Bloated within an hour of eating — even the "healthy" foods.
Distension that makes you look pregnant by evening. Gas, discomfort, the sense that food just sits there. You cut out more and more — and somehow it never fully settles. If salads, onions and beans make it worse, there may be a reason. Let's look at the pattern in a free 15-minute call.
Limited spots each weekNo cost · No obligation · 15 minutes
CNM London
ANP Portugal
APENB Spain
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Joana Amram · Nutritional Therapist
If this is your day, you're in the right place
Flat in the morning, visibly distended by evening — like a switch flips after eating.
Gas, belching or bloating that spikes with salads, garlic, onions, beans or fibre.
Your food list keeps shrinking — and it still doesn't fully settle.
Symptoms came after food poisoning, a course of antibiotics or a stomach bug — and never left.
Why the bloating won't budge
Bacteria in the wrong place
SIBO describes bacteria overgrowing in the small intestine, where they don't belong. They ferment your food before you can — which is why "healthy" high-fibre meals can feel the worst.
Cutting foods isn't the fix
A low-fermentation diet can quiet symptoms, but it doesn't address why the overgrowth happened. Take the restriction away and the bloating often returns.
A root-cause approach
We look at the trigger, the subtype and what's keeping it going — step by step. This complements your medical care, it doesn't replace it. Always work with your doctor.
Not all SIBO is the same
Often gas & diarrhoea
Hydrogen
Commonly linked with looser stools, urgency and bloating that builds through the day.
Often constipation
Methane
Commonly associated with slower transit, straining and stubborn distension. Frequently the reason "gut cleanses" don't hold.
Often reflux & nausea
Hydrogen sulfide
A pattern that can involve sensitivity to sulphur-rich foods and symptoms beyond the gut.
The subtype shapes the plan. Guessing across all three is exactly why so many people stay stuck — and why looking at your specific pattern matters.
What the free call actually is
15
Fifteen minutes, no charge. You tell me what's going on. I tell you honestly whether this looks like a SIBO pattern 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 — including whether testing is worth it for you.
What changes when you find the cause
"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."
"I'd cut out so many foods I was scared to eat anything. Joana was the first person who looked at why the bloating kept coming back instead of just handing me another list. Six weeks in, I could eat like a person again."
"The bloating started after a bad bout of food poisoning and never went away. She connected dots nobody else had bothered to connect — my antibiotic history, my stress, the whole picture. First time I felt taken seriously."
You don't have to keep shrinking your plate.
Book a free 15-minute call. We'll look at what's actually driving your SIBO pattern — the subtype, the trigger, 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
I tested negative for SIBO — or never got a clear result. Is there still something to find?
Often, yes. Breath tests have real limits and can miss patterns, especially hydrogen sulfide. A negative result doesn't explain the bloating, gas and food reactions you're living with. We look at the full picture — triggers, timing, history and, where useful, microbiome testing — not a single number.
Do I have to stay on a restrictive low-FODMAP diet forever?
The goal is the opposite. Any dietary change is targeted and time-limited — a tool to calm things while we address the cause, so you can widen your plate again, not shrink it further.
My SIBO keeps coming back after treatment. Why?
Recurrence is common when the underlying driver — such as motility, a past infection or another root factor — hasn't been addressed. That's exactly the piece we focus on, alongside your medical care.
Do you diagnose or treat SIBO?
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? Can we do it online?
Yes — 15 minutes, no charge, no obligation. Consultations run online worldwide in English, Portuguese, Spanish or French, with in-person sessions 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.
Learn more about SIBO
Deeper reads on what may be driving your bloating.