I'll die on this hill...
There is absolutely no reason you should touch paid ads until you're doing $5 to $10 million in revenue.
Learn how to create demand organically through content, partnerships, and outreach first. That's enough to take you to that 5-10M mark. Then once that engine is running, layer ads on top.
If you do it the other way around you risk getting eaten up by rising ad costs before your margins can absorb it.
The NYT just profiled a $1.8B revenue company with 2 employees.
Medvi is a telehealth GLP-1 provider built by Matthew Gallagher, 41, from his house in LA. He launched in September 2024 with $20,000. Here are the numbers:
Month 1: 300 customers
Month 2: 1,300 customers
2025 full year: $401M revenue, 250,000 customers
2026 run rate: $1.8B
Net margin: 16.2% ($65M profit)
Total employees: 2 (him and his brother)
Outside funding: $0
How it works: Medvi is a front end. Two platforms — CareValidate and OpenLoop Health — handle doctors, prescriptions, pharmacies, shipping, and compliance. Gallagher handles brand, website, ads, checkout, and customer service. All built with AI.
His stack: ChatGPT, Claude, and Grok for code. Midjourney and Runway for ad creative. ElevenLabs for voice. Custom AI agents to connect systems. AI chatbot for customer service (which initially hallucinated fake prices he had to honor).
For comparison: Hims & Hers did $2.4B revenue last year with 2,442 employees and 5.5% net margins. Gallagher is running 3x the margin with a fraction of a percent of the headcount.
Back into the unit economics: ~$336M in total costs, probably $160-200M to the telehealth platforms, leaving $130-170M mostly in marketing. Against 250,000 customers, that's a $500-700 CAC. High, but it works because his overhead is virtually zero and LTV at ~$200/month holds up.
He's expanding fast. Men's health launched in February — 50K customers in month one. Meal delivery went live last month. Women's health, hair growth, supplements, and skincare are next.
The vulnerability: zero moat. No proprietary tech, no doctor network, no pharmacy infrastructure. CareValidate or OpenLoop could raise fees or launch competing brands. Anyone could replicate this model in weeks.
Right now, the margins are enormous for anyone who moves fast enough. The question is how long that window stays open.
https://t.co/6bNt5w45Rx
🔥🚨BREAKING: Anthropic CEO just announced Ai will get rid of 50% of lawyers, consultants, and finance professionals within 12 months:
https://t.co/Ra3YMqVAmj
Men don’t need more comfort. We need more standards. Power isn’t loud or flashy. It’s a man who does what he said he’d do long after the mood to do it is gone.
I started my entrepreneurial journey when I was 18 years old. I'm 50 now. I run a successful SaaS co and investing in a few startups. One thing I believe in is Power isn’t loud. Power is the man who does what he said he’d do long after the mood to do it is gone.
I’ve been reading The Book on Mental Toughness by Andy Frisella for a while now, and it’s been a total shift in how I approach my days. This book doesn’t just talk about 75 Hard—it breaks down the why behind it. The discipline. The structure. The commitment to doing hard things.
Two things from Chapter One I leaned: 1. Your Routines = Who You Are and 2. What is Mental Toughness? Mental Toughness is the tool that allows you to win the daily battle against yourself. From personal experience...good routines allow a stable environment to grow.
Up at 5:30a - tackling the weights. Reading @AndyFrisellaCEO book on Mental Toughness. I look around my circle and see no one that has mental toughness except my wife. I need a new circle.
Do you own a BCB (blue-collar business)? What automation will be implemented in 2024? Let's chat about how automation can be accessible and transformative for us and not just for the big players.