Growth audit · November 2026 · Prepared by Adapty

You ask every new clinician five questions. The paywall never uses one.

A new install picks Anesthesiologist, Obstetric Anesthesia and their hospital, taps Complete, and lands on the same home as everyone. The paywall waits behind Settings → Subscribe Now, and it opens with a quote, not their specialty. Here is a first launch that answers each profession and specialty, in your design, at your prices.

★ 4.9from 1.1K ratings on the US App Store
15,000+anesthesiologists, as nysora.com says
5questions a new install answers on first launch
0times the paywall appears before the home screen
What this is

We installed Nerve Blocks, walked the first launch, then rebuilt the screens between Complete and Subscribe.

Adapty powers subscriptions for 30,000+ apps, so we see what moves purchases across the market. Nearly 500 apps build their paywalls and onboarding in Adapty Flow Builder, and millions of dollars in subscription revenue pass through it every month. For Nerve Blocks we looked for the gap between what the app learns about a new clinician and what it shows them.

Your first launch today
1Disclaimer and I Agree. Good, kept first.
2Sign in with iCloud twice, then the push prompt, then Google / Apple / Verify Manually.
3Profession, Specialty, Country, Age group, Institution, with the tracking prompt on the way in. Kept, and now used.
4Home. The paywall: only from Settings → Subscribe Now.

1Your design, not ours

Your #143EAF blue, the white question sheet with its step bar and outlined rows, the round back button and blue Next pill, the green Complete, your five gold stars, the cream annual card with its BEST VALUE tag and the amber Subscribe. Only the order changes.

2Your prices, as published

149,99 € a year or 22,99 € a month, as your paywall shows on the EU store we recorded. 149,99 € ÷ 12 is your €12.50 a month, and against twelve months at 22,99 € it is your “save 46%”. No trial, no invented discount, no timer.

3You may have tested some of this

We cannot see your experiment history. Tell us what you already ran and we will go deeper on the rest.

Your ads on Meta

Three kinds of ad running today. All of them land on the same first launch.

AppMagic sees Meta as 97% of your ad activity, with the top creatives live since June and five new ones since 3 November. Each promises something different. Today every install from them meets the same disclaimer, sign-in and questions, and none of them sees the paywall.

META · RUNNING SINCE JUNE
The block, in 3DA needle reaches the plane, two wrong directions are crossed out, and the local anesthetic spreads with a green tick.
Meta · since 17 June 2026 · 14 seconds · your top video creative in AppMagic
In the ad
Your 3D anatomy, a needle and the spread of local anesthetic, under the NYSORA mark.
The promise
See exactly where the needle goes and how the spread should look.
Today it lands on
The disclaimer, two iCloud prompts, the push prompt and a sign-in screen. The paywall is never shown.
In the rebuild
The same questions, then a paywall that opens on their specialty and lists Clinical videos, 3D visuals first.
META · SINCE 28 OCTOBER
“Every block, clearly explained”The app itself: Supraclavicular brachial plexus block, from sonoanatomy to the flowchart.
Meta · three versions since 28 October 2026, a fourth since 5 November · ~25 seconds each
In the ad
Your home, then one block: the illustration, the ultrasound, positioning and the flowchart. The newest ends on “NYSORA Nerve Blocks app. Built for daily practice.”
The promise
A step-by-step guide for the block you are about to do.
Today it lands on
The same first launch, then a home that does not know which blocks they need.
In the rebuild
Their specialty picks a first set of blocks before the paywall, and the headline names them.
Your Meta ad: Your daily block companionMETA · SINCE 11 JUNE
“Your daily block companion”“Everyone in my program uses this app.” · “The only block reference I actually use daily.”
Meta · since 11 June 2026 · static · your highest-scoring creative in AppMagic
In the ad
The app in hand, two five-star quotes and “A new update to the Nerve Blocks App is now live, with clearer structure for faster access.”
The promise
Something you open every day, that your whole program uses.
Today it lands on
A paywall, when they find it, whose quotes carry no name and no rating.
In the rebuild
Your 4.9 from 1.1K ratings and a named App Store review sit next to the plans, and the Daily Question is set for their profession.

Adapty can pick the flow at first open from the campaign the install came from, through the attribution you already run. When you add a new creative, it can get its own first screen the same day, with no app release.

The five ideas

Ranked by what we would test first.

Tap any of them to open that screen on all three phones.

Potential outcome

Five ideas, one first launch per specialty.

Run together

Every specialty answered on the screen they pay on

+25%purchases
+15%ARPU

Each specialty’s paywall is its own A/B test against today’s, judged on revenue per install.

Do this week

Show the paywall once, after Institution

One screen at the end of first launch, closing straight into the home. Built in Flow Builder, live without an app release.

Then

One template, specialty as the variable

Ten specialties, one paywall. The headline, the first blocks and the order of your four benefits change with the answer.

And measure

Judge each profession on revenue, not installs

Adapty reports purchases and revenue per install for each profession, specialty and Meta campaign, so spend follows the clinicians who pay.

Book a demo

Impact ranges are Adapty’s expected effect from teardowns and A/B tests across subscription apps, not measured lift for NYSORA. Screens, copy, the profession, specialty and age lists, the paywall quotes, bullets and prices come from the NYSORA Nerve Blocks iOS app as recorded on 12 November 2026 (EU storefront: 149,99 € a year, 22,99 € a month). 4.9 from 1.1K ratings and the quoted review (denelson2, 29 January 2025) come from the US App Store listing. 15,000+ anesthesiologists, 70+ techniques, the four categories and institutional access come from nysora.com/apps/nerve-blocks-app. Block counts per category (11, 18, 20, 22) are from your home screen. Ads and dates are from Meta as seen by AppMagic. €12.50 is 149,99 € ÷ 12; “save 46%” is 149,99 € against 275,88 € (12 × 22,99 €). The specialty-to-block sets on the phones are illustrative and use only blocks in your library; your clinical team would own the real mapping.

Prototype · one first launch per specialty

Three new clinicians. Three answers.

One install from each of your Meta ads: an anesthesiologist, an obstetric resident and a pain specialist. Same screens, same prices. Tap the steps, or tap inside any phone: answer, allow tracking, choose a plan, close it.

QR code to this prototype

Try it on your phone

Scan to open the three flows in your hand. Every screen is buildable in Adapty Flow Builder and testable against today’s.

Book a demo