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Have n8n pull your Meta ad results every Sunday and Claude recommend what to scale, cut or replace
Dr. Anthony Pellegrino, owner of Absolute Chiropractic (a pediatric and cranial chiropractic practice about 30 minutes from the Jersey Shore, New Jersey), on The ChiroX Show podcast
Every Sunday an n8n workflow pulls the performance of all his Meta ads through the Meta API, plus the practice stats tied to those ads, and sends it to Claude through its API. Claude analyzes it against the history and recommends what to scale up, scale down, keep, watch, kill and replace. With Claude's MCP connection to an n8n webhook he can reply "raise the budget from $165 to $170" and the change happens in Meta. On Thursdays it proposes which ads to kill and he answers yes or no. A second workflow transcribes each new video ad, has Claude log its hook, who's on screen and its scenes in a Google Doc, and each week matches that log with lifetime results to suggest three to five new videos for his team to film.
Claude $17/mo billed annually ($20 monthly); free plan available (API use is billed separately by usage; n8n prices not checked here)
Hard · or we do it from $149/mo
Claude, n8n, Meta Ads, Google Docs
The problem
He used to pull ad performance exports and review every creative by hand, about an hour every day, for an ad account that drives most of his new patients.
What happened
He now looks at ads only on Sundays and Thursdays; the episode page puts it at about 30 minutes a week for an ad account that drives most of his patient flow, where his manual review used to take about an hour a day. He says the video-analysis workflow took about 10 hours to get right. Self-reported.
Quoted in the source: Dr. Anthony Pellegrino, owner, Absolute Chiropractic. Source: The ChiroX Show: He Built a $1M Practice Doing ONE Thing (Dr. Anthony Pellegrino) (2026-04-14) · Added 2026-10-18.
How to set it up yourself
- What Absolute Chiropractic does: an n8n workflow pulls Meta ad results and practice stats every Sunday, Claude recommends what to scale, cut and replace, and the owner approves each change; budget changes can go back to Meta through an n8n webhook that Claude calls. Start with the read-only half: recommendations you act on yourself.
- In n8n, build a workflow with a Schedule trigger (Sundays), a Facebook/Meta node or HTTP request that pulls last week's results per ad (spend, leads, cost per lead), and a step that adds your own numbers, such as booked new patients by ad source from your front-desk sheet. Claude can write the n8n JSON for you to import: describe the workflow and ask for it.
- Add a Claude (Anthropic) node with the prompt below and send the answer to your email or Slack. Run it for a few weeks and compare its calls with your own before you trust it.
- Only after that, if you want it to act: give the workflow write access to the ad account and have Claude ask before every change, as the owner does on his Thursday kill day. Keep a budget cap set in Meta itself.
Copy-paste prompt
You are reviewing last week's Meta ads for {PRACTICE NAME}, a {PRACTICE TYPE, e.g. pediatric chiropractic} practice. Data: {AD RESULTS TABLE: ad name, spend, impressions, clicks, leads, cost per lead} and {PRACTICE STATS: booked new patients and day-one/day-two conversions by ad}. Our rule: an ad must bring 30-day gross profit of at least {RATIO, e.g. 2x} its acquisition cost. For each ad, say scale up, scale down, keep, watch or kill, with one line of reasoning from the numbers. Then list the 3 new ad ideas most likely to beat our current best, based on what the winners have in common. Don't change anything; I'll approve each step.One short email a day: 3 new AI use cases from real small businesses, each with its source and setup steps, plus a Tool of the Day. Free, no spam, unsubscribe anytime.
Tools used
Claude
AI assistant for writing, long documents, analysis and coding help.
From $17/mo billed annually ($20 monthly) (checked 2026-10-18)
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Checked prices: Claude: from $17/mo billed annually ($20 monthly) (verified 2026-10-18)
Rather not do it yourself?
We'll set this up in your tools, in your voice, tested. $149/mo with setup included (6-month minimum), or $497 pay-once. Satisfaction guarantee: we'll fix it until it works. Pay-once setups: or we refund your setup fee. $149/mo plan: cancel in the first 30 days and we refund your first month. Terms. We reply within 1 business day.
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