How Join Piper Hit 10x ROAS in Their First Month with Rebuilt Google Ads
A GLP-1 weight loss medication provider was running Google Ads with duplicate conversion tracking and brand-only targeting. We fixed the foundation and delivered 10x returns in 30 days.
A Broken Account with Inflated Data
Join Piper, a GLP-1 weight loss medication provider selling Semaglutide and Tirzepatide, came to us with an existing Google Ads account that looked healthy on the surface — but was fundamentally broken underneath. Our audit uncovered 6 critical issues: duplicate conversion tracking inflating reported results, targeting limited exclusively to brand keywords, ad copy lacking dynamic elements, no in-market or custom audience targeting, missing ad extensions (no sitelinks, callouts, or structured snippets), and a landing page that sent users to account creation instead of a lead form.
Full-Funnel Rebuild: Search + PMax + Remarketing
We rebuilt the account from the ground up with a 90-day plan. Search campaigns targeted high-intent Semaglutide and Tirzepatide keywords to capture active buyers. Performance Max was planned for scale across Google's full network. And remarketing would recapture site visitors who didn't convert on their first visit.
We cleaned up conversion tracking to eliminate duplicates, built out comprehensive negative keyword lists (128 keywords), and expanded targeting well beyond brand terms into category and treatment-specific searches.
10x Return in 30 Days
Within the first month of the rebuilt account, Join Piper achieved a 10x return on ad spend — with properly deduplicated conversion tracking confirming an 8.81x tracked ROAS. Every dollar spent generated nearly $9-10 in revenue from genuinely new customers.
ROAS in the First Month
By fixing the broken foundation — eliminating duplicate conversion tracking, expanding beyond brand-only keywords, and building a proper full-funnel campaign structure — we delivered a verified 10x return on ad spend within 30 days. The tracked ROAS of 8.81x confirmed that performance was real, not inflated by tracking errors.