Summary: Campaign performance always drops — it’s normal.
Problem: Clinics keep running the same ads without refreshing creatives or keywords.
Solution: Add seasonal messages, updated offers, and new pain-point-focused ads.
Comparison:
- Static ads → ad fatigue
- Random changes → unstable results
Planned - optimization cycles → steady performance
Actionable Recommendation: Refresh ad creatives every 30–45 days.
Summary Insight: Ads don’t fail — strategy stagnates.