They aren’t opposing approaches, they are complementary. Conventional medicine is essential to diagnose and treat acute illness, emergencies and conditions that need pharmacological or surgical intervention. PNI works upstream and underneath the symptoms, on the mechanisms that produce chronic dysfunction: low-grade inflammation, microbiome alterations, insulin resistance, an overloaded stress system. The aim of PNI isn’t to replace your doctor —it’s to complement their work by tackling what their consultation, due to time and specialisation, cannot fully cover.

Yes, in the vast majority of cases. PNI recommendations are designed with your current medication in mind and are coordinated with your doctor whenever necessary. We will never ask you to stop a prescribed treatment. What can happen, as your body regulates itself, is that your doctor decides to taper the medication. That decision always belongs to whoever prescribed it, not to us.

It depends on the case. Many patients notice significant changes in the first 4-8 weeks: more energy, easier digestion, more restorative sleep, better mood. Reversing more entrenched processes —autoimmune disease, long-standing chronic fatigue, advanced insulin resistance— takes between 6 and 18 months of sustained work. PNI is not a quick fix. It’s a deep change.

No. PNI complements conventional medical care, it doesn’t replace it. Keeping up your follow-up with your GP and any specialists involved in your care is important. What we add is an extra layer of analysis and treatment focused on the underlying mechanisms that conventional consultations, given their format and time, rarely manage to cover.

Any blood tests and medical reports you have from the last two years (blood, urine, ultrasounds, MRIs, endoscopies —whatever is relevant). A list of the medication and supplements you’re currently taking. The initial questionnaire we send you, completed. And, most importantly, an hour and a half without rushing to talk about your case with the depth it deserves.

Yes, we offer online consultations for patients who can’t travel to Andorra. The first appointment is preferably in person whenever possible, as it allows for a more complete evaluation, but we can hold it online if circumstances require it. Follow-ups generally work very well in an online format.

PNI is a private consultation. It is not covered by the CASS or by most medical insurances. We issue an invoice so you can submit it to your insurer if your policy includes integrative medicine, though we can’t guarantee reimbursement.

Yes. Clinical PNI is built on solid bodies of literature on the gut-brain axis, the microbiome, low-grade chronic inflammation, neuroendocrine regulation of the immune system, insulin resistance and clinical nutrition. These research areas are published in high-impact journals and are increasingly accepted by academic medicine. What sets clinical PNI apart is the integration of this knowledge into a therapeutic approach that can be applied to the individual patient —something the usual fragmentation of hospital medicine struggles to allow.

Medical emergencies, conditions that require immediate hospital treatment, severe decompensated psychiatric situations and, in general, any case that needs priority conventional medical intervention. PNI is a consultation for chronic processes and for health optimisation. If you have doubts about whether your case fits, please call us before booking.

Share the reason for your consultation with us by phone or through the contact form and we’ll confirm the up-to-date price, the expected duration and how follow-up is structured for your specific case.