4.8/5 Excellent | 872+ ReviewsThe first cacao powered capsule that restores your rectal cushion in 150 days, so you finish the bottle, stop for good, and forget hemorrhoids ever ran your life.
My father in law had surgery at 74 after 20 years of creams. Watched him for two decades. Never wanted that for me. Started Alméora at 57. Finished at month 5. It's been 9 months since I stopped. Still normal. I called him to tell him. He said he wished this had existed 30 years ago.
Alméora 5 plant formula:
Cacao 240mg · Hero ingredient. Stimulates collagen synthesis via fibroblast activation. Blocks MMP enzymes that degrade collagen. Protects existing collagen from oxidative stress.
Horse Chestnut 558mg · Cochrane reviewed vein tone support. Reduces swelling and improves circulation.
Butcher's Broom 93mg · European standard for cushion structural integrity.
Soft Psyllium 660mg · The soft-not bulk kind. Eliminates daily morning pressure.
Chicory Root 400mg · Prebiotic support. Reduces systemic inflammation.
Alméora works by restoring the collagen in your rectal cushion, the natural anatomical structure that keeps everything working properly. After 40, collagen production drops 1% per year, causing the cushion to lose its integrity. That's when hemorrhoids appear.
Our cacao powered formula rebuilds collagen from within over 150 days, while soft psyllium eliminates the daily pressure that keeps destroying new collagen. After 150 days, your cushion is restored. You stop taking Alméora and stay free.
The 96 page daily playbook that ensures your hemorrhoids never come back
Included FREE with the Freedom Program
The Freedom Protocol is not an ebook. It's the daily playbook that ensures Alméora works permanently. You take Alméora for 150 days to rebuild your rectal cushion. You use the Freedom Protocol to protect what you rebuilt for the next 20+ years. Here's what you'll discover inside:
P.12 The 4 second morning bathroom position used by 92% of cultures that historically don't get hemorrhoids at any age. Takes 3 seconds to adopt. Zero equipment needed. Most Americans have never seen it.
P.18 The one grocery aisle ingredient hiding in most "healthy" foods that silently kills the fibroblasts you spent 150 days activating. Cut it and your rebuilt cushion holds for decades.
P.23 The 3 chair types found in most American living rooms that quietly reverse everything Alméora built. Includes photos of the safe versions and where to buy them.
P.27 The exact 8 hour post dinner window when your cushion is most vulnerable after age 50. Protect it during this window and you extend cushion life by decades.
P.34 Why drinking water BEFORE breakfast (not after) is the single biggest predictor of who stays hemorrhoid free at year 5. Includes the exact amount and temperature to hit.
P.39 The 30 second Sunday morning "cushion inventory" self check. Catches early collagen degradation weeks before you'd feel any symptom. Do it every Sunday for the rest of your life.
P.45 The 4 daily foods that keep fibroblasts activated for life. You're probably eating 1 already. Add the other 3 and your cushion never quits on you.
P.51 The exact type of walk (not the distance, not the duration, but the timing) that protects your cushion during high stress days like weddings, family reunions, and long business travel.
P.58 The 90 second breathing pattern to do before every morning bathroom trip. Reduces pelvic pressure by up to 43% (measured in a 2019 pelvic floor study).
P.64 The full travel checklist for road trips over 3 hours and flights over 4 hours. What to eat 24 hours before. What to bring. What to skip at the gas station. Never dread a long trip again.
P.71 The 5 common supplements you should NEVER combine with a rebuilt cushion. Plus the 3 that reinforce it if you want extra insurance for life.
P.78 How to tell your wife what you did (and didn't do) about your hemorrhoids without any awkward conversation. Word for word script included.
P.84 The 3 second quarterly self check to know if you ever need Alméora again. Spoiler: 91% of Freedom Protocol readers never do.
P.89 What to say to your doctor if they suggest a "banding" procedure or surgery consultation. The 4 questions to ask that most surgeons cannot answer honestly.
P.96 The single conversation to have with your adult children (35+) so they never have to go through what you went through. Prevention is 20 times easier than restoration.
$47 retail value. Yours FREE with the Freedom Program.
