Sortino - By Pareto Solutions

Sortino - By Pareto Solutions Performance Marketing Agency

**Medical niche. New product. US market. Heavy policy restrictions and a complex sales process involving medical testing...
26/08/2026

**Medical niche. New product. US market. Heavy policy restrictions and a complex sales process involving medical testing**

Still:

✅ 244% more purchases
✅ 69% lower CPA

When we started:

🔴 226 monthly purchases
🔴 $525.94 CPA

A few months later:

✅ 778 monthly purchases
✅ $162.68 CPA

And this wasn’t one lucky spike.

In the first full month, purchases increased by 89.4% while CPA dropped by 66.6%.

From June to July, purchases increased by another 22.5% and CPA dropped by another 30.3%.

And it keeps climbing.

So, how did we do it?

First, the client is a dream to work with:

• Clear ROAS targets based on backend data and an agreed attribution model

• Clear guidelines that allow us to quickly produce videos and banners without unnecessary approval cycles

• Complete freedom to test whatever we believe can work. As long as we meet the targets and follow policy

Most importantly, they continuously improve their internal sales process. When both sides take full responsibility for their part, things can move very quickly.

On our side, we diversified from day one.

We launched campaigns across Google, Meta, X and Bing, while testing other platforms along the way. Even when performance is strong, we keep testing. We never want growth to depend on one account or platform.

And because SEO is also a core part of what we do, we built organic assets around long-tail searches from the beginning. They started ranking and generating traffic quickly.

We also built our own tracking system - the screenshots in this post are taken directly from it.

It connects backend sales and revenue with the advertising platforms, lets us add projected revenue based on estimated LTV and other business data, test different attribution models and see what is actually driving results, not just what the platforms claim.

We may release it as a product soon.

But that’s a post for another day.

We always test every platform.Twitter/X was always somewhere in the mix, but usually not a main channel.Performance just...
18/05/2026

We always test every platform.

Twitter/X was always somewhere in the mix, but usually not a main channel.

Performance just wasn’t there. Not even close to Meta, Google, or even Bing.

But after their latest update, we launched a small test in the supplements/medical space, not exactly an easy conversion, with a pretty long questionnaire and approval flow, and after a few days, it looks like something changed dramatically.

We don’t know what Musk did there. We just know this was one of his main areas of focus, and the difference is fu***ng crazy.

It’s still small, and most of our budgets are still on Google and Meta, but we’re going to double down on this and start testing more niches.

Please don’t all jump in at once. Let us play quietly for a bit!

New on our blog: if you’re in B2B, this one is worth your time!
11/05/2026

New on our blog: if you’re in B2B, this one is worth your time!

The collapse of how-to content was not caused by a single event. It was caused by a fundamental change in how buyers get answers to their questions, and that change has a name: AI synthesis.

We’re changing the way we do SEO, and launching a new service.We don’t want your retainer. We don’t want a long commitme...
07/05/2026

We’re changing the way we do SEO, and launching a new service.

We don’t want your retainer. We don’t want a long commitment.

Just pay once, get everything you need for proper on-site SEO from A to Z in 30 days, and come back later, or don’t, once your site is actually ready for the next step.

We’ve been doing this for a while now, and honestly, it just works better.

Less pressure for the client.
Less pressure for the agency.
Better pace.
Better expectations.
And no monthly fee ticking in the background while the client is still trying to implement everything.

So we thought, why not just productize it and make it our official offer?

Here’s the landing page with all the details:

https://sortino.io/one-time-seo/

So what friction does this solve?

If you’ve ever done SEO, you know how it usually works.

Agencies ask for a long commitment. And to be fair, they have a good reason. SEO is a long-term game, and they want serious clients, not someone who disappears after one or two months.

But every SEO person also knows that a huge part of the real work happens at the beginning.

Keyword research.
Technical audit.
Site structure.
On-page recommendations.
Content.
Metadata.
Internal linking.

And more. All the boring-but-important stuff.

And this is usually where you see the serious jump after implementation.

But here’s the problem.
You do all this work fast, because that’s how it should be done.
And then it starts.

The client doesn’t have time to review everything.
The dev team says “we can’t do this” or “this will take longer.”
The UX team has their own suggestions.
Someone wants another meeting.
Someone needs internal approval.
And suddenly, what should have been a clear SEO foundation stage becomes endless back and forth.

All while the client is paying a monthly fee. The clock is ticking.
And both sides get frustrated.

So what do some agencies do?

They drip the recommendations slowly, month by month, so the client can “digest” it and the agency can justify the retainer. It slows everything down, but everyone pretends it makes sense.

Which is stupid as f**k. We never liked this game.

We like to move fast, send the important stuff early, and make sure the client knows exactly what they’re getting and when.

So we decided to sell the “first 30 days” as a standalone package.
We audit, understand what matters to your company, prioritize, and build the full SEO roadmap.

Exactly what you’d get in the first month if you did the SEO process with us, and everything you need to build a proper foundation for your site.

You get everything in a clear board you can access anytime, comment, ask questions, and then implement with your dev/UX/whatever team at your own pace.

No monthly fee.
No long commitment.
No retainer hanging over your head.

I think this is a better, more efficient, and much saner way to do SEO for both sides.

Sounds interesting?

Jump to our very beautiful landing page and get all the details:

https://sortino.io/one-time-seo/

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Carlebach 1
Tel Aviv

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