入した理由は、「臨床現場での扱いやすさ」と「患者への負担軽減」にあったという。 従来の移植法と比較しても、患者への心身の負担に配慮しながら実施できる可能性を感じたことが大きな決定打となった。これまで既存の治療法を試しても十分な改善が得られなかった患者に対して、「腸内環境の再構築」という全く新しい選択肢を提示できるようになった意義は極めて大きい。 しかし、城谷医師は戒めを忘れない。 「一方で、FMTを『万能の治療法』のように扱うべきではないとも考えています。すべての患者さんに同じ結果が出るわけではありませんし、適応の見極め、既存治療との組み合わせ、そして治療前後の評価は極めて慎重に行う必要があります」 将来への不安を抱えた若い潰瘍性大腸炎患者の劇的な変化…

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