How Triquetra Health grew revenue 60% and doubled net profit in one year

Triquetra had real momentum. They were also stretched thin.

With dozens of new launches each quarter on top of an existing 100+ SKU catalog, the PPC side had outgrown what any in-house team could manage by hand.

Each product needed its own keyword set, ranking plan, and campaign structure.

Some products sat in categories where Triquetra was already a top seller. Others were in spaces where they had no presence at all.

The strategy for those two situations doesn't look the same.

There was also a profitability question. Ad spend was running around $400K per month.

Pushing that toward $1M without a system would have meant losing visibility on what was working and what wasn't.

TrainAdz assigned a dedicated team to the Triquetra account. Each person owned a specific set of products and worked through each one every week. Nothing ran on autopilot.

The weekly process for each product covered:

1. Search terms review, deciding what to push and what to cut
2. Placement analysis and bid adjustments for top of search
3. Organic rank checks using third-party tracking
4. Picking 3 to 5 keywords per product to drive for organic ranking
5. Single-keyword exact match campaigns to lock down top positions

For new launches, we were ready to run unprofitably for months. Some products needed six or more months of heavy PPC spend before their organic rank caught up enough to carry the volume on its own.

Several of those launches went from a few thousand dollars a month to $250K–$400K a month inside a year, with top-5 to top-10 organic positions on keywords doing 30K to 100K+ monthly searches.

By the end of 2025:

• 3 of the top 5 selling products in the account were launched and scaled through PPC within 12 months
• Top 5-10 organic positions on keywords with 30K-100K+ monthly searches

In 2026, the focus shifted to profitability. With the organic groundwork from 2025 doing the heavy lifting, Triquetra could ease back on aggressive spend without giving up growth.

The real shift was time and attention applied to one product at a time, every week, with someone accountable for it.

Revenue grew, profit grew, organic positions held, and the system kept producing returns even after spending was pulled back.

"They are part of our team, part of our family. We couldn't have done it without them."