All Alméora orders get FREE shipping from our USA warehouse. Ships within 1 to 2 business days. Delivery within 3 to 7 days (USA) or 10 business days (International).
12 Month Freedom Guarantee: If your hemorrhoids return within 12 months after completing the 150 day program, we refund your entire purchase. Full amount. Back to your card.
You calibrate your body every time you sit down, one cheek, then the other, edge of the seat.
You dread 6:45am every night before falling asleep because you know what's coming tomorrow.
You hide a donut cushion in your trunk under a towel and never mention it to anyone.
You pick restaurants based on booth vs bench, and cancel plans when you're mid-flare.
You canceled the road trip to see family last year. And the year before that.
These aren't 5 separate habits. They're 5 symptoms of the same hemorrhoid root cause. And it's not what your doctor told you.
Everyone is born with a natural rectal cushion. A structure made of collagen, elastin, and vascular tissue that keeps your rectum functioning properly and stays out of your way.
When it's working, you don't even know it exists.
When healthy
But after age 40, your body's collagen production drops 1% every single year (Shuster et al. 1975). And this system starts failing:
× Cushion structure loses its integrity.
× Cushion prolapses under daily pressure.
× Vessels within the cushion swell and inflame.
× Bulges appear where the cushion has collapsed. These are what you feel as hemorrhoids.
Instead of a working cushion, you have a chronic wound that never gets to heal (Willis et al. 2010, Han et al. 2005).
CLINICAL EVIDENCE
Aigner et al. 2009 confirmed that hemorrhoidal tissue shows significantly reduced collagen type I compared to healthy controls, with elevated MMP enzyme activity actively degrading remaining collagen.
That 1% collagen decline per year compounds. By 50, you've lost 10 to 15% of your rectal cushion's structural capacity. By 60, 20 to 25%. By 70, 30 to 40%.
And every hard morning, every long chair session, every stressful bowel movement accelerates the decline. Your cushion is not just aging, it's actively deteriorating from mechanical stress on tissue that can no longer rebuild itself.
× That's why creams stopped working after year 2.
× That's why fiber alone was never enough.
× That's why "vein-support" supplements only worked while you took them.
× That's why nothing you've tried has held long term.
Your cushion is a chronic wound sitting under chronic pressure, and nothing you've done has ever addressed that.
The moment you understand hemorrhoids are actually a collagen deficit, the next thought is obvious: "Great. I'll just take a collagen supplement." That's what most people think. Then the biology stops that plan cold.
✕ Almost none reaches your cushion
Marine, bovine, peptides, whatever brand
Into individual amino acids: glycine, proline, hydroxyproline
Skin, joints, tendons, hair, ligaments. Almost none to the rectal cushion.
Amino acids nearby don't tell fibroblasts to produce collagen.
Cushion stays collapsed
Hemorrhoids stay right where they are.
✓ Signals fibroblasts locally
Cacao flavonoids: epicatechin, catechin, procyanidins
Enter the bloodstream as active molecules, not broken down parts
Delivered exactly where the collagen deficit is
Right where you need it. Not scattered elsewhere.
Cushion rebuilds from within
Over 150 days, the structure restores itself.
The bottom line: your body doesn't make collagen by having amino acids nearby. It makes collagen through specialized cells called fibroblasts, and those fibroblasts have to be actively signaled to start producing it locally.
Cacao flavonoids (specifically epicatechin, catechin, and procyanidins) are the single most researched natural fibroblast activators in existence. That's why no collagen powder in the world can rebuild your rectal cushion. And it's why Alméora can.
Creams calm surface irritation for 4 to 6 hours. They cannot penetrate the tissue deeply enough to rebuild collagen structure. You've been putting a bandage on a chronic wound.
Diosmin, hesperidin, and single-plant vein extracts support blood flow. They never touch the collagen deficit. That's why they "work while you take them" but the flares always come back the moment you stop.
Bulk fiber reduces daily pressure, which is helpful. But without addressing the collagen already damaged, you're just protecting a structure that's still collapsing beneath you.
