——— GUT HEALTH NUTRITIONIST · OʻAHU AND ZOOM
Nutrition support for
gut health and IBS
Bloating after meals, unpredictable digestion and a growing list of foods you are nervous about can wear you down. Mare’ka Jensen-Madison helps you make sense of your eating and your symptoms in one hour-long assessment, held over Zoom or at her Kaneohe practice.
Mare'ka Jensen-Madison
Clinical nutrition consultant · Kaneohe
✓ 60 minutes · $350 ✓ Zoom, or Kaneohe by arrangement ✓ Added to your medical care, never in place of it
BCNP
Board Certified Nutrition Practitioner
18+ years
In nutrition consultation
Further study
In digestive health
Practice in Kaneohe
On Oʻahu, and online by Zoom
——— DOES THIS FIT?
What digestive trouble can feel like
Digestive trouble rarely arrives alone. These are the things people most often bring to a first session. None of them needs a diagnosis before you can get guidance on eating.
——— AROUND YOUR ROUTINE
01
Constipation, loose stools, or a swing between the two
03
Planning outings around the nearest bathroom
02
Cutting out one food after another and still not feeling settled
04
A diagnosis such as IBS and no clear idea what to eat next
After you eat
✓ A swollen, tight belly by the evening
✓ Gas or cramping that seems to come without warning
✓ Heartburn or an uneasy stomach with certain meals
Symptoms that are new, severe or getting worse need a doctor first.
——— YOUR FIRST SESSION
What happens in your assessment
One session, one hour, $350. You see the fee in the booking calendar before you pay.
ONE HOUR
Nutrition Assessment
$350
60 minutes, Zoom or Kaneohe
✓ Your digestive history, diagnoses and any tests you have had
✓ A typical day of meals, drinks and snacks, and where symptoms fall
✓ Medications and supplements, so nothing is added blindly
✓ A written starting plan with a few clear priorities
Lab work or supplements, if you choose them, are paid for separately.
——— THE PROCESS
Three steps from booking to plan
01
Choose a slot
Select an appointment in the booking calendar and pay the $350 fee.
02
Zoom or Kaneohe
Held by video link, or in person at the Kaneohe practice, by appointment.
03
Meet and plan
Use the hour to go through your symptoms and meals, and leave with a first set of changes.
——— MEDICAL FIRST
When to see your doctor first
Medical review comes first if you have
• Blood in your stool, or black stools
• Weight loss you cannot explain
• Pain that wakes you, or trouble swallowing
• A sudden change in bowel habits, especially later in life
Nutrition counseling can add
✓ A food plan built around your diagnosis and treatment
✓ Help with eating after a doctor has ruled out other causes
✓ A short summary you can share with your doctor
——— WAYS WE CAN WORK
How a gut health nutritionist can help
Food and symptom diary
A short record of what you eat, when symptoms appear and how you slept, to look for patterns together.
Trigger testing, step by step
If a food looks suspicious, you test it in an orderly way rather than dropping half your diet at once.
Fiber and variety
Adjusting types and amounts of fiber, and widening the plants you eat, at a pace your gut tolerates.
Meal rhythm and hydration
How the size and spacing of meals, fluids and eating speed sit with your symptoms.
Stress, sleep and the gut
Looking at the links between a tense day, a short night and a restless stomach, and what small habits help.
——— YOUR GUT HEALTH NUTRITIONIST
Your nutritionist, Mare’ka Jensen-Madison, BCNP
Mare’ka has consulted on nutrition for more than 18 years from her practice in Kaneohe. She graduated from the University of Hawaiʻi and went on to postgraduate Applied Clinical Nutrition study at Northeast College of Health Sciences. Digestive health is among the subjects she lists as further study.
Clients reach her on Zoom from the Hawaiian Islands, the US mainland and other countries, or meet her in person in Kaneohe.
Bachelor's, University of Hawaiʻi
Postgraduate, Northeast College of Health Sciences
——— GOOD TO KNOW
Questions about gut health nutrition
Does a nutritionist help with gut health?
A nutritionist can look at how your meals, fluids, fiber and daily habits line up with your digestive symptoms and suggest changes to try. She does not diagnose or replace your doctor, and she asks about any tests or diagnoses you already have.
Can nutrition help with IBS?
Many people with IBS find that what and how they eat affects their symptoms, and a personal plan can make eating less stressful. IBS is a long-term condition managed with your doctor, so Mare’ka does not promise it will go away.
Do you work with SIBO?
A doctor has to confirm SIBO and decide on treatment. If you have that diagnosis, a session can focus on eating around your symptoms and keeping your meals balanced while you follow your doctor’s plan.
Does bloating mean something is wrong with my gut?
Not always. Bloating is common and has many causes, from how fast you eat to what is on the plate. If it is persistent, painful or paired with weight loss or blood in the stool, see your doctor first.
How much is a session, and can I join online?
A 60-minute assessment is $350. Sessions are held by video link, or in person at the Kaneohe practice, by appointment. Lab work or supplements, if you choose them, are paid for separately.
What credential does Mare’ka hold?
She holds the BCNP credential, short for Board Certified Nutrition Practitioner.
