The good news first: Meta delivered your ads. Your main prospecting campaign reached 167,082 people with 436,968 impressions at a $15.69 CPM, which is a healthy, unpenalized auction price. The problem is not that nobody sees your ads. The problem is what happens before and after they see them.
Your Feb 2026 campaigns ran at $36–$45 CPMs vs $15.69 on the older CBO. That spread is Meta's quality/policy scoring taxing your delivery. The flags are identified below.
7,764 clicks produced 45 purchases on your main campaign. The pages are well built; the claims language and trust elements are leaking buyers who arrived ready to be convinced.
The three $94–$101 campaigns were all Canada, one selling a different product, and all shut off under $500 in spend. The US, your scalable market, has never had a clean, compliant test.
| Campaign | Spend | Purch. | CPA | CPM | CTR | Click→Buy |
|---|---|---|---|---|---|---|
| Prospecting – Sales – CBO · US | $6,856.94 | 45 | $152.38 | $15.69 | 1.78% | 0.58% |
| Retargeting – Protocol Sales (Feb 2026) · US | $1,296.83 | 4 | $324.21 | $45.06 | 1.09% | 1.27% |
| Prospecting – Protocol Sales (Feb 2026) · US | $1,294.27 | 5 | $258.85 | $36.26 | 0.96% | 1.47% |
| Vitality RS Campaign 1 · US (freq. 4.72) | $1,365.03 | 12 | $113.75 | $28.05 | 1.46% | 1.69% |
| US subtotal — the scalable market | $10,813.07 | 66 | $163.83 | — | — | — |
| CA: Winners | Scaling CBO · Canada | $202.91 | 2 | $101.46 | $30.62 | 1.16% | 2.60% |
| CA: Concept Testing | $75 Cost Caps · Canada | $195.63 | 2 | $97.82 | $26.68 | 3.14% | 0.87% |
| CA: Hydro Ritual · Canada (different product) | $469.30 | 5 | $93.86 | $33.43 | 1.86% | 1.92% |
| Canada subtotal — cheaper auctions | $867.84 | 9 | $96.43 | — | — | — |
| Account total | $11,680.91 | 75 | $155.75 | — | — | — |
Read this table the way Meta reads it — and split it by market. The US bought 66 customers at a $163.83 blended CPA. Canada bought 9 at $96.43. Before anyone celebrates the Canadian number: Canadian auctions run roughly 30–40% cheaper than US, so much of that gap is market pricing, not performance, and a third of the Canadian purchases came from Hydro Ritual — a different product from the capsule pages audited here. Three real conclusions: your proven US capsule floor is $113.75 (Vitality RS), the US — the only market that scales you — has never run a compliant, fully-optimized campaign, and Canada is the cheapest creative testing lab you own. The plan below uses all three.
Meta reads your landing pages, ad text, image text, and transcribed video audio, scores it all against health and personal-attributes policy, and prices your delivery accordingly. These are the flags, in priority order.
The page's meta description reads "Relief from chronic constipation using a gentle, daily routine." Chronic constipation is a named medical condition; claiming relief from it is a treatment claim Meta's crawler reads on every review pass, even though it's invisible on the page itself. This single tag can suppress every ad pointed at this URL.
The Paige W. testimonial says "I'm keeping off the weight." The summer page says "you feel flatter and lighter" and ties results to how you look in swimsuits. Weight claims on a digestive product are one of Meta's most aggressively enforced categories, and testimonials count as your claims, not the customer's.
The countdown timer is displaying 00:00 and the page says "act now while supplies last" on an evergreen offer. Meta classifies fake urgency as a deceptive practice signal, and it is one of the fastest ways to earn a low ad-quality ranking that raises CPMs account-wide. Your $36–$45 CPMs on the Feb campaigns are consistent with exactly this.
"4.8 stars | 25K+ reviews | 100k+ members," "3rd-Party & Clinically Tested," and "Safe For Everyday Use" all appear without a linked source. Unverifiable review counts and safety claims are flagged in review, and "clinically tested" without citation is also FTC exposure.
Meta applies elevated scrutiny to health products fronted by a named practitioner, and cross-references the practitioner's own platform history. Dr. Daniels' name carries prior platform restrictions, which likely contributes to domain-level scoring on every page under this brand. This is a positioning decision, not a copy edit, so it's yours to make.
Senna, cascara and cape aloe are recognized by every regulator as occasional-use ingredients. Pairing them with "daily, long-term use" language is a claims mismatch that both Meta's classifier and the FTC pattern-match against this exact ingredient set.
Age-tagged testimonials trip Meta's personal-attributes policy when the surrounding ad targets by age. Low effort to fix, so fix it.
On your video scripts: your instinct was right. Meta transcribes video audio, and unscripted customer testimonials are scored as advertiser claims. Every video going forward gets transcribed and screened against this findings list before upload. Send me the creatives from the campaigns above and I'll flag the exact lines that hurt you.
Bottom line: you don't have a delivery problem, you have a flag problem and a structure problem, and both are fixable on a fast clock. The plan above is how we make the US work, use Canada to test cheap, and push your cost per customer down from there.
— Caleb Reinhold, Neutrino Marketing