Direct primary care + hormone clinic Lacey, WA Since 2026
How We Got Google to Show Asymmetric Health 3× More Often in 10 Months
A physician-led Direct Primary Care clinic in Lacey with 500+ patients, hard to find for someone searching 'GLP-1 near me' a mile away. We rebuilt the site, connected it to the clinic's EHR, and built local pages for Thurston County.
Times Google showed the clinic, per month
6,950 22,418
Search Console
Clicks from Google, per month
230 362
Search Console
Organic visits, per month
269 639
Google Analytics
A Specialty Clinic Behind a Site That Said Nothing About It
Dr. Strand runs Asymmetric Health in Lacey, WA as a Direct Primary Care clinic for specialty care: medical weight loss and GLP-1 care, TRT and BHRT, in person and by telehealth anywhere in Washington. The membership covers the relationship with the physician and unlimited communication, instead of a visit-by-visit fee.
The old site was the problem. It was slow WordPress, it didn't explain how the clinic works, and it lost "GLP-1 near me," "TRT clinic Lacey WA" and "BHRT Olympia WA" to national telehealth companies. Dr. Strand told us about someone he knew who went to a GLP-1 clinic in Denver, Colorado, when Asymmetric Health was down the street. The clinic never came up in that person's search. Local SEO fixes that kind of miss.
The clinic runs on Hint Health for its EHR and payments, and on GoHighLevel to track onboarding. The new site had to work with both. A patient who buys an evaluation creates their EHR record at the same time, which the clinic needs before it can order labs. None of that was connected before.
69 New Leads From Forms and Evaluation Signups
Persilio has counted 69 new leads for the clinic. Of those, 35 came through website forms and 26 signed up for an evaluation. Each person is counted once a month, and spam and job applications are left out.
69
new leads counted in Persilio
10,685
website visits on file in Google Analytics
3,736
Google clicks on file in Search Console
The two biggest sources are the clinic's own doors: the contact and request forms, and the evaluation signup. Those are people who found the site and chose to take a step. The visit and click totals include some time before the new site, so we read them as background.
After the home page, the pages where visitors start are the medical weight loss, BHRT and TRT pages. Those match the three services the clinic is known for, so the service pages are the ones people reach first.
From Slow WordPress to Hand-Coded Astro, Wired Into the Clinic's EHR
This was a site rebuild for the clinic as it already was. We built it around the three priority services (GLP-1 care, TRT and BHRT), with peptide therapy, functional medicine and primary care on top. Fraunces headlines, Inter body text and a color system drawn from the DNA helix mark, all hand-coded on Astro and Tailwind and served from Cloudflare.
Custom Website Design
No themes and no page builders. Every page is hand-built, with a dark default look and blue-to-green accents, and the tone is that of a personal physician's office.
Every service page opens with what a patient weighing a medical decision wants to know: a board-certified physician leads care, communication is included in the membership, and a comparison of three pricing models shows how Direct Primary Care differs from the usual setup. Each page is general education and points decisions back to the clinician.
Service and Treatment Pages
Each service has its own page and its own path to buy an evaluation through Hint:
Symptom Quizzes and Calculators
Some visitors are still working out what is going on. These tools meet them there, then point them to the matching service and evaluation:
Local Pages for Thurston County
Each local SEO page covers a Thurston County city the clinic serves in person, and telehealth reaches the rest of Washington. Every city page has its own copy:
- - Olympia, WA
- - Tumwater, WA
- - Yelm, WA
Hint EHR and GHL Integration
Every "purchase an evaluation" button links to the right Hint Health product, so the EHR record is created when the patient buys. Lab orders go from there to Labcorp without a separate intake step.
GoHighLevel handles onboarding alongside it. People who engage but don't buy are tracked separately so the clinic can follow up. Form submissions carry their marketing source (UTM, gclid, fbclid and landing page), so we can see which cities, searches and campaigns bring in members.
Education and Trust Content
These pages help a patient get comfortable before buying: the how it works walkthrough, transparent pricing with the three-models comparison, honest side-effect content for GLP-1 and TRT, a learning hub, and a blog that answers early research questions.
Three Times as Many People See the Clinic in Google
Local SEO came first because a person searching 'GLP-1 near me' from a mile away should find the clinic down the street. The screenshots below show it: #1 organic for its priority services in Lacey and Yelm, the top local-pack spot in Olympia for TRT and BHRT, and a mention by name in Google's AI Overview on searches that used to go to national telehealth.
How Often Google Showed the Clinic, and How Often People Clicked
Rankings are a snapshot. This is the trend underneath them, from Google's own reports and the clinic's analytics.
