How we helped this lymphedema specialist go from 12-15 patients a month and $100k wasted on marketing to 25 patients monthly and leads pouring in from around the world
"My income has quadrupled, literally quadrupled. You can't argue with that... I can't tell you the hundreds of thousands of dollars that I spent on marketing companies that got nothing. The phone never rang. Nobody ever came in. Appointments never got made... Upperhand has been one of the best decisions across the board that I've ever made.
Background
Dr. Loretta Friedman is a chiropractor and lymphedema specialist based in New York City. She runs Synergy Health Associates and specializes in "lymph biologics" - a two-part metabolic detoxification protocol. She's one of the only practitioners offering permanent solutions for lymphedema, serving both local patients and telemedicine clients nationwide.
Her target audience - health-conscious professionals aged 35-70 with disposable income - has the means to pay. The problem was reaching them.
Dr. Loretta had a presence on Instagram, managed by a team that helped her build influencer status over the years. But that was it. She wasn't on the other platforms. And she was bleeding money trying to grow - around $6,000 per month on Facebook ads, another $1,700-$2,000 on Instagram ads - none of it converting.
She'd been through this cycle before. Over the years, she spent more than $100,000 on marketing agencies. Every one of them promised they had the answer. None of them delivered. As she put it: "The phone never rang. Nobody ever came in. Appointments never got made."
She was stuck at 12-15 new patients per month despite getting 30,000 website views. The math didn't add up, and she'd been saying that for years to every marketing company she hired.
The Process
Dr. Loretta didn't need more Instagram help - she needed to get everywhere else. We built a strategy focused on long-form YouTube content that could be repurposed across all platforms: Instagram, TikTok, Facebook, LinkedIn. For the first time, she had a presence beyond just IG.
We matched her with a content specialist who understood her work and made the whole process easier. One of her biggest struggles was coming up with new ideas to talk about and educate her audience. The content specialist and our system took that off her plate.
She films videos, uploads them, and the content gets distributed everywhere through Upperhand Social. No more fragmented marketing with different companies handling different pieces.
The Results
After spending over $100k on marketing agencies that got nothing, Dr. Loretta finally found something that works.
1) Income Quadrupled Her words:
"My income has quadrupled, OK, literally quadrupled. You can't argue with that."
2) Nearly Doubled Patient Volume
She went from 12-15 new patients per month to 25 - almost double - with leads now coming in consistently.
3) Leads Pouring in From Around the World
Her TikTok took off. She's now getting leads from all over the world for her telehealth consultations—so many that she asked us about international payment processors. In her words from a recent coaching call: "People are basically begging to work with her."
After years of wasted spend and empty promises, the phone finally rings.
All of Your Content Creation DONE in Less than 4 Hours Per Month
Get a done-for-you content machine installed in your business today, guaranteed.

IMPORTANT: EARNINGS AND INCOME DISCLAIMER
All testimonials on this page are from real clients. The results you see on this page are not typical. Their experiences do not guarantee similar results. Individual results may vary based on your skills, experience, motivation, as well as other unforeseen factors. The Company has yet to perform studies of the results of its typical clients. Your results may vary.
Make sure to check out our YouTube, Podcast, and some happy clients below:




















Copyright © 2025 Upperhand Creative. All rights reserved.
Giana Cambria and Upperhand Creative, LLC can not and do not make any guarantees about your ability to get results or earn any money with our ideas, information, tools, or strategies.
Nothing on this page, any of our websites, or any of our content or curriculum is a promise or guarantee of results or future earnings, and we do not offer any legal, medical, tax or other professional advice. Any financial numbers referenced here, or on any of our sites, are illustrative of concepts only and should not be considered average earnings, exact earnings, or promises for actual or future performance. Use caution and always consult your accountant, lawyer or professional advisor before acting on this or any information related to a lifestyle change or your business or finances. You alone are responsible and accountable for your decisions, actions and results in life, and by your registration here you agree not to attempt to hold us liable for your decisions, actions or results, at any time, under any circumstance.
This site is not a part of the Facebook website or Facebook Inc. Additionally, This site is NOT endorsed by Facebook in any way. FACEBOOK is a trademark of FACEBOOK, Inc.
powered by Farhad Rahgozar, Helium8