Live PPC Ads took over HRT.org's Google Ads in January 2024 and doubled revenue from $94K to $210K in 2025. They made Performance Max the main engine, added a ZRT brand campaign, and used negative lists to block clinic searches. Orders, conversion rate, and average order value all increased.
A short editorial from the VEONIB team on why this content matters.
This case study proves that even in Google's strictest health category, smart campaign structure can double revenue.
Most PPC case studies stay generic, but this one shows exact levers—Performance Max, brand defense, and negative keywords—with hard numbers.
Health ecommerce owners and PPC managers should watch this to see how to scale under tight ad policies and apply similar tactics.
Online advertising platform by Google for displaying ads on search and other properties.
Google's goal-based campaign type that optimizes across all Google channels.
Search terms excluded from ad targeting to prevent irrelevant clicks.
Paid search advertising for health-related products, subject to strict Google policies.
Ads targeting searches for a specific brand or product name.
Percentage of ad clicks that result in a desired action like a purchase.
Average amount spent each time a customer places an order.
Online store selling at-home hormone and lab test kits on Shopify.
What is HRT.org?
HRT.org is a Shopify store that sells at-home hormone and lab test kits.
How much did HRT.org's Google Ads revenue grow?
It grew from $94,000 in 2023 to $210,000 in 2025.
What strategies were used to increase revenue?
Performance Max became the main engine, a ZRT brand campaign was added, and negative lists blocked clinic searches.
How did orders change?
Orders from ads increased from 496 per year to 905 per year.
What was the conversion rate improvement?
Conversion rate rose from 2.78% to 3.56%.
How did average order value change?
Average order value increased from $189 to $331.
What is the total ad revenue since January 2024?
$513,514 in ad revenue has been generated since January 2024.
Why are health products challenging for Google Ads?
Health products are one of Google's most tightly reviewed ad categories, requiring strict compliance.
What is ZRT?
ZRT is the lab whose kits HRT.org sells, promoted through a dedicated brand campaign.
Who is Live PPC Ads?
Live PPC Ads is the agency that managed HRT.org's Google Ads and achieved these results.