SEO Audit: Dr. Liqaa Naser / Northwest Advanced Thyroid and Hormone Health

Domain: seattleadvancedthyroid.com | Location: Arlington, WA | Date: 2026-06-07 Prepared by: Lance W Pincock Consulting LLC for the Abundant Physician RPG cohort

The Story in Three Sentences

You have done the technical work almost nobody else in this cohort has: Physician, MedicalClinic, and MedicalTherapy schema are all live, and you rank #1 on Google Maps for "BHRT doctor" in Arlington. Two quiet problems are capping the upside: nearly every page carries a title tag of 100 to 182 characters when Google displays about 60, and two of your pages return a 404. Against a market where the top hormone rival has 691 reviews, your 14 reviews are the main reason you are invisible for the five other searches patients run.

1. Local Pack Visibility

Rank measured for a patient searching from Arlington, WA across the six provider-intent queries that drive consult bookings. Live Google Maps data.

Query Your rank Verdict
BHRT doctor #1 You own this. Defend it.
bioidentical hormones — Invisible
hormone replacement therapy doctor — Invisible
menopause specialist — Invisible
perimenopause doctor — Invisible
pellet therapy — Invisible

Who patients see instead on the queries you are missing:

Business Reviews Rating Category
Institute for Hormonal Balance 691 4.9 Health spa (Arlington)
Women's Health Services 2,380 4.7 Women's health clinic (Arlington)
Javan Wellness 315 5.0 Medical spa (Arlington)
Essential Wellness 30 4.9 Medical clinic

Arlington is a dense market and the hormone queries are dominated by one direct rival (Institute for Hormonal Balance) plus the big OB-GYN groups. Review volume is the moat here, and it is the one thing you have not built yet.

2. Google Business Profile Gap

Live profile data

Field NW Advanced Thyroid & Hormone (you) Institute for Hormonal Balance (top rival)
Primary category Naturopathic practitioner Health spa
Total categories used (of 10) 6 4
Average rating 5.0 4.9
Review count 14 691
Photos 8 17
Website linked Yes Yes

You actually use more categories than your top rival and you hold a higher rating. The entire gap is review count. A 5.0 rating on 14 reviews does not outrank a 4.9 on 691, because Google reads volume as proof the community trusts the provider.

Categories worth adding (open slots you have)

Medical clinic and Health consultant. Your rival Essential Wellness ranks partly on those.

Self-audit checklist (check your GBP dashboard, the API cannot pull these)

3. Website Health

Site crawl: 20 pages | Platform: custom + structured data | HTTPS: Yes | Sitemap: Yes

Site-wide checks (11 of 14 passing, the strongest in the cohort)

Check Status
HTTPS, robots.txt, sitemap, canonicals Pass
Physician / LocalBusiness schema Pass
MedicalClinic + MedicalTherapy schema Pass
Phone visible, author byline, alt coverage Pass
FAQ schema Fail (you have a FAQ page, just no schema on it)
Any "medically reviewed by" marker Fail
Any clinical citations Fail

Site average page score: 52.9 / 100

Top priority issues

Priority Issue Evidence
Critical Two pages return 404 /education-clinical-guides thyroid guide and /pcos-treatment-washington-california
High Title tags 100-182 characters Thyroid, Men's Hormone, Women's Hormone, Weight Loss pages all far over the ~60-char limit
High Zero "medically reviewed by" markers 20 pages checked, none found
High Zero clinical citations 20 pages scanned, none found
Medium FAQ page has no FAQPage schema Add it to capture rich results you are one step from
Medium Meta descriptions over length on several pages 173-387 chars, Google truncates at ~160

Your content is genuinely good (service pages run 1,100-1,900 words with real schema). The title tags and the two 404s are holding back pages that are otherwise ready to rank.

4. The One Page That Matters

You already win "BHRT doctor." The opening is "bioidentical hormones Arlington" and "menopause specialist Arlington," where the OB-GYN groups and one health spa are winning. Your /womens-hormone-health page (1,107 words, already scoring 70) is the one to sharpen.

Score it against this checklist:

5. Prioritized Action Plan

This week (free, internal, highest leverage)

  1. Fix the two 404 pages. Either restore them or 301-redirect to the live equivalents. A 404 on a linked page leaks trust and crawl budget.
  2. Rewrite every title tag to under 60 characters, keyword and city first. Your titles are the longest in the cohort and the easiest win you have.
  3. Launch a review push. Fourteen reviews against a 691-review rival is the single thing keeping you out of four more packs. Send your last 30 patients a direct review link.
  4. Add Medical clinic and Health consultant to your GBP categories.

This month (needs content work)

  1. Add "Medically reviewed by Dr. Liqaa Naser, [credentials], on [date]" to every clinical page.
  2. Add 2-3 cited sources (PubMed, NIH) to the thyroid, women's hormone, and weight-loss pages.
  3. Add FAQPage schema to your existing FAQ page.
  4. Trim the over-length meta descriptions to ~150 chars.

This quarter (structural)

  1. Sharpen /womens-hormone-health into the one-page-that-matters (Section 4) for the queries you are invisible for.
  2. Build a steady review-generation system (post-visit text or email with a direct link).
  3. Establish a content cadence: 2 patient-education posts per month, each with author + reviewer markers and citations.

What Was Measured

Site crawl (20 pages, 1 req/sec, robots.txt respected). Google Maps 3-pack, geo-biased to Arlington WA, 6 provider-intent queries, live data. Google Places for GBP profile data. Google Autosuggest for the keyword universe. E-E-A-T rubric weighted for medical/YMYL content per Google's Search Quality Guidelines. PageSpeed Insights was rate-limited on this run and is not included.

Prepared by Lance W Pincock Consulting LLC for the Abundant Physician RPG cohort.

Prepared by Lance W Pincock Consulting LLC for the Abundant Physician RPG cohort. Confidential.