Stop choosing
between
growth and
compliance.

Physician-informed marketing for telehealth teams that need to scale with trust, not liabilities.

Pranay Parikh, MD holding a prescription bottle labeled Take as Directed
Led by Pranay Parikh, MD Practicing telehealth doctor
Growth requires supervision.
MD Clinical judgment in the room
50+DC Telehealth doctor licensed in all 50 states + DC
0 Claims you can't defend
The stakes

Bad healthcare marketing doesn't just waste your money, it puts your company at risk of being shut down.

Most telehealth growth problems don't start with the media budget. They start with the messaging.

  • One over-inflated claim can turn into a lawsuit.
  • One generic promise can turn into low trust.
  • One tracking pixel error can turn into rejected ads.
  • One weak patient experience can turn into retention loss.

Before you add more leads, fix the message that starts the chain reaction.

The background behind the strategy

Medicine, marketing, and operating experience behind the same advice.

Published in
Content strategist for women's telehealth
Fractional CMO and go-to-market strategy for telehealth
Dual-boarded physician, practicing telehealth doctor licensed in all 50 states + DC, and business operator. MD + operator
Who we help

You're in the right place.

Off-Label works with clinical founders, operators, and growth teams who need telehealth marketing they can depend on.

Select the one that sounds most like you

The operator

The physician-operator advantage.

Most marketing agencies are built to drive clicks, but they don't understand medical liability or clinical workflows. Most doctors are built for care, and never had to learn acquisition math, judge quality copy, or work funnel economics. The physician-operator sits in both seats at once.

In high-scrutiny telehealth (weight loss, hormone therapy, mental health), regulatory pressure runs highest and marketing incentives drift furthest from patient interest. Patients get caught in the middle, and so does your growth.

I'm a dual-boarded internal and obesity medicine physician, a practicing telehealth doctor and hospitalist licensed in all 50 states plus DC, and an operator with nearly a decade of running businesses. A marketing brain that respects the medicine. This is where I do my best work.

My team and I build the systems that turn that lens into growth: messaging that converts and stays defensible, intake that scales without breaking compliance, retention that holds patients past the early drop-off. We close the gap between clinical reality and commercial growth, so what you build is as sustainable as it is compliant.

Portrait of Pranay Parikh, MD, physician-operator behind Off-Label Advertising

We help you navigate the "Off-Label" world where high growth meets strict compliance.

The growth mistake

The most expensive mistake in telehealth is paying for more volume when you're leaking retention.

Patient retention IV bag with an Off-Label bandage.

More leads help you grow, but they cannot fix a leaky patient journey. If patients leave after one visit, margins shrink and care falls short. Acquiring a new patient costs more than keeping one you already have.

Fix the leak first. Build retention, then scale spend.

Clinical-First Positioning We craft compliant messaging that converts people into patients.
Retention-Focused Funnels We build the follow-up and care-touchpoint systems that keep patients coming back after the first visit.
Compliance as an Asset The same rules that scare most marketers make your claims more specific, supportable, and trusted than generic health copy.
What we diagnose first

Most agencies focus solely on acquisition. Off-Label diagnoses whether the message, funnel, follow-up, and claims can support the growth, then shows you what to fix and what to fund.

How we help

Different stages need different support. We help you find the right next move.

Whether you need launch foundation, scale diagnostics, or a fractional CMO, the work adapts to the level of support your team actually needs.

01 / GTM

Build the right foundation with a distinct offer that converts

If a patient cannot tell whether you solve their concern in five seconds, the messaging isn't clear enough. We help early-stage telehealth and private practice teams put the fundamentals in place: a distinct offer and positioning, compliant messaging that converts, a patient journey mapped end to end, and the organic engine (social, articles, owned channels) that earns attention before you pay for it. Paid ads then have something solid to amplify.

02 / Growth and scaling

The business plan is live, and it's time to grow

We diagnose what's actually holding growth back (messaging, funnel, retention gaps, claims, content, paid media) and tell you what to fix first, so you stop spending into a leak.

03 / Fractional CMO

Bring physician-informed judgment into growth decisions

For teams moving fast in regulated categories who want an MD in the room before a campaign, offer, claim, or agency decision turns into an expensive problem. We pressure-test strategy, review patient-facing messaging, and keep growth decisions both compliant and commercially sharp. See who should actually hire one.

Boutique capacity

Off-Label is a boutique advisory and implementation partner with limited client capacity, so every package is built around your specific situation.

Modern tools, human judgment

We're efficient. We maximize AI where it speeds up or improves the work, but keep the judgment, nuance, and patient trust human.

Not sure which one fits? Marketing Triage can route you in five easy questions.

Writing

What we're working out in public.

Telehealth marketing, ad compliance, and the growth economics underneath both. Written by a physician who works in the category, not about it.

More in the blog: rising CAC, brand voice under the new state AI rules, and how to differentiate when every competitor claims the same convenience.

Know what to fix before you scale.

Fifteen minutes with Pranay — you leave knowing the one thing to fix before you spend more. Prefer to self-diagnose first? Take the Marketing Triage.

Book a free 15-min call with Pranay