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    Forums › Forums › PPC › tROAS or tCPA for a medical clinic that closes ~20–30 high-ticket ($20K) treatments per month? › Reply To: tROAS or tCPA for a medical clinic that closes ~20–30 high-ticket ($20K) treatments per month?

    • Available_Cup5454

      Guest
      October 11, 2025 at 7:23 pm

      Switch to tCPA using consultation bookings as the main conversion keep treatment events as secondary and reintroduce tROAS only once you have 50+ closed patient signals per month for stable optimization.

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