Some days fine. Then a flare out of nowhere.
Cramping, urgency, the swing between constipation and loose stools — and a day you can't plan around. Labelled "IBS" and sent off with a leaflet. Let's look at what's actually driving the pattern, in a free 15-minute call.
Limited free calls each week
No charge · No obligation · 15 minutes
CNM London
ANP Portugal
APENB Spain
EN · PT · ES · FR
Joana Amram · Nutritional Therapist
If this is your day, you're in the right place
Cramping and urgency that hijacks your morning — or your meeting.
The swing between constipation and loose stools, with no clear reason.
Mapping every bathroom before you leave the house.
Told it's "just IBS" — given a label, but no real answer.
Why guessing keeps you stuck
IBS is a label, not a cause
It describes the symptoms — not why they're happening. The same label can sit on very different patterns underneath.
The pattern is readable
Triggers, timing, stress, history and — where useful — microbiome testing usually point to a clear pattern. Once it's visible, the plan gets specific.
A root-cause approach
We work on the why underneath the IBS pattern, step by step. This complements your medical care — it doesn't replace it. Always work with your doctor.
What the free call actually is
15
Fifteen minutes, no charge. You tell me what's going on. I tell you honestly whether this is something I can support — or point you elsewhere if it isn't.
0
Zero pressure. It's not a sales call. It's how we both decide whether working together makes sense before you commit to anything.
→
A clear next step. You leave the call knowing what a root-cause plan would look like for your specific pattern.
What changes when you stop guessing
"I'd seen three different doctors about my bloating and always left with 'try cutting gluten.' Joana was the first person who actually looked at the full picture — my stress, my antibiotic history, my diet. Within six weeks I felt like I had my body back."
"I came with gut issues, but I didn't expect how much fixing my gut would change everything else — my energy, my sleep, my mood. She connected dots nobody else had bothered to connect. The first time I felt taken seriously."
"I had recurring SIBO and SIFO that no doctor could help me with. After multiple rounds of antibiotics, Joana finally helped me find the root cause — and a solution."
You don't have to keep guessing.
Book a free 15-minute call. We'll look at what's actually driving your IBS pattern — and what a root-cause plan would look like for you.
A few slots open each week
No charge · No obligation · 15 minutes
Still deciding? Common questions
My tests were normal. Is there anything to even find?
Often, yes. Standard tests rule out specific conditions — but a "normal" result doesn't explain the cramping, urgency or the back-and-forth between constipation and loose stools. We look at the patterns those tests don't capture: triggers, timing, stress, gut motility and microbiome balance.
Will I have to cut out loads of foods?
The goal is the opposite — finding the pattern so you can stop guessing and ideally widen your diet again. Any changes are targeted and time-limited, not restriction for its own sake.
Do you diagnose or treat conditions?
No. This is not medical advice, and naturopathic nutrition does not diagnose, treat or replace medical care. It supports your body's natural balance and works alongside your doctor.
Is the first call really free?
Yes — 15 minutes, no charge, no obligation. It's there so we can both decide whether working together makes sense before you commit to anything.
Can we do this online?
Yes. Consultations run online worldwide, in English, Portuguese, Spanish or French. In-person sessions are available in Lisbon.
This is not medical advice. Naturopathic nutrition supports the body's natural balance. It does not diagnose, treat or replace medical care. Always work with your doctor.