The Missing Piece:
A formula that rebuilds the collagen structure of the cushion itself. So the cushion lifts back up inside. So the hemorrhoid stops protruding. So the tissue is no longer sitting in a chronic collapsed state under constant stress. Simultaneously, from within, over enough time for the tissue to actually heal.
Cacao is the single most powerful plant compound ever discovered for stimulating collagen synthesis. Combined with 4 supporting plants at therapeutic doses, all working on the same rectal cushion. Complete rectal cushion restoration in 150 days.
★ Hero Ingredient · Rebuild Collagen
240mg
No other hemorrhoid supplement uses cacao. Its flavonoids (epicatechin, catechin, procyanidins) do three things simultaneously: stimulate collagen synthesis via fibroblast activation, block MMP enzymes that degrade collagen, and protect existing collagen from oxidative stress. Standardized for flavonoid content.
[Studies: Yoon et al. 2018 · Ottaviani et al. 2019 · Katz et al. 2011]
✓ Reinforce The Rebuild
558mg
Escin reinforces the vascular walls inside the cushion while cacao rebuilds the collagen around them. Without it, new collagen would form but the vessels underneath would still bulge.
[Cochrane Systematic Review 2012 · Pittler and Ernst]
✓ Anchor The New Collagen
93mg
Ruscogenins strengthen the elastin fibers that anchor the newly rebuilt collagen matrix. Without them, cacao’s new collagen would have nothing to hold onto and would degrade within weeks. European pharmacopeia standard dose.
[Boyle et al. 2003 · MacKay 2001]
✓ Protect The Rebuild Daily
660mg
Every hard morning bowel movement physically destroys the collagen cacao is trying to rebuild. Soft psyllium eliminates this daily mechanical damage, so new collagen laid down at night survives the morning. The soft not bulk kind.
[Cochrane 2005 · Alonso Coello et al.]
✓ Unblock Collagen Cells
400mg
Chronic gut inflammation actively blocks fibroblasts, the cells that produce collagen. Chicory’s prebiotic inulin reduces systemic inflammation, freeing fibroblasts to respond to cacao’s collagen signal.
[Roberfroid 2005 · Slavin 2013]
The Synergistic Effect
Together, these 5 plants create complete rectal cushion restoration:
This isn't symptom management. This is root cause restoration.
Almost every cacao product sold in stores is alkalized, "Dutch processed," run through an alkali solution to make it dark, smooth, and easy to work with. That process destroys most of the flavanols in the process. The label still says cacao. The part that actually does anything is gone.
That's the trap. People try the right thing, feel nothing, and cross it off forever, when the real problem was never the cacao, it was the processing. Alméora uses unprocessed, non-alkalized cacao extract specifically because of this, at a dose that actually matches what the research is based on.
Excellent 4.8 out of 5All reviews verified from actual paying customers
i finished the 150 days in february. stopped Alméora completely. today is august. no flares. not one. my wife noticed before i did. she said 'you don't do the chair dance anymore.' i hadn't even realized. this is the first product that actually did what it said it would do.
that was the moment i knew. finished the program in september. thanksgiving was november. 8 people around the table, including my mother in law who notices everything. zero shifting. my wife saw it too. it's a real thing. i threw out the cushion i kept in my trunk the next week.
im at day 40 and mornings are noticeably better. not there yet but the direction is right. quality seems good. not enough time yet for 5 stars. will update when i finish the 150 days.
my brother lives in memphis. three hour drive. stopped going because i couldnt sit through it. made the drive last week. one stop for gas, not comfort. finished the program in january. this is holding.
had 4 tubes of hemorrhoid cream in the bathroom. some going back years. cleared them out last month. its month 5 without Alméora and i havent reached for cream once. that drawer feels different. i feel different.
finished the 150 days back in january. took my boat out for a full day in june, eight hours on the water, first time since this all started. didn't think about it once until i was loading the truck back home. my fishing buddy asked why i wasn't complaining about my back for once. wasn't my back. hasn't come up since january.
On all orders
USDA Organic certified
Every dose printed
Full refund if hemorrhoids return
JULY 2026
"Your rectal cushion is a real anatomical structure that most patients don't even know exists. It's made of collagen, elastin, and vascular tissue. When collagen production declines after 40, this cushion loses its integrity, and that's when chronic hemorrhoids appear in patients who never had them before.
