The effect is permanent.
"You don't have to do anything, it's your choice," Ayame calmly remarked. "But a warrior, like a sword, should be sharp. Without practice, he is nothing more than a clown, amusingly wielding a long knife."
Shimizu carefully looked at the duelist, trying to assess her physique. Maybe she's not that weak, and it won't hurt her? But in any case, medicine will be needed after the fight, and there isn't any yet... And if I buy it? Oh, this isn't going to end well, I should have run away immediately...