Meta Ads gives you a lot of targeting levers, but the ones that matter most for a small practice budget are simpler than they look.
Audience definition should start broad enough for the algorithm to learn, then narrow based on what the data shows — not the other way around. Creative matters just as much as targeting: a scroll-stopping first frame and a clear, honest message outperform clever copy on its own.
Tracking setup (pixel, events) has to be right before any of the rest of it means anything.
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