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.

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$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
Pfizer CentreOne Kindeva Drug Delivery Hongene Biotech Formulated Solutions
" 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
Delivery commitment

60 new patients in 90 days. Guaranteed.

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Meta ads · cost per booked consultation

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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Why these numbers happen

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.
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How these numbers are counted

Read them the way we read them.

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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