Before to Now
- Times Google showed the clinic, per month
- 6,950 to 22,418 +223% Search Console
- Clicks from Google, per month
- 230 to 362 +57% Search Console
- Organic visits, per month
- 269 to 639 +137% Google Analytics
- Keywords ranking in Google
- 105 to 291 +177% DataForSEO
| Measure | Before | Now | Change | Source |
|---|---|---|---|---|
| Times Google showed the clinic, per month | 6,950 | 22,418 | +223% | Search Console |
| Clicks from Google, per month | 230 | 362 | +57% | Search Console |
| Organic visits, per month | 269 | 639 | +137% | Google Analytics |
| Keywords ranking in Google | 105 | 291 | +177% | DataForSEO |
No patient information appears anywhere in these figures, and none ever will. These are website and search numbers only.
Search Console compares October 2025 with August 2026. Google Analytics compares the October 2025 through January 2026 average, the last four full months on the old site, with August 2026. Keyword counts from DataForSEO, September 2025 against September 2026.
#1 organic positions
5
GLP-1, TRT, peptide therapy and ED searches across Lacey and Yelm, all inside 60 days
AI Overview citations
4
Google's AI Overview names the clinic on GLP-1, weight loss and ED searches
Local pack, Olympia
#1
Top map result for TRT and BHRT at 5.0 stars, ahead of clinics physically located in Olympia
The Work Behind Those Rankings
- • Google Business Profile optimization. Categories matched to the priority services, a full service list, professional photos, posts, and a way to ask for reviews after an evaluation.
- • Citation building across healthcare directories. Healthgrades, Vitals, Zocdoc and local Thurston County listings, all with the same name, address and phone number.
- • Service-page rank tracking. GLP-1, TRT and BHRT searches tracked city by city for Olympia, Lacey, Tumwater and Yelm.
- • Editorial program. Ongoing blog posts that answer early research questions and lead readers to the service and city pages.
- • Conversion tracking end-to-end. Every form submission carries its source, service interest and search term into GHL, so we can see which work turns into evaluations and members.
Live Google Results for the Clinic's Priority Searches
Each screenshot is a live Google search captured in July 2026, two months into the program, not a rank tracker export.
"GLP-1 Lacey WA"
#1 organic, cited by name in the AI Overview with pricing
"TRT clinic Lacey WA"
#1 organic and #1 Google Business Profile, 5.0 stars
"GLP-1 Yelm WA"
#1 organic with the Yelm city page, cited in the AI Overview
"ED treatment Lacey WA"
#1 organic, AI Overview cites the clinic four times
"peptide therapy Lacey WA"
#1 organic, pinned on the local map
"BHRT Olympia WA"
#1 in the local pack at 5.0 stars, plus page-one organic
"TRT Olympia WA"
#1 in the local pack, organic listing right below
"GLP-1 weight loss Olympia"
Named in the AI Overview with evaluation pricing
"GLP-1 Tumwater WA"
#2 organic with the Tumwater city page
A Rebuild Measured Faster, Not Just Newer
98 on Mobile in Google's Own Speed Test
Old WordPress sites run slow on a phone, and a phone is where most people search for a clinic. This is what Google records for the hand-coded replacement.
98
Performance
100
Accessibility
100
Best Practices
100
SEO
2/2
Agentic Browsing
Google PageSpeed Insights, mobile, run against asymmetrichealth.com on 21 August 2026. Performance is Lighthouse's simulated mobile test: a throttled phone and connection modelled in the lab, so it moves a point or two between runs.
How the Site Is Built
Built with Astro
A static-first framework that ships zero JavaScript by default. Pages arrive already built, so there is nothing for a phone to assemble before somebody can read them.
Hosted on Cloudflare
Served from the edge location nearest the visitor, so the site is as quick two states away as it is down the road. No server to manage, and nothing to fall over at 2am.
Core Web Vitals
Optimised images, minimal CSS and no render-blocking scripts. Run the site through Google's own PageSpeed Insights and see for yourself.
Schema Markup
Structured data on every page tells Google exactly what the business does, where it works and what it charges, which is what earns the richer result listings.
The clinic already had 500+ patients and a Direct Primary Care model most people nearby had never heard of, applied to TRT, GLP-1 care, BHRT and peptide therapy, with unlimited communication included in the membership.
The new site makes that model easy to find, and the SEO work under it showed results within two months. Someone in Thurston County searching "GLP-1 near me" now finds Asymmetric Health at #1, in the local pack and in Google's AI Overview, and Persilio has counted 69 new leads.
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