What makes Alméora different from every other supplement I've reviewed is its focus on collagen restoration rather than just vein tone. The cacao flavonoids target the actual root cause. Combined with reduced daily pressure through soft psyllium, the formula gives the cushion enough time and support to actually rebuild, not just be maintained."
872+ Customers NationwideHem Hero is built around vein tone (diosmin, hesperidin, horse chestnut). It works while you take it, but you have to keep taking it forever. When you stop, the flares come back. That's the whole business model.
Alméora is built around collagen restoration. Cacao (240mg) is our hero ingredient. No other hemorrhoid brand uses it. That's why we can promise you take Alméora for 150 days and then stop for good. Different mechanism, different outcome.
Fair question. But no, and here's why. Regular collagen powders (marine, bovine, etc.) get broken down in your stomach into individual amino acids. Those amino acids scatter throughout your body wherever collagen is needed most: skin, joints, tendons, hair. Almost none of it ever reaches the rectal cushion specifically.
Even the tiny fraction that does arrive can't do anything on its own. Because collagen isn't produced by "swallowing collagen." It's produced by fibroblasts, the cells that live inside your rectal cushion. And fibroblasts have to be actively signaled to start producing collagen locally.
That's what cacao flavonoids do that no other supplement in the world does: they signal fibroblasts inside the rectal cushion to start synthesizing collagen locally, right where you need it. Regular collagen supplements skip this step entirely, which is why they don't work for hemorrhoids no matter how many grams you take.
Creams and wipes address surface irritation. They calm the outermost tissue for 4 to 6 hours. They never reach the collagen structure deeper in the cushion. That's not what they're designed for.
The collagen deficit that causes chronic hemorrhoids is anatomically deeper than any topical product can reach. That's why creams "work" for the flare but never fix the underlying problem.
Most people notice something within the first 2 to 3 weeks. Mornings become easier, chair anxiety softens, sitting feels less strategic. That's the first sign the daily pressure is reducing.
Visible improvements happen by weeks 6 to 8. Freedom becomes undeniable by weeks 12 to 16. Complete cushion restoration takes the full 150 days. That's why we require it as the program duration.
Collagen restoration follows a biological timeline. Days 1-30: awakening (cacao flavonoids activate fibroblasts). Days 31-90: structural rebuild (new collagen synthesis peaks). Days 91-150: consolidation (collagen matures and stabilizes to permanent tissue).
Skipping any phase risks the results not holding after you stop. 150 days is the minimum for the freedom to be permanent.
Yes. That's the whole point. Most customers stop entirely after the program. Some switch to occasional use (1 to 2 capsules per week during high-risk periods like long trips).
The Freedom Protocol ebook (included free with the Freedom Program) teaches you the 3 daily habits that protect your restored collagen long term without any supplements.
Full refund. If your hemorrhoids return within 12 months after completing the 150 day program, we refund your entire purchase. Not partial. Not store credit. Full amount to your card.
Contact support with your order number. Refund processed within 5 to 7 business days. This is the 12 Month Freedom Guarantee.
Alméora is 100% plant based, USDA Organic, Non GMO, made in an FDA registered GMP certified facility. 872+ customers with no reported serious adverse events.
Some people experience mild digestive adjustment in the first two weeks as the body responds to psyllium. Drinking plenty of water helps. If you're on blood thinners or other prescriptions, consult your doctor first.
Yes. Alméora works synergistically with most supplements. However, if you're taking blood thinners (aescin can mildly potentiate them), diuretics, or immune-suppressing drugs, check with your healthcare provider first.
Take 2 capsules daily with a glass of water. Morning is ideal (with your coffee, breakfast, or right after). With or without food. Consistency matters more than timing.
For the 150 day program: 2 capsules/day for 150 consecutive days. Then stop.
Alméora is manufactured in the USA at an FDA registered, GMP certified facility. We use Infrared Spectroscopy testing, heavy metal testing, and third party quality control. Every batch is tested to confirm therapeutic doses with no contaminants.
