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Your LPV to ATC rate at 0.44% versus the 5-10% benchmark is catastrophically broken and no amount of creative testing fixes a product page that fails to convert cold health traffic.
Hormone tests and supplement bundles targeting cold audiences require a quiz funnel not a product page… supplement brands using quiz funnels in 2025 data showed dramatically better conversion flows because they qualify intent before the purchase ask.
Your creative metrics improved massively but you sent warmer traffic to the same broken destination. Meta’s healthcare category also has significant retargeting and tracking restrictions since 2025 that silently limit your pixel signal quality regardless of CAPI setup… your 56 purchases spread across 90 days means the algorithm has essentially zero purchase signal to optimize toward.
