For the person looking for clothes- I can't say for sure. Taller people might have an easier time than fatter people (me). I wear 2x shirts in US, and I cannot find ANYTHING here that fits, save the biggest pair of work overahuals in special stretch size (3x stretch). I also have huge feet (ie: very wide, 4-6 E in US.) Finding shoes in US is very difficult, it is rather rare to find my size shoes, only like 1 company makes sneakers I can wear (New Balance), but when I needed to find a new pair of sneakers in Japan last month in an emergency, the FIRST PLACE I looked had a pair in my size. Japan's biggest shoe size, 29cm long by 4 E width, fits perfectly on me. 29cm is about 10.5 inches for the metric system challenged. They do not go bigger than that here.
So as for clothes, if you are tall and super skinny all the way up to normal US build, you should be able to find shirts. Pants, too, but the only place I know to find pants in foreigner's sizes is GAP. They have a few Gap stores here, and carry larger/longer sizes. My American professor here is about 6 foot, and he can find jeans at the Gap. Also, Uni Clo is another store which carries bigger sizes, popular with exchange students.
Hope that helps.
P.S.- depending on what region or area you go to school, you will either be a celebrity, an oddity, or almost completely ignored- areas like mine (school in Kobe, near Osaka) see a never ending stream of foreigners all the time, so I don't really stand out as much as I had wanted. I'm nearly ignored here, and no one really makes a big deal about me being foreign and being able to speak/understand Japanese. Occassionally I get complimented and asked where I'm from, that's about it. Even my host family isn't very interested- be sure to ask for a host family with little to no past hosting experience if you want to find someone genuinely interested in you. Some host families have hosted anywhere from 5 to upwards of 13 or more students in the past, the average where I am seems to be 3 or so. I am the 3rd for my family, and they lost interest in me after the first 3 weeks or so. Be careful where you choose- if you want the full Japanese experience, choose a less popular location than Tokyo or Osaka, opt for the country (it is incredibly beautiul there), or a family with maybe only 1 exchange student hosted. 1 is a good idea beacause they have already learned the basics of daily life with a foreigner, cultural misunderstandings are less likely to happen by far.
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