of consumers now ask AI for local recommendations
up from 6% a year earlier
Medical Weight Loss Clinics
The supply advantage is gone. The demand is not.
For two years the category competed on access — who could source compounded GLP-1 cheaply and fast. As compounding restrictions tightened, that advantage disappeared and clinics were left competing on the thing they had not built: whether anyone can find them. Patients starting this journey do not know the category. They ask an assistant where to begin, and the assistant names one to five clinics. There is no page two.
best semaglutide clinic in Austin
Here are some well-reviewed options:
of consumers now ask AI for local recommendations
up from 6% a year earlier
more likely to be cited via third-party sources than your own site
your website is not the lever
clinics named in a typical AI answer
there is no page two
4 services
Get named by ChatGPT, Gemini, Perplexity and Copilot — and measure it monthly.
Read more →Local and organic search built to feed both Google and the AI engines reading it.
Read more →Paid search managed against booked appointments, not clicks.
Read more →Demand generation on Instagram and Facebook, feeding the searches that follow.
Read more →Written for medical weight loss clinics
Citation sources we audit
Each engine reads a different set of sources. These decide whether a weight loss clinic gets named in your category.
| Source | Primarily feeds |
|---|---|
| Google Business Profile | Gemini / AI Overviews |
| Bing Places | ChatGPT / Copilot |
| Perplexity | |
| Yelp | ChatGPT / Copilot |
| Healthgrades | All engines |
| Foursquare | ChatGPT |
| Local editorial roundups | All engines |
6 services × your markets
Drawn from how patients actually ask, not from keyword tools. A full engagement tracks fifty per market across 4 engines.
How it starts
We run fifty real customer prompts across ChatGPT, Gemini, Perplexity and Copilot for your markets, and show you exactly who gets named instead of you.
We fix the sources those engines actually read — listings, structured data, review velocity, third-party and community presence — in the order that moves your score fastest.
Every month the score is re-measured and reported, with the citation source behind each mention. You watch the number move and you know what moved it.
Before you ask
"You cannot actually measure this."
Fifty prompts, four engines, three runs each — logged with the source every engine cited. The number is reproducible and you get the raw log, not just a summary.
"We already have an SEO agency."
The work barely overlaps. Theirs happens on your website. Around four fifths of ours happens off it — directories, review platforms, community and editorial. We will tell you plainly if we think you are paying twice.
"This is too new to spend on."
Forty-five percent of consumers now ask AI for local recommendations, up from six percent a year earlier. The question is not whether it arrives, it is whether you are named when it does.
"Show us it works first."
Every engagement opens with an audit. You see your score, your competitors’ scores, and the gaps — before committing to a retainer. If the number is already good, we will say so.
Comparison
Not a criticism of SEO — it still matters. These are simply different jobs, and most operators are only buying one of them.
| Traditional SEO agency | First Five | |
|---|---|---|
| Engines covered | ChatGPT, Gemini, Perplexity, Copilot | |
| Where the work happens | Almost entirely on your website | Roughly four fifths off it, where citations come from |
| What success looks like | A position on page one | Being named in a list of five |
| Primary data source | Google Search Console | Business Profile, Bing Places, Foursquare, Yelp, review platforms |
| How reviews are treated | Reputation management | A primary input to whether you get named |
| Monthly deliverable | A traffic report | A score, a per-engine breakdown, and a citation source map |
| When you are not cited | No visibility into why | The exact source that produced a competitor mention instead |
| What compounds | Rankings reset with each core update | Presence in the sources engines read |
Every row above is checkable. If your current agency covers a row we have marked, tell us and we will correct it.
Already working with someone?
Each comparison names the situations where the other option is the better one. If your current provider already covers this, the audit will show it and you should keep them.
What an SEO retainer covers, what it structurally cannot, and why the two jobs share almost no inputs.
Read the comparison →A full-service growth marketing agency working across beauty, ecommerce, healthcare and med spas, SaaS, dental and several other c…
Read the comparison →Cardinal is an Atlanta-based healthcare marketing agency with an established SEO and paid media practice. Aesthetics is one of sev…
Read the comparison →Growth99 is a platform-plus-agency hybrid built specifically for aesthetics practices. It combines a CRM, marketing automation, on…
Read the comparison →9 questions
Not on the category term, and we will not pretend otherwise. On "near me" variants and city-level queries a local clinic can absolutely be named, because the engines treat those as local recommendation questions rather than product questions.
It matters a lot. Patients search semaglutide and tirzepatide by name and increasingly by compounded status. A clinic that never states which it prescribes cannot be matched to the question, however good its listings are.
Because GLP-1 decisions are researched in community threads more than in any other category we track, and Perplexity in particular leans on them. That presence is earned slowly and cannot be bought, which is exactly why it holds its value.
Within limits that are stricter than most operators expect. Prescription-medication terms are restricted on Google, and Meta prohibits before-and-after weight imagery and most numeric outcome claims. Accounts get built around eligibility and consultation language instead.
It applies to the ad as much as to the website, and testimonials describing typical results need to actually be typical. We will flag claims that create exposure, though this is a matter for your own counsel rather than ours.
A real monthly range. It is the category's dominant unanswered query, it captures search volume nobody else is capturing, and it removes the patients who were never going to fund a full course.
Directory claims and structured data can register within two to four weeks. Review velocity and third-party presence compound over three to six months. We report monthly either way, so you see progress before it is complete.
No, and you should be sceptical of anyone who does. No AI platform publishes how it selects sources. We work from measured output and correlations documented across the industry, we report honestly, and we re-baseline the source map quarterly because these systems change fast.
No. The monthly plans are cancel any time and the entry engagement is a one-time project with a fixed price. We would rather earn the next month than hold you to a contract. One caveat worth stating plainly: review velocity and third-party coverage compound over three to six months, so leaving at month two means paying for work you never saw finish.
Fifty prompts, four engines, your markets. You will see your score and exactly who is being named instead — before you commit to anything.
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