Premium programs that sell on outcomes and have to hold their price.
- CACCost per member
High by design, and judged against annual membership value rather than first payment.
- RENEWAnnual renewal rate
The number that decides whether the program is a business.
- ARPMRevenue per member
Tier mix and add-on diagnostics move it more than acquisition volume.
- PAYBACKCAC payback period
Long consideration and high price make this the honest measure of media.
What makes Longevity & wellness different.
The growth plan starts from how the category behaves. These are the forces that shape demand, cost and retention before any media is bought.
- 01
The patient is buying a relationship
Comprehensive labs, a physician who reads them and a plan that adapts is the product. Media and landing pages that lead with a single molecule sell it short.
- 02
Price does the qualifying
A high membership price screens for the patients the program is built for. Funnels that discount to convert attract patients who churn.
- 03
Evidence varies by protocol
Some interventions are well supported and some are early. Claims have to match the evidence for each, which makes creative review more demanding than in single-treatment categories.
- 04
Audiences are narrow and reachable
Health-optimising, higher-income patients cluster around specific content, podcasts and communities. Channel choice matters more than channel volume.
The patient journey in Longevity & wellness.
Seven stages from first impression to retained patient. The stages never change. Where the leaks are, and what fixes them, does.
- 01
Attention
Physician-led and founder-led content on diagnostics, protocols and what a longevity program actually does.
- 02
Click
YouTube, podcast and newsletter placements alongside search, chosen for audience fit over reach.
- 03
Landing page
What the membership includes, who the physicians are, what the evidence supports and what it costs.
- 04
Intake
Health history and goals, with lab ordering integrated into the first step.
- 05
Clinical visit
A substantial first consult that reviews results and sets the plan. Show rate and preparation matter.
- 06
Prescription
Protocol and membership tier chosen with the physician, with pricing already understood.
- 07
Retention
Repeat diagnostics, plan updates and ongoing access that make the membership feel worth renewing.
What we run for Longevity & wellness.
The same four capabilities as every engagement, pointed at the parts of this category's funnel where the economics are decided.
- 01
Growth Strategy
- Membership tier and pricing architecture
- Audience and channel strategy for narrow reach
- Payback modelling on annual renewals
- 02
Performance Media
- YouTube, podcast and newsletter placements
- Search on diagnostics and protocol terms
- Paid social for founder and physician content
- 03
Creative Lab
- Long-form physician and founder content
- Evidence-based protocol explainers
- Member stories on the experience of care
- 04
Conversion Lab
- Membership pages that justify price
- Lab-integrated intake and consult booking
- Renewal and tier-upgrade flows
Rules we build inside.
Every category carries constraints on what can be said, shown and prescribed. They are known before the first concept is written, so tests are designed to clear them.
- Constraint
Evidence-matched claims
Each protocol carries its own evidence base. Claims are written to it individually and reviewed by clinicians, with early-evidence interventions described as such.
- Constraint
Supplement and peptide rules
Non-prescription components have their own advertising and labelling requirements, which differ from prescription care. The plan keeps them separate.
- Constraint
Lab and diagnostic claims
What a test can and cannot tell a patient is stated plainly. Diagnostics are sold as information, never as outcomes.
Questions Longevity & wellness operators ask.
Something specific to your program? scale@scalewithsand.com
Should a longevity program discount to acquire members?
Rarely. Discounting attracts price-sensitive members who churn at renewal. We prefer to improve conversion through evidence, clinician credibility and clarity about what the membership includes.
Which channels work for a premium longevity program?
Ones where the audience already pays attention to health optimisation: YouTube, podcasts, newsletters and search. Broad social works for founder content but rarely as the main acquisition channel.
How do you handle protocols with limited evidence?
By describing them as what they are. Overclaiming is a compliance risk and a trust risk with an audience that reads the studies.
Categories that share the playbook.
Programs often span more than one of these. Cross-sell between them is usually the cheapest growth available.
- GLP
GLP-1 & medical weight loss
High-intent demand, compounding subscription economics, heavy creative regulation.
- TRT
TRT & men's health
Recurring labs and refills where retention decides the CAC you can afford.
- HRT
HRT & women's health
Long consideration cycles that reward education-led creative and patient trust.
Build a stronger, more profitable patient acquisition engine.
Tell us about your program and current numbers. We will come back with a point of view on where the growth is.
