Five things we do
the same way,
every time.
Wellness got loud. Longevity got expensive. Peptides got a group chat.
We built Amerika because the people we love deserved better than a QR code and a subscription trap. This is the standard we hold ourselves to — in writing, in daylight, and in the room.
If we ever break one of these, we owe you an explanation before we owe you a renewal.
Wellness got loud. Longevity got expensive. Peptides got a group chat.
We built Amerika because the people we love deserved better than a QR code and a subscription trap. This is the standard we hold ourselves to — in writing, in daylight, and in the room. If we ever break one of these, we owe you an explanation before we owe you a renewal.
- I
Labs before plan.
We read your bloodwork before we write a single line of your protocol. Every intake is reviewed by Erika personally within a median of 48 hours. If we can't measure it, we don't promise it. If a marker doesn't move a decision, we don't waste your money running it.
You keep the raw files. Portable. Yours.
- II
One plan, one team.
You get one plan, not two. Erika owns the clinical side. Joshua owns training and recovery. You get one document, one number to call, and two names who both know what the other one wrote this week.
If your file needs a fourth voice in the room, we bring them in. We don't hand you off to find them.
- III
Seen in person.
The first visit — and every meaningful decision — happens with us, in Miami. We are not a telehealth company with a physical address. We are a practice that occasionally uses telehealth to hold a plan we already built with you face to face.
If you can't come to us, we come to you. That's a small number of members a year. It's supposed to be.
- IV
No handoffs.
Your file does not move to a junior. Your protocol does not get "reviewed by our team." The people who wrote your plan are the people who run your year. If Erika or Joshua ever leave that room, you leave with them or you leave with a full refund. Written into the agreement.
Nobody senior sold you. Nobody junior services you.
- V
Priced in daylight.
Every price we charge is on the site, in full, before you speak to us. Three tiers, all-in numbers, no rate cards, no discovery calls to unlock a quote. Peptides are not upsold. Renewals are not automatic. When labs say the protocol worked, we tell you to stop — and we refund the unused months.
We are the only peptide service in the country that will tell you to stop. That's on purpose.
- Prescribe without labs.
- Compound outside a 503A or 503B pharmacy.
- Ship a peptide without a documented clinical relationship.
- Auto-renew a protocol.
- Sell HRT, TRT, or GLP-1s without a physical exam.
- Publish a testimonial without consent, a name, and a lab on file.
- Charge for a consultation you didn't need.
If any of this ever happens to you inside our care, the standard was broken. Tell us. We fix it, we publish the fix, and we refund what needs refunding — before the next member reads this page.
A printed, signed copy is mailed to every member on their onboarding day.
What you'll read from us,
week by week.
One piece a week. Alternating voices — Erika, Joshua, a physician on panel, and a member letter — around a question we actually got that week.
Every piece lands three ways the same day: on this site, in your inbox, and as an audio read. Four times a year the best of it is mailed to members on paper.
- 52pieces a year · one every week
- 3named-member letters with lab deltas on file
- 1published year of Erika's own protocol
- 4×printed editions mailed to members
The Standard,
written down.
Reader-first pieces that explain how we actually work — labs first, one plan, seen in person, no handoffs, priced in daylight.
- Aug · 05Clinical · Erika
Labs before plan. Always, and here's why.
Featured01 - Aug · 12Method · Joshua
The five-star lesson I brought from Shelborne.
02 - Aug · 19Clinical · Erika
What I refuse to guess at in the first forty-eight hours.
03 - Aug · 26Guest · Panel MDs
The peptide gold rush has a supply chain problem.
Featured04 - Sep · 02Performance · Joshua
Boring is the point. A note on the tenth year.
05 - Sep · 09Clinical · Erika
On bad Tuesdays.
06 - Sep · 16Member letter · Alex R.
Six months in, my labs and my mirror finally tell the same story.
Featured07 - Sep · 23Method · Joshua
Why we don't sell a peptide stack.
08 - Sep · 30Clinical · Erika
Women's hormones in your forties, without the theatre.
09 - Oct · 07Performance · Joshua
Three time zones this month. A note for the Operator.
10 - Oct · 14Guest · Panel MD
What a good outcome actually looks like on paper.
11 - Oct · 21Editorial · Erika
Wellness in Miami should feel private, precise, and personal.
Featured12 - Oct · 28Method · Joshua
What we remove from a protocol before we add anything.
13
A founder's own protocol, in daylight.
A year-long note. Erika publishes her own protocol and her own quarterly labs, unedited, so you can see what a longevity physician actually runs on herself.
- Nov · 04Erika's Fifteen · Erika
Why I'm publishing my labs for the next twelve months.
Featured01 - Nov · 11Performance · Joshua
Training a founder who won't be handed off.
02 - Nov · 18Member letter · Members
The couple who wanted one plan, one clinician, one number to call.
03 - Nov · 25Clinical · Erika
The Thanksgiving week protocol, honestly written.
04 - Dec · 02Method · Joshua
Recovery is a service, not a favor.
05 - Dec · 09Erika's Fifteen · Erika
30-day check — what moved. What didn't. What I refuse to change yet.
Featured06 - Dec · 16Guest · Panel MD
A note on peptides and 2027 regulation.
07 - Dec · 23Editorial · Erika + Joshua
The quiet week. Twelve things we're not doing this year.
08 - Dec · 30Member letter · Daniel K.
I don't want health to become a hobby again.
Featured09
The Founder's Table,
on film.
One filmed dinner a quarter — members, a physician, and one guest whose work matters to us. Twenty-two minutes. Made once, kept forever.
- Jan · 06Erika's Fifteen · Erika
60-day check — the marker I almost changed the protocol for. And why I didn't.
Featured01 - Jan · 13Performance · Joshua
The Operator's January.
02 - Jan · 20Guest · Guest
Founder's Table dinner recap — six members, one guest, one physician.
Featured03 - Jan · 27Editorial · Erika
One year of the Standard. What we changed. What we won't.
Featured04
A year of writing you can actually use — so your protocol is the least interesting thing about your year.
- A weekly readFifty-two pieces from the people running your file — no ghostwriters, no roundups.
- Real numbersThree named members share their labs, before and after — with consent, with names, with lab reports on file.
- A physician, in publicOne published year of Erika's own protocol and her own quarterly labs, so you can see what she actually runs.
- The Standard, on paperErika's Five, signed and re-signed each July — mailed to every member on onboarding day.
- A printed edition, four times a yearThe best of the year's writing, printed and posted — because some things belong off a screen.