Six months, thirty grand, fifty-six orders. That's the score. D2C health brand - hormone test kits and supplement bundles. We've thrown everything at Meta: creative refreshes, landing page iterations, campaign structures, budgets high and low, leaving things alone for weeks. Nothing sticks. The only thing that's changed is the money we've burned.
Last thirty days? Can't tell you one thing I know now that I didn't know a month ago. Pixel's clean, CAPI's set up, deduped. Fine. But the numbers tell a different story. LPV to ATC is 0.44%. Benchmark is 5-10%. That's not a creative problem - that's a funnel that's been dead on arrival since day one.
Creative hook rate went from 2% to 33% after we fixed the editing style. Hang rate held around 32%. CTR jumped. But purchases? Four in April. Ten in March. May got worse as we scaled spend - CAC hit three grand per order. You can't optimise for purchase when the algorithm only sees fifty-six signals in ninety days. It has no idea who to target.
We ran ABO, CBO, ASC, foundation campaigns, broad by gender, lookalikes off purchasers, retargeting, single SKUs, bundles, different budgets, even a winner ad set that burned $4.6K in eight days for zero orders. 140 unique ads. 31 ad sets. Thirty LP iterations. All that testing and the only thing that improved was our ability to waste money faster.
I'd bet the account itself is flagged. Health products on Meta - hormone tests, supplements - they get silently throttled at the account level, not just the ad level. Changing creatives won't fix that. Plus the tracking restrictions in the healthcare category since 2025 limit pixel signal regardless of how clean your CAPI setup is.
The LPV→ATC rate is the real killer. Cold health traffic doesn't buy from a product page. You need a quiz funnel to qualify intent before the purchase ask. Supplement brands that used that approach in 2025 dramatically outperformed anyone sending people straight to a PDP. But if your account is already penalised, even that might not save you.
Where would you start? Because right now we're just throwing good money after bad.