Results · Meta and Google Ads · straight from the ad accounts
The numbers most agencies will not show you.
Screenshots from the actual ad accounts our team has run. Booked consultations, website purchases, ad spend and return on ad spend, as reported by Meta and Google. No vanity metrics, no rounding up, campaign names blurred for client confidentiality.
$3M+Ad spend managed across pharma brands and restricted-category health accounts
2.2x - 10x+Return on ad spend across the Meta and Google accounts our team has run
MillionsIn patient revenue tracked back to the campaigns, on Meta and Google
60New patients in your first 90 days. Guaranteed
Our team has managed marketing for
Four accounts, four different starting points
Same system on both channels. Here is what it produced.
Two Meta accounts and two Google Ads accounts, chosen to show the spread rather than the single best month. Each one shows the ad platform's own reporting screen. Click any screenshot to see it full size.
Meta ads · one account · Mar 2023 to Apr 2026
1,061 website purchases on $120K of Meta spend, held steady for three years.
Two ad sets on the same account over its full lifetime: 597 purchases at $100.38 each and 464 at $130.19 each. Over $120,000 spent, with the cost per paying patient near $113 the whole way. That is what a stable, compliant account looks like over years, not weeks.
$120KAd spend · 3 years
1,061Website purchases
$113Average cost per purchase
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Meta ads · last 30 days · Mar 22 to Apr 20, 2026
189 new patients and 101 booked consultations in a single 30-day window.
A purchase campaign and a consultation-booking campaign running side by side on one account. $24,985.80 produced 189 website purchases at $132.20 each. A further $3,098.68 produced 101 booked consultations at $30.68 each, which the clinic's team then converted on the phone.
$28KAd spend · 30 days
189Purchases at $132.20
101Consultations at $30.68
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Google ads · 12 months · May 2025 to May 2026
$1.73M of conversion value from $515K in Google Ads, over a full year.
A 336% return on ad spend sustained across twelve months, with cost, conversion value and return tracked week by week. The blue line is spend, the red line is revenue and the orange line is return on ad spend. Return stayed above spend for the entire year.
$515KAd spend · 12 months
$1.73MConversion value
336%Return on ad spend
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Google ads · 5 months · Sep 2025 to Feb 2026
1,760 conversions at $191 each from people already searching.
$336K in spend, 46,700 clicks and 1,760 tracked conversions on Google Search. The cost per conversion stayed inside a tight band for the full five months while spend moved up and down with demand, which is what tight match types and a clean negative keyword list buy you.
$336KAd spend · 5 months
1,760Conversions
$191Cost per conversion
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"Client testimonial
Three agencies before HMIQ either got our ads banned or couldn’t make them work. Hormone Marketing IQ navigated the Meta and Google restrictions without a single account issue, got us the best cost per consult we’ve ever seen, and actually explained what was happening in the campaigns. We have managed to double the size of our practice.
James · Owner, telehealth and in-person TRT & HRT clinic
Consultations booked for $20 to $30 each. Not leads. Bookings.
"Website schedule" is Meta's name for a completed booking on the clinic's scheduling page. These are people who went through the booking page and picked a time, which is the number a clinic can actually staff and plan around.
Cost per booked consultation, five Meta campaignsEach bar is one campaign from the screenshots below. The bar length is the cost of one booked consultation.
18 bookingsreach 1,976
$19.99
103 bookingsreach 9,960
$22.68
346 bookingsreach 18,654
$24.66
375 bookingsreach 20,422
$25.20
101 bookings$3,098.68 spent
$30.68
Scale runs from $0 to $35. Figures are Meta's reported cost per result, 7-day click attribution.
Meta ads · two campaigns
375 consultations booked at $25.20 each.
20,422 people reached at a frequency of 3.48, 7-day click attribution.
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Meta ads · two campaigns
346 consultations booked at $24.66 each.
18,654 people reached at a frequency of 3.42, 7-day click attribution.
