Live PPC Ads

Case Study

How We Generated $688K in Revenue for HRT.org with Google Ads

Case study: How Live PPC Ads generated $688K in revenue for HRT.org — an online retailer of ZRT Lab test kits and telehealth HRT services — with a 5.3x ROAS from $131K in ad spend.

Platforms We Manage for This Client

Google Ads
Client

HRT.org

Industry

E-Commerce — Health & Wellness

Location

USA (nationwide)

Read Time

2 min read

$688K

Revenue Generated

5.26x

ROAS

3,497

Purchases

$131K

Ad Spend Managed

The Client

HRT.org is an online health and wellness retailer specializing in ZRT Lab test kits (saliva hormone testing, cortisol panels, neurotransmitter tests, adrenal stress tests) and telehealth hormone replacement therapy (HRT) services. They operate on Shopify, shipping nationwide.

The Challenge

Health product advertising on Google faces unique obstacles:

  • Healthcare advertising policies — Google's health product restrictions require careful ad copy and landing page compliance
  • Sensitive product category — hormone testing and HRT services require trust-building in ad messaging
  • Niche audience — the market for at-home hormone test kits is growing but still relatively small compared to mainstream health products
  • Education-heavy purchase path — buyers often need to understand what they're testing for before purchasing, creating a longer decision cycle

Our Approach

  • Intent-focused Search campaigns — targeting specific test queries ("saliva hormone test kit," "cortisol test at home," "neurotransmitter test kit") where purchase intent is clear
  • Shopping campaigns for product visibility across Google's Shopping tab and partner networks
  • Performance Max with health-conscious audience signals to expand reach while maintaining relevance
  • Compliant ad copy — carefully crafted messaging that passes healthcare advertising review while still being compelling
  • Educational content alignment — driving traffic to product pages that educate and convert simultaneously

The Results

  • $688,397 in tracked e-commerce revenue
  • $130,733 in total ad spend
  • 5.3x ROAS — strong return in a compliance-heavy healthcare vertical
  • 3,497 purchase conversions
  • Zero policy violations — maintained full compliance with Google's healthcare advertising policies

What the Client Says

"Health products are a minefield for advertising. Live PPC Ads navigated Google's healthcare policies while still delivering strong results. Our revenue has grown steadily, and we've never had an ad account suspended — which is more than we can say for our previous agency."

Marketing Director, HRT.org


About This Campaign

Industry: E-Commerce — Health & Wellness Platforms: Google Ads (Search, Shopping, PMax) Account Duration: 2022 — Present (ongoing)

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