Why Are My Med Spa’s Google Ads Disapproved — and How Much Is That Quietly Costing Me? (We Found $1,155 Authorized and $3.47 Spent)
Why Are My Med Spa’s Google Ads Disapproved — and How Much Is That Quietly Costing Me? (We Found $1,155 Authorized and $3.47 Spent) We took over a med spa’s ad accounts and opened Google first. The status column read: all ads disapproved, all asset groups limited by policy. The daily budget had been raised […]
Why Do My TikTok Ads Work in One State and Get Zero Leads in the Next State Over? (A $370 Twin Test)
Why Do My TikTok Ads Work in One State and Get Zero Leads in the Next State Over? (A $370 Twin Test) A multi-state women’s hormone practice we work with ran the same creative, the same offer, and the same daily budget in two neighboring states. One state spent $370 and produced a single lead. […]
Should I Launch My Clinic’s Google Ads During Black Friday Week? (Wait Until Wednesday)
Should I Launch My Clinic’s Google Ads During Black Friday Week? (Wait Until Wednesday) On the Monday of Thanksgiving week last year we sat on a campaign review call with a cash-pay hormone, regenerative and weight-loss practice we work with. The campaign was built. The ad copy was approved. The tracking was live. Everything was […]
How Do I Build Ads and Offers for High-Ticket Treatments at My Cash-Pay Clinic? (The Full Playbook, From Offer to Audience to Ad)
How Do I Build Ads and Offers for High-Ticket Treatments at My Cash-Pay Clinic? (The Full Playbook, From Offer to Audience to Ad) Before you build a single ad, you need to answer a harder question: what are the ads selling? Clinics that win with paid traffic almost always advertise expensive programs. These include neuropathy […]
How Long Should I Give Paid Ads to Work at My Cash-Pay Clinic? (Why Patience and Strategy Beat Overpromising)
How Long Should I Give Paid Ads to Work at My Cash-Pay Clinic? (Why Patience and Strategy Beat Overpromising) One of our clients — a cash-pay clinic owner running an HRT campaign with us — put it this way: “I’ve appreciated you being able to very cleanly do these paid ads without overpromising, and being […]
What’s a Good Return on Ad Spend for a Cash-Pay Clinic — and When Is It Safe to Scale?
What’s a Good Return on Ad Spend for a Cash-Pay Clinic — and When Is It Safe to Scale? A cash-pay clinic spent $2,700 on ads in a month and pulled in about $25,000—roughly ten dollars back for every dollar in. That’s the kind of number that makes owners want to pour money in, and […]
How Do I Grow Revenue at My Regenerative Medicine Clinic When Nobody’s Searching for PRP or Stem Cells? (The PRP Gateway and Outcome-Based Ad Strategy)
How Do I Grow Revenue at My Regenerative Medicine Clinic When Nobody’s Searching for PRP or Stem Cells? (The PRP Gateway and Outcome-Based Ad Strategy) Regenerative medicine has a strange marketing problem: the treatments work, but almost nobody searches for them by name, and the ad platforms won’t let you bid on the terms that […]
Why Are My Cash-Pay Clinic’s Paid Ads Losing Money Even Though They’re Generating Leads? (The Two Fixes That Added $5M Across Three Clinics)
Why Are My Cash-Pay Clinic’s Paid Ads Losing Money Even Though They’re Generating Leads? (The Two Fixes That Added $5M Across Three Clinics) In 2024, we added $5 million in aggregate revenue across three different cash-pay clinics using paid ads. Here’s exactly how. None of these clinics needed a new advertising platform. Every one of […]
How Do You Get Peptide and Hormone Ads Approved on Google in 2026?
How Do You Get Peptide and Hormone Ads Approved on Google in 2026? For a long time it looked like you simply could not run Google Ads for hormone, TRT, and peptide treatments. Done properly, you can — but not by arguing with the policy. You get approved by building the entire campaign around the […]
What ROAS Should a Cash-Pay Medical Practice Expect From Paid Ads?
What ROAS Should a Cash-Pay Medical Practice Expect From Paid Ads? Every cash-pay clinic owner wants one number: the ROAS — return on ad spend — they should expect from paid ads. The honest answer is that there is no single universal multiple. The realistic target is set by your ticket size, your margin, and […]
What Should a Men’s Hormone Quiz Ad Actually Say? (6 Proven 60-Second Scripts and the Identity-Callout Formula)
What Should a Men’s Hormone Quiz Ad Actually Say? (6 Proven 60-Second Scripts and the Identity-Callout Formula) Most men’s hormone ads fail for the same reason: they sell “testosterone therapy” to a man who does not think he has a testosterone problem — he thinks he has a willpower problem. The ads that work do […]
Should a MedSpa Lead Its Ads With Botox and Filler — or With HRT, Weight Loss, and Hair Restoration?
Should a MedSpa Lead Its Ads With Botox and Filler — or With HRT, Weight Loss, and Hair Restoration? Most medspas default to advertising Botox and filler because that is what they think of as their product. It is also the worst front door they could pick for paid ads. Botox is a price-shopped commodity […]
What Does a 10:1 Return on Ad Spend Actually Take at a Cash-Pay Medical Practice? ($2,700 In, $25,000 Out)
What Does a 10:1 Return on Ad Spend Actually Take at a Cash-Pay Medical Practice? ($2,700 In, $25,000 Out) A cash-pay clinic spent $2,700 on ads last month and pulled in about twenty-five thousand dollars. That is roughly ten dollars back for every dollar in — and it was not luck. It was the boring […]
Facebook & Instagram Ads for Cash-Pay Medical Practices — Why the $3,000 Front-End Cash Threshold Determines Whether They Work
Facebook & Instagram Ads for Cash-Pay Medical Practices — Why the $3,000 Front-End Cash Threshold Determines Whether They Work Most cash-pay clinic owners ask whether Facebook and Instagram ads work, when the better question is whether their offer clears the $3,000 front-end cash threshold that makes the channel survivable. Meta has the most diverse audience […]
When Do Paid Ads Actually Work for a Cash-Pay Medical Practice? (The $5M Breakdown)
When Do Paid Ads Actually Work for a Cash-Pay Medical Practice? (The $5M Breakdown) INTRO:We’ve already written about why most cash-pay clinics shouldn’t run paid ads — because in most cases the math doesn’t work and the funnel can’t hold the volume. But last year we added $5 million in aggregate revenue across three clinics […]