Search Engine Marketing Case Study: 1st Optimal – Personalizing Health, Maximizing Performance

As the digital marketing partner for 1st Optimal, a membership-based telehealth platform delivering personalized hormone health, weight management, and performance optimization programs for men and women, Dominate Ignite was tasked with reshaping their digital acquisition strategy. In an increasingly competitive healthtech landscape, our mission was clear: grow qualified leads, improve ROAS, and position 1st Optimal as the leading virtual care provider in its niche.

Objective:

Our core objective was to revamp 1st Optimal’s Google Ads performance. We aimed to attract motivated health-conscious users ready to take control of their hormone balance, body composition, and overall vitality. Secondary goals included enhancing ad copy resonance, lowering customer acquisition costs, and creating frictionless digital experiences from ad to consultation.

Project Steps
1. Keyword Exploration and Audience Intent Mapping

We conducted deep-dive research into consumer behavior related to hormone therapy, telehealth TRT, peptide treatments, and sustainable weight loss. We identified high-converting long-tail queries such as:

“online hormone optimization for men”

“virtual TRT clinic”

“telehealth weight loss programs”

“peptide therapy for women”

These keywords were mapped to each stage of the patient journey—awareness, consideration, and conversion.

2. Campaign Architecture and Persona-Based Segmentation

Rather than generic targeting, we built campaign structures around core service pillars—Hormone Health, Weight Management, and Performance Optimization—while layering in segmented personas (e.g., men 30–60, women 35–55). This allowed us to tailor copy, bidding, and scheduling based on behavioral data and demographic indicators.

3. Persuasive Ad Copywriting and A/B Testing

We crafted compelling ad variations that emphasized outcomes: "Boost Testosterone Naturally with Online Labs," "Doctor-Led Weight Loss from Home," and “Feel Like You Again.” A/B testing cycles helped refine the most effective calls to action and emotional language while staying compliant with health ad standards.

4. Landing Page Refinement for Conversion

We partnered with 1st Optimal’s development team to enhance landing pages with fast load times, clean CTAs, and integrated telehealth scheduling. Copy emphasized trust (physician-led care), privacy (discreet online services), and efficiency (personalized programs, no clinic visit required). These changes led to lower bounce rates and higher form fill conversions.

5. Smart Bidding and Budget Reallocation

Leveraging Google's bidding strategies (Target CPA and Maximize Conversions), we reallocated budget toward the best-performing services and highest-converting times of day. This real-time optimization allowed us to shift ad spend to the most valuable traffic sources and dramatically improve cost efficiency.

6. Performance Monitoring and Strategy Refinement

Using Google Ads, GA4, and CRM integration, we tracked full-funnel attribution: impressions, clicks, form fills, consultations booked, and subscriptions activated. Weekly reports highlighted actionable insights that fed directly into bid adjustments, keyword expansion, and landing page tests.

Results

+104% increase in qualified inbound leads

7x ROAS across Google Ads within 90 days

-54% reduction in customer acquisition cost

+3X organic and paid traffic combined

+68% boost in landing page conversion rate

Conclusion:

The SEM campaign for 1st Optimal was not just a win in numbers—it was a step forward in reshaping how modern consumers access care. By aligning ad strategy with patient pain points and creating a seamless digital journey, we positioned 1st Optimal as a front-runner in personalized virtual health. Continuous testing and intent-focused targeting have made SEM a scalable and repeatable engine of growth.

Ready to Transform Your Healthtech Growth?

Dominate Ignite is a Virginia Digital Marketing Company specializing in results-driven strategies for performance-focused brands. If you’re in telehealth, wellness, or virtual care—and looking to unlock 7x+ ROAS with data-led marketing—we should talk.

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