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Meta ads · one campaign
103 consultations booked at $22.68 each.
9,960 people reached at a frequency of 2.48. A smaller budget, the same cost per booking.
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Meta ads · one campaign · early days
18 consultations booked at $19.99 each, from under 2,000 people reached.
What the first stretch of a campaign looks like: 1,976 people reached, frequency 1.67, and the cost per booking already under $20.
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Meta ads · website purchases · Mar 23 to Apr 19, 2026
241 website purchases at $104.80 each in four weeks, on a $1,500 daily budget.
$25,256.80 spent over 28 days, 47,215 people reached at a frequency of 2.27. This is the purchase step, not the booking step, so it counts people who paid.
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Google ads · return on ad spend
$2.25 to $3.87 back for every $1 spent on search.
Google Search catches the person already typing "clinic near me" tonight. These are the account overview screens, with cost in blue, conversion value in red and return on ad spend in orange, over periods from one month to a full year.
Return on ad spend, five Google Ads accountsEach bar is one account from the screenshots below. The bar length is the tracked conversion value for every $1 spent.
Jan 2026$32.4K spent
3.87x
Oct to Dec 2025£49.9K spent
3.81x
May 2025 to May 2026$515K spent
3.36x
Jul to Aug 2025$73.6K spent
3.23x
Sep to Oct 2025$82K spent
2.25x
Scale runs from 0x to 4.5x. Figures are Google's reported conversion value divided by cost.
Google ads · one month · Jan 2026
387% return on ad spend in a single month.
$32.4K spent, $125K of conversion value, 1.51% click-through rate.
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Google ads · three months · Oct to Dec 2025
381% return on ad spend across a full quarter.
£49.9K spent, £190K of conversion value, 81,500 clicks. A UK account, reported in pounds.
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Google ads · two months · Jul to Aug 2025
322% return on ad spend over the summer.
$73.6K spent, $237K of conversion value, 1.06% click-through rate.
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Google ads · 30 days · Sep 24 to Oct 23, 2025
326 conversions at $252 each, $2.25 back per $1 spent.
$82K spent in 30 days. Daily conversions in red against conversion value per dollar in blue.
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Want numbers like these for your clinic?
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It is not the ads on their own. It is the four things underneath them.
Most clinics that burn ad spend think the problem is creative or targeting. The results on this page come from the same four parts, built the same way, on every account.
Accounts set up to survive restricted-category reviewBusiness verification, aged ad accounts, page history and pixel traffic before a single ad runs. Hormone and peptide ads are heavily policed, and the accounts behind the three-year Meta result above never stalled.
Creative written for the person who has not searched yetSymptom-led video and statics on Meta, written inside the health advertising rules, with the medical detail kept to the post-click page. That is where the $20 to $30 consultations come from.
Search campaigns that only pay for intentTight match types, a growing negative keyword list and location targeting around the clinic. That is how the Google accounts above held a 2x to 4x return while spend moved with demand.
One optimized landing page, every booking trackedBoth channels land on an optimized landing page we build and A/B test until it converts, and each booking is tracked back to the ad that produced it, so budget moves to wherever the patients come from.
Every screenshot on this page is the ad platform's own reporting screen, taken from accounts our team has run. Nothing is modelled or projected. Campaign and account names are blurred because they belong to clients.
Website schedule means a booked consultationMeta records it when someone completes the booking step on the clinic's scheduling page. It is not a form fill or a lead.
Website purchase means someone paidMeta records it on a completed checkout. Cost per purchase is total spend divided by purchases, with 7-day click attribution.
Google ROAS is conversion value divided by costConversion value is the revenue passed back to Google Ads by the account's conversion tracking. 336% means $3.36 of tracked value for every $1 spent.
Spend is ad spend onlyThe figures shown are what was paid to Meta and Google. Management fees are separate and are quoted on the strategy call. Results vary by market, treatment, offer and clinic capacity.
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