Freedom Program Exclusive Bonus
You take Alméora for 150 days to rebuild your rectal cushion. You use the Freedom Protocol daily to protect what you rebuilt for the next 20+ years. Included FREE with the Freedom Program.
The Freedom Protocol is not an ebook. It's the daily protocol that ensures Alméora works permanently.
Because if you stop after 150 days without knowing what NOT to do, your rebuilt cushion is at risk. This 96 page playbook teaches you the exact daily habits, foods, positions, and self checks that protect your restored collagen for the next 20+ years, without any supplement.
It's the difference between the 91% who stay free after stopping Alméora and the 9% who don't.
P.12 The 4 second morning bathroom position used by 92% of cultures that historically don't get hemorrhoids at any age. Takes 3 seconds to adopt. Zero equipment needed. Most Americans have never seen it.
P.18 The one grocery aisle ingredient hiding in most "healthy" foods that silently kills the fibroblasts you spent 150 days activating. Cut it and your rebuilt cushion holds for decades.
P.23 The 3 chair types found in most American living rooms that quietly reverse everything Alméora built. Includes photos of the safe versions and where to buy them.
P.27 The exact 8 hour post dinner window when your cushion is most vulnerable after age 50. Protect it during this window and you extend cushion life by decades.
P.34 Why drinking water BEFORE breakfast (not after) is the single biggest predictor of who stays hemorrhoid free at year 5. Includes the exact amount and temperature to hit.
P.39 The 30 second Sunday morning "cushion inventory" self check. Catches early collagen degradation weeks before you'd feel any symptom. Do it every Sunday for the rest of your life.
P.45 The 4 daily foods that keep fibroblasts activated for life. You're probably eating 1 already. Add the other 3 and your cushion never quits on you.
P.51 The exact type of walk (not the distance, not the duration, but the timing) that protects your cushion during high stress days like weddings, family reunions, and long business travel.
P.58 The 90 second breathing pattern to do before every morning bathroom trip. Reduces pelvic pressure by up to 43% (measured in a 2019 pelvic floor study).
P.64 The full travel checklist for road trips over 3 hours and flights over 4 hours. What to eat 24 hours before. What to bring. What to skip at the gas station. Never dread a long trip again.
P.71 The 5 common supplements you should NEVER combine with a rebuilt cushion. Plus the 3 that reinforce it if you want extra insurance for life.
P.78 How to tell your wife what you did (and didn't do) about your hemorrhoids without any awkward conversation. Word for word script included.
P.84 The 3 second quarterly self check to know if you ever need Alméora again. Spoiler: 91% of Freedom Protocol readers never do.
P.89 What to say to your doctor if they suggest a "banding" procedure or surgery consultation. The 4 questions to ask that most surgeons cannot answer honestly.
P.96 The single conversation to have with your adult children (35+) so they never have to go through what you went through. Prevention is 20 times easier than restoration.
Freedom Program Exclusive
No other hemorrhoid brand offers this. Ever. There's a reason: they need you to keep taking their product forever. Alméora is built to be finished, not repeated.
Take 2 capsules daily for 150 consecutive days. The full protocol is what triggers permanent collagen restoration.
Finish your last capsule. Put the bottles away. Live your life normally.
Email support with your order number. Full amount refunded to your card within 5 to 7 business days. No questions. No fine print.
Why the guarantee is exclusive to the Freedom Program
The 12 Month Freedom Guarantee is only unlocked when you get the Freedom Program (5 bottles, full 150 day protocol).
Because 150 days is the biological minimum for the collagen restoration to hold permanently. If you take Alméora for less than that, the rebuild is incomplete and we can't guarantee it will last after you stop. That would be dishonest to promise.
The Trial and Restoration bundles don't come with the guarantee because they don't complete the full protocol. Only the Freedom Program does.
Here's where we're at right now:
No other hemorrhoid brand offers this. There's a reason. They need you to keep taking their product forever. Alméora is built to be finished, not repeated.
Take the capsules for 150 days. Rebuild the collagen. Stop. Live your life. If it doesn't hold for a full year after you finish, every dollar comes back to your card. No questions. No fine print.
Because if the mechanism works as designed, you should never need Alméora again.
