February 17, 2026
Telehealth GLP-1
GLP1 Consult Calls for $11 and a 50% Show Rate
I just watched a CEO offer to fire his Sr. Media Buyer and Marketing Director on a live Zoom call just to get access to the system behind these numbers.
When he saw my results, $3 verified leads, $6 HIPAA intake forms, $11 consults, and a 50% show rate.. the efficiency of the architecture and revenue generated outweighed the loyalty he owed his team.
He offered me a signing bonus and high six figures to join him full-time. The room went dead silent as he waited for me to take the check.
I said no.
On Thursday February 5th, I flipped the switch on a new strategy and system for a client in the GLP-1 weight loss space.
If you know this niche, you know the Cost Per Acquisition (CPA) is climbing, trust is plummeting, and everyone is fighting over the same scrap of attention with the same "miracle drug" hooks.
I didn’t play that game. I didn't just launch ads; I deployed an Offer Enrichment protocol.
By Friday, the very next day, sales were closing.
Here is the raw data from the first sprint. I want you to look closely, because in the current telehealth climate, these numbers shouldn't exist:
Verified Phone Number Leads: 925
Cost Per Verified Lead: ~$3
Intakes Completed: 548
Cost Per Intake: ~$6
Consults Scheduled: 265
Cost Per Consult: ~$11
Sales Closed: 76
Revenue: $31,350
ROAS: 11x
Numbers are stable, deals are still closing from this pipeline. That's 3-mo GLP-1 cycles. They will be back again in 3 months doubling that revenue and ROAS. Lastly, I'm not including upsells to other life-enhancement drugs like HRT or Peptides.
This based off a small $175/day budget. This client is scaling to $500/day but I coached him that won't happen until there is more sales people, intake and processing specialist and providers to handle the calendar.
We are booking high-intent medical consults, people who have completed a rigorous qualification process, for ELEVEN DOLLARS.
The industry average is currently hovering anywhere from $80 to $150 for a similar result, depending on the brand authority. We are operating at a fraction of the cost with arguably higher intent.
How?
I won't give you the IP.
I won't show you the ad account setup,
the ad copy or creatives,
and I certainly won't walk you through the CRM workflows and logic I built to handle this volume.
But I will tell you this: It’s not about shouting louder. It’s about whispering the right thing at the right time. It’s about increasing the value of your offer without increasing the price.
The Boardroom Silence
Recently, these numbers landed me in a conversation with a major national Telehealth brand.
You know the type. Venture-backed, massive overhead, slick branding, and a burn rate that would make a small country nervous. They saw the data. They saw the intake efficiency. And they wanted it.
We got on a call. It was the full lineup: The Founder, CFO, Director of Operations, the CMO, the Senior Media Buyer, and the CRM lead.
They didn't dance around. They made an offer.
It was a 12-month contract. A high six-figure salary and signing bonus. A title that sounds impressive at dinner parties. They wanted me to come in-house, take over the revenue architecture, and install my systems exclusively for them.
Then the Founder said a few people could leave the Zoom room. He said,
"We’re going to let go of [Name Redacted]. You can absorb his responsibilities. He’s good, but he’s not doing this."
He pointed to my spreadsheet.
The room went quiet.
They were talking about firing a teammate.
I paused.
I declined.
The Sacred Energy of Teams
Here is where I differ from the typical consultant, "growth hacker," or agency model.
I come from a background where loyalty isn't a buzzword on a corporate retreat slide deck. It’s the currency of survival. In my culture, you respect the circle. You respect la familia.
When you have a team that has been in the trenches together, people who know the brand voice, who know where the files are stored, who have stayed late during Black Friday crashes, that is Sacred Energy.
You cannot buy that. You cannot hack that. And you certainly cannot replace it with a "better strategy."
If I walked into that company, took that salary, and sat in the chair of a man who had dedicated two years of his life to that mission, I would be poisoning the well before I even wrote the first line of code.
The trust would be gone. The remaining team would look at me not as a leader, but as an invader. The "Nervous System" of the business, the human element, would go into shock.
I told the Founder:
"Keep your staff. You trust them. They trust you. That trust is an asset more valuable than my ad strategy. I am not here to replace your people. I am here to arm them."
I don't want to be your VP of Marketing. I need your health benefits and retirement products. I don't want to play politics or sit in your weekly all-hands meetings wondering why we're discussing PTO.
I'm a Revenue Architect.
The 3-Month Build: Installing the Money Printer
I proposed a different arrangement. The same one I use for all my high-level partners.
I engage for 3 months. Not 12. 4 months max.
In those 90 days, I don't just "consult." I build.
Phase 1: The Architecture. We tear down the broken flows. We install the Offer Enrichment protocols. We fix the tracking pixel nightmares that are bleeding your data.
Phase 2: The Installation. I bring in Orion, my proprietary system for workflow automation and revenue intelligence. We wire it into your existing stack. We turn the lights on.
Phase 3: The Handover. This is the most critical part. I train your team.
I take that Media Buyer you were going to fire, and I turn him into a lethal operator. I teach him how to run the machine I built. I take your CRM lead and show him how to manage the automation so he’s not drowning in manual tasks.
I turn your current employees into superheroes.
And then? I leave.
I leave you with a Life-time Money Printer that you own. You don't pay me a retainer forever. You don't owe me royalties. You own the asset. (Profit-share royalties would be nice though HA. But not my m.o.)
This is the only ethical way to do high-level consulting.
If I make myself essential for your business to function, I have failed you. My job is to make myself obsolete. My job is to build a system so strong that it runs without me.
The Verdict
The national telehealth brand accepted the 3-month engagement and we've began working.
The media buyer and others kept their job. In fact, this time around, with this large team, I'm enjoying teaching more than I am building. The morale at this clinic is electric.
That is the power of my Revenue Architect approach.
I didn't just fix and increase the ROAS (Return on Ad Spend); I protected the culture. I kept the sacred energy intact while upgrading the weaponry.
The Simulation
I built a simulation of this exact architecture to show what happens when you stop playing small.
I took the logic from this $175/day campaign and stress-tested it at $70k/month. The revenue projection is massive ($750k+), but I want you to look at a different metric on the dashboard: "Volume Capacity."
At scale, this architecture generates over 6,000 consults. The math proves that you don't need fewer people to run this. You need every single person on your payroll just to catch the money falling from the sky. In fact, the only humans you need are the sales consultants, but even there I have an Ai Agent for that. 90% of my client data says prospects don't even know they're talking to a robot.
[Read more about how to use my Orion chat and voice agent in your pipeline.]
Don't believe the math? Run the simulation on your own ad budget.
[Run the GLP-1 Revenue Simulation]
If you're running a high-volume Telehealth offer, or a high-ticket coaching business, and you're tired of the rising costs and the diminishing returns...
If you are looking at your team and wondering if you need to fire them to afford "better talent"...
Stop.
You don't need new people. You need a better architecture.
I have 3 Tier 2 spots open. What does that mean? Depending on where you're at in your business, I may be willing to take you on as client.
I'm not looking for clients who want a "quick fix." I'm looking for partners who respect the energy of the build, who value their teams, and who are ready to install a system that will feed their business for years to come.

