A patient misses their refill by 30 days. By day 45 they've fallen past the reset window. By day 60 they've either restarted somewhere else or given up. Most clinics never reach them. We build the reactivation infrastructure that brings them back before the window closes — and identifies the 97% of website visitors who never called so you can follow up with them too.
The patients who leave your program aren't going to the clinic across town. Most of them go nowhere. They lose the biology, they lose the momentum, they fall past the reset window, and they're gone. That's not a program problem — that's a follow-up problem. And upstream of that, the people visiting your website at 9 PM never call, never fill out an intake form, and you never know they were there.
A patient who misses 60 days isn't coming back on their old dose — they need full re-intake, labs, consultation, dose ramp. That's full new-patient revenue for you, but only if you reach them before they've forgotten the clinic entirely. Most clinics have no system to catch that window. It closes quietly and the revenue walks.
Ninety-seven percent of the prospective patients visiting your site leave without calling, booking, or filling out the intake form. Your website is the most expensive anonymous-visitor funnel in your business. You're paying to drive traffic, then losing it because you had no way to identify who was there.
Your paid ads are optimizing on form submissions — not on the patients who actually enroll and stay on program. The algorithm doesn't know a three-month retained patient looks different from a one-visit walkaway. It bids equally hard for both. That's where 30 to 40 percent of your budget disappears every month.
A fully managed system that builds the reactivation and identification infrastructure most clinics don't have. We find the patients who dropped off before the reset window closes. We identify the people visiting your site who never called. We fix the 30 to 40 percent of ad spend that's going to waste. Same budget. More patients in your program.
We identify every dormant patient in your system, sequence outreach across email and text, and trigger re-intake before the reset window closes. Not a manual campaign you run once — a continuous system that runs month after month and catches every dormancy cycle as it happens.
Most of the people visiting your clinic website leave without calling or filling out intake. We identify them — name, email, phone — and activate automated follow-up across email, text, and retargeting. Every visit becomes a contactable lead, not an anonymous session your analytics forgot.
New inquiries get a response in five minutes — automated but personalized — with follow-up cadence over the next 48 hours. Most clinic intake loses 40 percent of inquiries to delayed response. We close that gap. More intake calls become first visits.
We build lookalike audiences from your highest-retention, highest-value patients — not from form-submitters. Your ad budget stops chasing tire-kickers and starts reaching the people with the profile that actually converts and stays on program.
Three tiers. Scoped to your clinic size and ad spend. See the full program →
The Revenue Optimization Program carries two independent guarantees, both written into your contract. One confirms the system is working at 30 days. The other confirms it's producing patients back in your program at 60 days.
The guarantees run in parallel. The 30-day checkpoint is a confidence guarantee — it verifies the infrastructure is functioning as designed. The 60-day guarantee is an outcome guarantee — it verifies the system is producing the result you're paying for. Both remedies are defined, specific, and capped — not open-ended promises.
DVC · FORTUNE 50 SYSTEMS BACKGROUND
Every Platform Truth Report and every discovery call for a medical weight loss clinic goes through Ethan personally. He spent the early part of his career building the data and marketing systems behind billion-dollar ad budgets at the enterprise level. The same analytical rigor applied to independent clinics with real patient databases, real intake conversion rates, and real program economics.
You won't get a BDR reading a script. You'll get someone who can open your ad platforms, read your patient data, and tell you within 30 minutes whether there's actually money on the table.
Built the data and marketing infrastructure for Walmart, Bank of America, Kroger, AbbVie, Lowe's, and Hilton.
Operator-level knowledge of identity resolution and unified customer data — the layer most weight-loss-clinic marketing agencies don't have.
Google Marketing Platform credentialed. Meta Marketing Science certified. Reads both platforms without reference material.
Python, JavaScript, SQL. When a question needs a query, he runs it. When a platform needs a fix, he writes it.
Every call prepared from your specific numbers. If Ethan is on the call, the pre-work is already done.
Your website URL and a few basics. Five business days later, you have a custom audit in your inbox.
Walk through the findings. Fit check both ways. If DVC isn't the right answer for your clinic, we'll tell you.
Patient database cleanup. Reactivation sequences configured. Visitor identification deployed. Intake automation activated. Zero lift on your clinical staff.
First reactivated patients within 14 days of launch. Identified visitors flowing into automated follow-up from day one. 30-day confidence checkpoint hits by end of Month 1.
Not curated testimonials. Read all 248 on Google →
Most clinic-marketing agencies run generic medical practice campaigns. We build the data layer that solves the retention and identification problem specific to medical weight loss — reactivating dormant patients before their reset window closes, identifying the 97 percent of website visitors who never called, and feeding real program-enrollment data back to your ad platforms instead of form-submit data. The Platform Truth Report shows you exactly which of those are missing from your current setup, in writing, before you commit to anything.
No. We work with whatever system you're using — SimplePractice, Kareo, Practice Fusion, custom portal, whatever. We pull a flat database export during onboarding and the system runs independently of your PMS. Your front desk, your billing, your charting — none of it changes.
We prefer to work with clinics running brand-name GLP-1 or a hybrid program. Clinics that are 100% dependent on compounded medications have regulatory exposure around FDA shortage declarations and state board enforcement that makes the engagement riskier for both sides. On discovery, Ethan will map your current program structure and tell you straight whether this is the right time — and if not, what to resolve first.
If you're selling out on supply constraints, that's a different problem than we solve. If you're selling out on demand — the window to build reactivation and database infrastructure is now. The clinics that built these systems while demand was strong are the ones that keep their books full when the market normalizes. The clinics that wait have to build it under pressure later, with less cashflow to invest. Most of them regret the delay.
First identified website visitors flow in within 72 hours of launch. First reactivated patients typically within 14 days. The 30-day confidence guarantee hits by end of Month 1 — 200+ identified visitors in writing or your Month 1 fee is refunded. The 60-day reactivation guarantee hits by end of Month 2 — 50+ reactivated patients or your program is extended a month at no cost. Fast attribution is one of the main reasons ROP fits this vertical particularly well.
Never by brand name. Meta and Google have specific policies around branded medication advertising, and weight loss clinic ad accounts face extra compliance scrutiny. We use category references and outcome-focused language that complies with every platform's rules. Your ad account reputation is not something we risk.
Three tiers. The entry tier runs on a short-term agreement so you can see measurable improvements before committing to the full program. The two higher tiers are structured as 12-month engagements because the compounding effect of cleaned patient data, trained algorithms, and seasonal reactivation cycles takes roughly a full year to fully mature. Full program details on the ROP page →
Get a free Platform Truth Report for your clinic. Custom-built for your specific situation. Delivered as PDF and browser link. No credit card. No sales pressure. No follow-up if you pass.
Or book a 30-minute call: Book a call →