Nutritional Therapist · Lisbon & online in Lisbon & Online | SIBO, IBS, Bloating | Joana Amram

Still bloated after eating"healthy"?

If your gut isn't responding to the diets, the probiotics, the elimination protocols — your body may be signalling something deeper. I work with people experiencing SIBO, IBS, reflux and persistent bloating to uncover the root cause — supporting the root-cause work alongside their medical care.

You've tracked every meal. You've cut out gluten, then dairy, then FODMAPs. The fact that you're still here, reading this, tells me what you really want is an answer — not another diet.

ANP
APENB
Nutritional Therapist · Lisbon & online · EN PT ES FR
Joana Amram· Online worldwide & Lisbon
★ Free gut assessment

In 2 minutes, understandwhyyour gut is struggling.

Answer 9 questions. Get a personalised report showing your most likely pattern — SIBO, dysbiosis, low stomach acid, motility, or HPA axis dysregulation.

Take the free quiz →
No email required to start
Nutritional Therapist in Lisbon, Naturopathic Practitioner (ANP UK, APENB Spain)
Joana Amram
About Joana

I rebalanced my own gut.
Now I help you support yours.

Years of SIBO, parasites and hormonal imbalances after contracting typhoid in Egypt. The doctors managed symptoms.Nothing addressed the root.I left a 7-year tech career, trained at CNM London, and now I work with people whose gut symptoms haven't responded to other approaches.

"We don't just manage symptoms. We work to uncover the why."
— Joana Amram
Naturopathic Practitioner — registered with ANP (UK) and APENB (Spain)
Bachelor in Naturopathic Nutrition — CNM London
Institute of Functional Medicine — GI module (USA)
Mariana Aróstegui — Curso de Microbiota para Profesionales
What I work with

Most clients come to mefor one of these.

These are conditions typically already diagnosed by their doctor that I support with a root-cause approach. If any of these sound familiar, the free quiz helps identify which pattern is most likely yours.

Personalised gut health protocols written by hand

"Every protocol is written for one person — you."

— The Method
The process

How we worktogether

01

Root-cause assessment

A deep dive into your symptoms, history, stress and diet — understanding the patterns behind what your gut is doing.

02

Personalised protocol

A nutrition, supplement and lifestyle plan built around your specific situation and sensitivities. No generic templates.

03

Ongoing support

Progress tracking, plan adjustments and email access between sessions. Supporting your gut takes time — I'm with you through it.

Real client stories

From symptomsto balance

Bloating eased8-year IBS
Before working together: 3 gastroenterologists, low-FODMAP diet, multiple probiotics, told "it's just IBS."

"After 8 years of being told it was 'just IBS,' Joana was the first who actually looked for the cause. Within 6 weeks I felt completely different."

SM
Sara M.
Lisbon · Verified client
SIBO symptoms easedRecurring SIBO
Before: two rounds of antibiotics, SIBO came back twice, also struggling with adult acne.

"The protocol was unlike anything I'd tried. Simple, clear, and I no longer have the symptoms. My skin became clearer as a bonus I didn't expect."

JT
James T.
London · Online · Verified client
Reflux improved5 years PPIs
Before: long-term daily reflux symptoms, looking for a root-cause approach alongside her medical care.

"She explained the patterns behind my reflux in a way no one had before. Working alongside my GP, my symptoms have improved significantly and I feel much more in control of my digestion."

AP
Ana P.
Porto · Verified client
Digestion improvedBloating + brain fog
Before: chronic constipation since childhood, daily bloating, "always tired" brain fog.

"For the first time in my adult life, my digestion feels normal. The brain fog lifting was almost more surprising than the bloating going — I didn't realise they were connected."

MC
Marie C.
Paris · Online · Verified client

Individual results vary. Testimonials reflect personal experiences and are not a guarantee of outcomes. This work is complementary to medical care, not a replacement for it.

Consultations

Start where you'reready

Free discovery call

15 min · online
Free
  • See if we're a fit before committing
  • Talk through your main symptoms
  • Discuss the patterns I'd explore first
Book free call →

Follow-up session

50 min · €50
€50
  • Progress review and plan refinement
  • Updated recommendations
  • Ongoing email support
Book follow-up →
Before you book

Three things peopleask first.

How is this different from seeing a gastroenterologist?
A gastroenterologist diagnoses and medically manages gut conditions. My work is different — I work to identify patterns behind your symptoms (motility, dysbiosis, stomach acid, food triggers) and support your body through nutrition, lifestyle and supplements. This complements medical care rather than replaces it.
Is online as effective as in-person?
Yes. Most of my clients work with me online — from London, Madrid, Paris, New York. The work is conversation, history-taking and protocol design. Lisbon is offered for clients who prefer face-to-face.
Do I need to be in Lisbon?
No. Online consultations are available worldwide. Sessions are conducted via Zoom in English, Portuguese, Spanish or French. Supplements can be shipped to most countries.
Joana Amram
Your next step

Your gut has been
asking for support.

Two ways to start — pick whichever feels right.

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.