Yep! This is a matter of post age... in the first few releases of q2-composition it was technically possible to do a paired test with ANCOM but the test option was removed in later releases.
Yes — not in QIIME 2 (as far as I know), but aldex2 would be a good solution in R, as a matter of fact here's the relevant documentation:
Perhaps @dgiguer can let us know if a paired test is also possible with q2-aldex2, but I could not find it from a quick search of the documentation.
Also not a QIIME 2 solution, but a very neat solution recently discussed by @jwdebelius and @mortonjt on this forum:
I'm glad you did — see what @jwdebelius has to say about these: