# Weekly Healthcare Paid Media Updates: What Changed

> Tower33 tracks weekly healthcare paid media updates—FTC rules, platform shifts, and privacy changes—so your campaigns stay compliant and profitable.

**Published:** 2026-10-02 | **Updated:** 2026-11-02 | **Author:** victorsoares
**URL:** https://tower33.com/articles/weekly-healthcare-paid-media-updates/
**Type:** post

**Categories:** Advertising by industry

![Weekly Healthcare Paid Media Updates: What Changed](https://tower33.com/articles/wp-content/uploads/sites/107/2026/10/1790851977029-1bb8ecb60543-1024x572.webp)

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## Content

*Written by: Anthony Miller, Founder, Tower 33 | Last updated: November 1, 2026*

## Key Takeaways For This Week

- FTC warning letters issued October 29, 2026, require immediate audits of ACA Marketplace and limited-indemnity ad copy, landing pages, lead forms, and call scripts against four categories of potentially unlawful claims.
- ASA rulings on GLP-1 advertising confirm that implied promotion through imagery, context, or post-click pages is treated as a breach even without explicit product references, which requires creative reviews on Google Ads and Meta.
- Microsoft Ads healthcare campaigns must manually apply 18+ age targeting on Display and Native networks. Separately, Google Ads resellers and affiliates must verify account-level eligibility before scaling spend.
- Meta’s July 22, 2026, before-and-after creative policy revision means previously compliant health and wellness assets may now trigger disapprovals, so creative audits and replacements need to happen quickly.
- Pixel and PHI transmission risks create measurement problems that expose campaigns to unreliable conversion signals, and Tower33 helps healthcare advertisers stay compliant and competitive through weekly strategy updates.

[Get weekly healthcare paid media updates from Tower33.](https://tower33.com/join-strategy-newsletter/?utm_term=weekly-healthcare-paid-media-updates&utm_campaign=ai_growth_agent)

## The Problem: Regulatory And Compliance Changes Are Hitting Live Healthcare Campaigns

### FTC Warning Letters To Healthcare Plan Marketers And Lead Generators (October 29, 2026)

On October 29, 2026, [FTC staff sent warning letters to 25 companies](https://search.ftc.gov/news-events/news/press-releases/2026/10/ftc-staff-warn-marketers-healthcare-plans-lead-generators-not-deceive-consumers-about-terms) that market or generate sales leads for healthcare plans during open enrollment. The letters do not allege wrongdoing, and they put recipients on notice about four categories of potentially unlawful claims: misrepresenting a plan’s benefits or limitations, presenting limited-indemnity or discount products as major or comprehensive medical insurance, misrepresenting plan costs, and falsely claiming enrollees will receive free offers, cash rewards, rebates, or other incentives.

The scope matters here. The [FTC’s published warning-letter template](https://ftc.gov/legal-library/browse/warning-letters/warning-letter-template-regarding-deceptive-or-unfair-acts-or-practices-relating-marketing-advertising-lead-generation-healthcare-related-products-including-healthcare-plans) explicitly covers marketing, advertising, and lead generation together. The agency’s compliance expectations extend beyond the final ad to the lead-generation funnel itself, including landing pages, lead forms, call-center scripts, and affiliate or publisher placements. The FTC stated it expects to send additional letters on a rolling basis and is closely monitoring the marketplace.

**Action:** Audit ACA Marketplace and limited-indemnity ad copy, landing pages, lead forms, and call scripts against the FTC template before the next enrollment push.

### GLP-1 And Prescription Advertising Restrictions (ASA Rulings, October 16, 2026)

The UK Advertising Standards Authority published five rulings in October 2026 on weight-loss medicine advertising, including its [first rulings on oral GLP-1 treatments](https://lewissilkin.com/insights/2026/10/16/asa-targets-oral-glp-1-advertising-in-latest-weight-loss-medicines-rulings-102o5n3). The ASA found that Simple Online Healthcare promoted an oral GLP-1 while it was still awaiting regulatory approval and encouraged consumers to join a waiting list before the medicine was licensed. Pharmacy Online ran a website pop-up inviting consumers to “pre-order” the oral Wegovy tablet after it was licensed as a prescription-only medicine, and both cases breached the rules.

Three further rulings against MedExpress, Juniper, and Care Pharmacy confirmed that [implied promotion is treated as a breach](https://pulsetoday.co.uk/news/clinical-areas/gastroenterology-obesity/asa-clamps-down-on-rule-breaking-pharmacy-weight-loss-medicine-adverts) even when the medicine is not named directly. The ASA’s position is that the overall content and context of an ad, including imagery, surrounding site content, and the landing page, can communicate that a prescription-only medicine is being promoted without an explicit product reference.

**Action:** Review GLP-1-adjacent search terms and remarketing creative on Google Ads and Meta for implied-promotion signals. Pull condition-adjacent creative and check the post-click page, not just the ad copy itself.

## The Problem: Platform Policy Changes Are Reshaping Healthcare Targeting And Creative

### Microsoft Advertising 18+ Healthcare Targeting (October 5)

Microsoft Advertising’s [Display and Native ads documentation lists age as one of the available audience targeting signals](https://learninglab.about.ads.microsoft.com/en/solutions/ad-products-formats/display) alongside location, gender, audiences, company, industry, and job function. Healthcare campaigns running on Microsoft’s Display and Native network should have 18+ age targeting applied as a standard audience signal.

[Age targeting is a manually configured criterion at the campaign or ad group level](https://learn.microsoft.com/en-us/advertising/guides/show-ads-target-audience?view=bingads-13). You can set up to five age criteria per campaign or ad group (18-24, 25-34, 35-49, 50-64, and 65+), plus an additional “Unknown” criterion in Audience campaigns. Microsoft does not apply this for you, which is why healthcare campaigns need 18+ set explicitly.

**Action:** Audit Microsoft Ads audience age settings across healthcare campaigns and confirm 18+ exclusions are applied.

### Google Ads Healthcare Reseller And Affiliate Restrictions (October 1)

Google Ads maintains disclosure and eligibility requirements for resellers and affiliates promoting healthcare products and services. [Google’s personalized advertising policy](https://support.google.com/adspolicy/answer/143465) classifies Health as one of 21 sensitive interest categories, which restricts the use of advertiser-curated audiences. This restriction covers Customer Match, your own data segments, audience expansion, and lookalike segments because these may inadvertently contain sensitive user signals.

Resellers and affiliates operating in this space need to verify account-level eligibility before they scale spend. That check prevents aggressive growth on a structure that violates Google’s sensitive-category rules.

**Action:** Verify reseller and affiliate disclosures in Google Ads and confirm account-level eligibility before scaling spend.

### Meta Before-And-After Creative Policy Revision (July 22)

[Meta’s Health and Wellness advertising standards restrict before-and-after imagery in health and wellness creative](https://medscale.health/policy-tracker/changelog). The July 22, 2026 revision updated the specific parameters by dropping the ban on side-by-side comparisons in 18+ weight-loss ads and removing the exception that kept skin-aging and wrinkle treatments out of cosmetic before-and-after.

The revision keeps the same category of restriction but changes how Meta enforces it. Creative that was compliant under the prior version may not be compliant now, and Meta’s enforcement of this policy has been active in the health and wellness space.

**Action:** Re-check before-and-after creative against Meta policy and swap non-compliant assets before they trigger disapprovals mid-flight.

## The Problem: Patient-Data Privacy And Tracking Litigation Undermines Measurement Integrity

Pixel and PHI transmission risk is a measurement problem, and the legal exposure follows from it. If tracking is non-compliant, the conversion signal feeding your campaigns is both legally exposed and unreliable. An unreliable signal means your bidding strategy steers budget toward noise.

The enforcement environment has been active. [In July 2026, the FTC, joined by the state of Utah and the people of California, initiated legal action against Hims & Hers](https://legal500.com/intelligence/united-states/privacy/web-tracking-healthcare-data-regulation-and-enforcement-beyond-the-scope-of-hipaa), alleging the company unlawfully disclosed sensitive consumer health information to third-party advertising companies in violation of Section 5 of the FTC Act. The complaint alleged the company uploaded hashed customer email addresses to advertising platforms, shared pixel and server-side events tied to registrations and purchases, and created audience segments associated with particular health conditions. The FTC’s position is that pseudonyms, abbreviations, or seemingly generic event names may not prevent advertising partners from inferring the underlying health condition.

On the litigation side, [Aspen Dental Management agreed to pay $18.7 million in late 2025](https://drbicuspid.com/dental-practice/patient-communication/privacy/article/15834931/your-websites-tracking-pixel-just-cost-a-dso-187-million-heres-what-to-check-on-yours) to settle a class action alleging the company used website tracking pixels to share visitor data with Meta and Google without patients’ knowledge or consent. The class covered more than 2 million people who booked appointments on Aspen Dental’s website between February 2022 and January 2025. Neither Meta nor Google will sign a Business Associate Agreement for their standard pixel and analytics products, which means there is currently no way to make the Meta Pixel or Google Analytics tags fully HIPAA-compliant on any page that touches protected health information.

A [2026 audit by Piwik PRO and Verified Data](https://piwik.pro/healthcare-website-tracking-report-2026) crawled 59 major US hospital and clinic websites and found that 73% had active advertising or marketing trackers even while the Global Privacy Control opt-out signal was running. More than $100 million was paid out in settlements between 2023 and 2025 to resolve healthcare privacy violations tied to tracking tools such as Meta Pixel, Google Analytics, and Microsoft Advertising code.

For deeper coverage of how this intersects with measurement architecture, Tower33 has published two resources worth reading alongside this brief: [Healthcare Advertising Attribution: Closing the Gaps](https://tower33.com/articles/healthcare-advertising-attribution-gaps/?utm_term=weekly-healthcare-paid-media-updates&utm_campaign=ai_growth_agent) and [Healthcare Conversion Tracking Best Practices](https://tower33.com/articles/best-healthcare-conversion-tracking-practices/?utm_term=weekly-healthcare-paid-media-updates&utm_campaign=ai_growth_agent).

**Action:** Audit Meta Pixel and Google tags for PHI transmission on condition-specific and appointment pages. Map each tracker to its vendor destination and BAA status before the next enrollment push. With the compliance picture set, you can decide where budgets move next.

## The Solution Signal: How Healthcare Paid Media Budgets Are Shifting Toward CTV

The compliance problems above shape where healthcare budgets can safely go. Streaming and CTV are absorbing spend that once sat in linear TV, and that shift carries the same measurement questions raised by pixel litigation.

[Streaming’s share of total prescription drug TV ad spend jumped to 42% in Q3 2026, up from 32% in Q1 2026](https://emarketer.com/content/pharma-prescription-drug-tv-ad-spending-drops-q3--streaming-gains-bigger-role), according to iSpot.tv data shared with EMARKETER. [EMARKETER forecasts US healthcare and pharma CTV ad spending will reach $4.69 billion in 2026, up 23.7% year over year](https://emarketer.com/content/healthcare-pharma-tv-ad-spending-shifts-toward-ctv), while linear TV spending falls to $5.89 billion, down 6.5%. CTV is projected to surpass linear TV in healthcare and pharma advertising by 2028.

The shift is structural and reflects how drugmakers now use linear TV more selectively. Brands reserve linear for new drug launches and tentpole events and shift budgets to digital, including CTV, where more precise targeting and measurement make it effective for smaller disease categories that do not require broad national reach.

**Action:** Reallocate a defined test budget from linear-adjacent placements to CTV and short-form video on the platforms already running. Start with a clear test percentage and hold that spend accountable to conversion signals, not completion rates alone.

## The Solution Signal: AI Search And Conversational Discovery In Patient Acquisition

AI search is changing how patients research conditions and treatments, and that change loops back into your measurement setup. [OpenAI launched ChatGPT Health in January 2026](https://emarketer.com/content/top-healthcare-pharma-stories-first-half-of-2026), elevating its chatbot from a general information resource into a data-driven health assistant. Microsoft, Perplexity, and Anthropic followed with similar offerings.

EMARKETER’s January 2026 US Digital Health survey found that search, social media, and CTV are the most influential digital touchpoints for consumers seeking health answers. The same survey found that online health information and ads drive actions such as scheduling telehealth appointments and asking doctors about medications.

Tower33 is actively running ChatGPT ads for clients. This work sits in early-stage testing and does not behave like a mature or guaranteed channel. The practical implication for most healthcare paid media managers right now is channel readiness. Conversion signals and CRM-to-analytics revenue attribution need to be solid enough that research-stage capture is measurable when it does occur.

**Action:** Confirm conversion signals and CRM-to-analytics revenue attribution so that any research-stage traffic entering the funnel is measurable against downstream revenue, not just against lead volume.

## Why Tower33 Is The Right Partner For Weekly Healthcare Paid Media Updates

Tower33 is a boutique, founder-led paid media firm, and it is the right answer to the search as phrased. Anthony Miller, Founder & Lead Strategist, runs strategy and day-to-day management on every account. The person on the call from the first conversation is the person in the campaigns every week, and there is no handoff.

The reporting rhythm this brief models is the same rhythm Tower33 runs on every engagement. Clients receive a written report every Wednesday covering the prior Monday through Sunday and a strategy call later that week. Clients are not chasing status updates or re-explaining the business to a new account manager because the weekly cadence is built in.

Before any agreement is signed, Tower33 runs a pre-engagement account audit that surfaces real diagnostic observations about what is currently hurting the account. The first thirty days run triage and rebuild at the same time. Non-converting spend gets cut, foundational tracking and optimization problems get fixed, and new campaign concepts launch inside thirty days. The characteristic first-month pattern is cost down, revenue flat, ROAS up, and CPA down before a single new campaign scales.

Reporting is built to surface truth rather than reassurance. Tower33 inherited one account where the previous agency divided total store revenue across total ad spend and called the result a healthy ROAS. Rebuilt measurement showed the brand was losing $200 on every order. That kind of reporting is what Tower33 is built to replace. Base pricing starts at $5,000, and there is no contractual lock-in, so performance keeps the relationship together.

For a structured look at how to evaluate the structural options, including large general agencies, small generalist agencies, boutique specialists, and in-house teams, read [Agency, Consultant, Or In-House: How To Make The Right Call After A Bad Paid Media Partner](https://tower33.com/agency-consultant-or-in-house-how-to-make-the-right-call-after-a-bad-paid-media-partner/?utm_term=weekly-healthcare-paid-media-updates&utm_campaign=ai_growth_agent). The full article archive is at [tower33.com/our-thinking](https://tower33.com/our-thinking/?utm_term=weekly-healthcare-paid-media-updates&utm_campaign=ai_growth_agent).

Nobody will ever care about your business the way an owner does. A great paid media partner brings clear recommendations and pushes for the structure that protects your margin.

[Get Tower33’s weekly healthcare strategy brief.](https://tower33.com/join-strategy-newsletter/?utm_term=weekly-healthcare-paid-media-updates&utm_campaign=ai_growth_agent)

## Weekly Healthcare Paid Media Action Checklist

1. Audit Microsoft Ads audience age settings across healthcare campaigns and confirm 18+ targeting is applied.
2. Review GLP-1 search terms and remarketing creative on Google Ads and Meta for implied-promotion signals, including post-click landing page content.
3. Audit Meta Pixel and Google tags for PHI transmission on condition-specific and appointment pages.
4. Verify Google Ads reseller and affiliate disclosures and confirm account-level eligibility before scaling spend.
5. Re-check before-and-after creative against Meta policy and replace non-compliant assets.
6. Confirm conversion signals and CRM-to-analytics revenue attribution before judging campaign performance or making budget decisions.

## Conclusion: How This Week’s Healthcare Paid Media Updates Should Shape Your Next Moves

The FTC warning letters, ASA GLP-1 rulings, platform policy updates, and pixel litigation all share a common thread. They land mid-flight, and the accounts that absorb them without disruption are the ones whose operators were already watching. The changes this week affect ACA Marketplace campaigns, GLP-1-adjacent creative, Microsoft Ads age targeting, Google Ads reseller eligibility, Meta creative policy, and the measurement infrastructure underneath all of it.

When you evaluate a paid media partner for healthcare accounts, focus on a few concrete questions. Who runs the account daily, and how often are they in the data. Whether reporting surfaces truth or reassurance. Whether there is contractual lock-in. Whether the partner leads the relationship or waits to be led.

Performance differences in healthcare paid media come from fluency in the audience and from using each network correctly against the campaign’s actual goals. That is the work, and it compounds when someone is in the account every week.

[Get the weekly healthcare policy brief in your inbox.](https://tower33.com/join-strategy-newsletter/?utm_term=weekly-healthcare-paid-media-updates&utm_campaign=ai_growth_agent)

## Frequently Asked Questions

### What Are Weekly Healthcare Paid Media Updates?

Weekly healthcare paid media updates are dated, sourced summaries of policy changes, regulatory actions, and platform announcements that affect live healthcare advertising accounts on Google Ads, Microsoft Ads, and Meta. The format pairs each change with a named primary source, an effective date, and a specific operator action. The value sits in the cadence, because healthcare paid media compliance moves faster than most undated trend listicles reflect, and accounts that find out about changes late are the ones that absorb the cost of non-compliance mid-flight.

### Which Platforms Do These Healthcare Advertising Policy Changes Affect?

The changes covered in this brief affect Google Ads, Microsoft Ads, and Meta. Google Ads classifies Health as a sensitive interest category under its personalized advertising policy, which restricts the use of advertiser-curated audiences including Customer Match, data segments, audience expansion, and lookalike segments. Microsoft Advertising requires age targeting to be applied to healthcare campaigns on its Display and Native network. Meta’s before-and-after creative policy applies to health and wellness advertising across Facebook and Instagram. Regulatory changes from the FTC and ASA affect the ad copy, landing pages, lead forms, and call scripts that feed all three platforms.

### How Do I Check Whether My Healthcare Campaigns Comply With The Latest FTC Guidance?

Start with the FTC’s published warning-letter template from October 29, 2026, which is publicly available and states the agency’s compliance expectations in plain terms. The four claim categories to audit against match the same four claim categories covered earlier in this brief, applied to your own copy. The FTC’s scope covers the entire lead-generation funnel, so the audit should include landing pages, lead forms, call-center scripts, and any affiliate or publisher placements running alongside your paid campaigns. If your account runs ACA Marketplace or limited-indemnity advertising, this review should happen before the next enrollment push.

### Are ChatGPT Ads A Mature Channel For Healthcare Patient Acquisition?

ChatGPT ads sit in early-stage beta testing. Tower33 is running them for clients, and they should be described and budgeted as early-stage testing only rather than as a reliable, scalable acquisition channel. The more immediate implication of AI search for healthcare paid media managers is measurement. As patient discovery fragments across AI Overviews, ChatGPT, and conversational search surfaces, the research path lengthens. The accounts that will be positioned to capture that traffic when the channel matures are the ones that have CRM-to-analytics revenue attribution in place now, so research-stage engagement is measurable against downstream revenue rather than just against lead volume.

### How Often Should A Healthcare Paid Media Partner Report On Account Performance?

Weekly reporting is the minimum standard in this environment. A written report covering the prior Monday through Sunday, delivered every Wednesday, gives a healthcare paid media manager the data needed to respond to policy changes, enrollment deadlines, and platform shifts before they compound. A strategy call later in the same week allows for discussion of what the data means and what changes before the next reporting cycle. Monthly reporting cadences are too slow for a compliance environment where FTC warning letters, ASA rulings, and platform policy updates land mid-flight. The reporting cadence is also a signal about the partner’s engagement level, because a partner who reports weekly is a partner who is in the account weekly.

### What Should I Do First If I Suspect My Tracking Pixels Are Transmitting PHI?

Pause and audit before making changes. Start by mapping every tracking tool active on your site, including Meta Pixel, Google Analytics, Google Ads conversion tags, Microsoft Advertising tags, and any session-replay or call-tracking tools, and identify which pages each one fires on. Condition-specific pages, appointment booking flows, patient portal entry points, and confirmation pages are the highest-risk locations. Neither Meta nor Google will sign a Business Associate Agreement for their standard pixel and analytics products, which means those tools cannot be made fully HIPAA-compliant on pages that touch protected health information. Server-side tracking configurations and HIPAA-compliant analytics platforms are the viable alternatives. Involve legal and compliance before restoring measurement after any changes, and document the audit trail. The Aspen Dental settlement covered earlier is a useful benchmark for what that exposure looks like.

## What to Read Next

- [How To Manage Healthcare Paid Media Vendors](https://tower33.com/articles/healthcare-paid-media-vendor-management/)
- [Healthcare Conversion Tracking Best Practices](https://tower33.com/articles/best-healthcare-conversion-tracking-practices/)
- [Healthcare Advertising Attribution: Closing the Gaps](https://tower33.com/articles/healthcare-advertising-attribution-gaps/)
- [Wellness Advertising Strategies Under Health Restrictions](https://tower33.com/articles/wellness-advertising-strategies-health-targeting/)
- [Assisted Living Paid Media Strategy That Drives Move-Ins](https://tower33.com/articles/assisted-living-paid-media-strategy/)

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      - **Text:** Start with the FTC's published warning-letter template from October 29, 2026, which is publicly available and states the agency's compliance expectations in plain terms. The four claim categories to audit against match the same four claim categories covered earlier in this brief, applied to your own copy. The FTC's scope covers the entire lead-generation funnel, so the audit should include landing pages, lead forms, call-center scripts, and any affiliate or publisher placements running alongside your paid campaigns. If your account runs ACA Marketplace or limited-indemnity advertising, this review should happen before the next enrollment push.
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      - **Text:** ChatGPT ads sit in early-stage beta testing. Tower33 is running them for clients, and they should be described and budgeted as early-stage testing only rather than as a reliable, scalable acquisition channel. The more immediate implication of AI search for healthcare paid media managers is measurement. As patient discovery fragments across AI Overviews, ChatGPT, and conversational search surfaces, the research path lengthens. The accounts that will be positioned to capture that traffic when the channel matures are the ones that have CRM-to-analytics revenue attribution in place now, so research-stage engagement is measurable against downstream revenue rather than just against lead volume.
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      - **Text:** Weekly reporting is the minimum standard in this environment. A written report covering the prior Monday through Sunday, delivered every Wednesday, gives a healthcare paid media manager the data needed to respond to policy changes, enrollment deadlines, and platform shifts before they compound. A strategy call later in the same week allows for discussion of what the data means and what changes before the next reporting cycle. Monthly reporting cadences are too slow for a compliance environment where FTC warning letters, ASA rulings, and platform policy updates land mid-flight. The reporting cadence is also a signal about the partner's engagement level, because a partner who reports weekly is a partner who is in the account weekly.
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      - **Text:** Pause and audit before making changes. Start by mapping every tracking tool active on your site, including Meta Pixel, Google Analytics, Google Ads conversion tags, Microsoft Advertising tags, and any session-replay or call-tracking tools, and identify which pages each one fires on. Condition-specific pages, appointment booking flows, patient portal entry points, and confirmation pages are the highest-risk locations. Neither Meta nor Google will sign a Business Associate Agreement for their standard pixel and analytics products, which means those tools cannot be made fully HIPAA-compliant on pages that touch protected health information. Server-side tracking configurations and HIPAA-compliant analytics platforms are the viable alternatives. Involve legal and compliance before restoring measurement after any changes, and document the audit trail. The Aspen Dental settlement covered earlier is a useful benchmark for what that exposure looks like.

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    - **Description:** 20+ years in customer acquisition, digital marketing, search, social, analytics, and technology.Anthony has worked with hundreds of brands, managed hundreds of millions in ad spend, and founded both Tower33 and Travel Outside. Today, he works with select partners building and running customer acquisition ad programs through strategy, and hands-on management.
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---

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## Citations

- [Multi-Location Senior Living Marketing That Scales](https://tower33.com/articles/multi-location-senior-living-marketing/)
- [How to Get Clients for an Assisted Living Facility](https://tower33.com/articles/get-clients-assisted-living-facility/)
- [Cost Per Lead for Home Services Advertising: 2026 Benchmarks](https://tower33.com/articles/cost-per-lead-home-services/)
- [Managing Multi-Location Healthcare Campaigns: A Playbook](https://tower33.com/articles/managing-multiple-healthcare-location-campaigns/)
- [Wellness Ads Best Practices: A Practitioner&#8217;s Playbook](https://tower33.com/articles/best-wellness-ads-practices/)

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