Hire the team you need.Without the twenty paychecks.
Thresia is a B2B AI company that gives small and medium businesses a 20-person operations team in software — for roughly 1/10th the cost of hiring the headcount. Slack channels you can watch, live dashboards you can read, morning to-do lists ranked by ROI. You see every employee doing the work, every day.
The businesses that add this layer this year are the ones still standing in 24 months. The ones that don't get out-competed by the ones that did.
Try it — click any row to approve. Realtime, every keystroke.
We work with med spas, IV studios, aesthetic clinics, recovery, premium dental, peptide / hormone clinics, and regulated DTC health brands. Buffalo, NY + nationwide remote.
You're not paying for “trust me, the AI is running.” You're paying for a team that reports in every day.
Six things you can point at and say “that one” when someone asks what Thresia does. Concrete, visible, measurable. No agency-jargon.
A Slack workspace, full of employees who report in.
Each AI employee gets its own channel. Posts in the morning with screenshots, photos, charts — like a real team standup. You read it with your coffee, not with Slack-fatigue.
A live dashboard that updates by the minute.
Every booking, every dollar, every ad's performance — real time, on one screen. No 'wait until Monday for the report.' You see it now.
A morning to-do list ranked by ROI.
Three to seven specific actions waiting in your inbox by 7 AM. The list is ordered by which one moves revenue the most. You decide what to do; the team decides what's worth surfacing.
Email automation that sounds like you.
Nurture sequences, follow-ups, lapsed-customer reactivation, newsletter. All written in your voice after a 2-week training window. You approve the cadence; the team writes and sends.
Scheduling automation synced to your EMR.
Inbound DMs, calls, contact forms all route into bookings on your real calendar. No 'we'll get back to you in 24 hours.' No manual paste.
Compliance gates on every outbound asset.
Every ad, every landing page, every email reviewed against your industry's regulated rule set before it ships. Bio Prime + Nexum have run zero ad-account suspensions in a category where ~30% of operators lose accounts in year one.
These are the six bones of every install. The team that ships them has 12-30 employees by job title — Marketing Director, Front Desk Lead, Compliance Officer, Reporting Analyst, Content Strategist, Dead-Lead Reactivator, Ad Account Monitor, and the rest. Sized to your business, billed monthly, replaceable any time.
Measurable lift on at least one KPI by Day 30 — or we extend the engagement at no cost until we do.
We don't refund. We finish.
6-month minimum, then month-to-month. Cancel any time with 30-day notice after that.
Bookings, recovered missed calls, dead-lead reactivation, ad CAC, or your own. You pick, we measure.
12 to 30 trained employees. Every one with a job title.
We don't install software. We hire your AI team — trained employees who run 24/7 from your operator dashboard. Each one has a job title, a name, a defined scope, a measurable output, and its own Slack channel reporting to you. Marketing Director. Front Desk Lead. Outbound SDR. Compliance Officer. Chief of Staff. Whatever your operation actually needs. Trained before they start. Killable from the dashboard. Don't quit, don't ghost, don't charge a recruiter fee.
Solo operator? A 4-employee Foundation team handles the front desk, missed-call triage, voice training, and reporting — $3,500 install + $1,200/mo. Established practice or DTC brand? The 9-12 employee Operations team runs marketing, operations, sales, and compliance end-to-end — $7,500 install + $4,500/mo. Bigger operations get custom Enterprise teams with industry-specific specialists. We size the team to your operation, not the other way around.
Routes work between the other 13 agents. Triages priorities, escalates exceptions, owns the daily standup brief.
Drafts cold emails in your operator voice. Voice + compliance scored before each draft reaches your approval queue.
Reads, categorizes, and routes every inbound — sales, support, partnership, spam — to the right queue.
15-minute pre-call brief on every prospect: budget signals, team size, decision-maker map, recent funding news.
Renders a one-page proposal from your discovery call notes in under 90 seconds. Always on-brand, always priced right.
Logs every won deal, lost deal, and objection handled. Searchable archive surfaces during the next pitch automatically.
Runs the 30-day install playbook end-to-end: booking calls, status emails, milestone alerts, NPS check-ins.
Daily health-check on every Meta + Google ad account. Alerts you within hours on CPC spikes, policy flags, or conversion drops.
Every outbound message + landing page passes CAN-SPAM, FTC, and FDA-aware gates before it can be sent.
Weekly KPI dashboard, monthly board-ready report, quarterly trend memo. Auto-delivered to your inbox + Slack.
Reels, TikToks, Stories — drafted in your voice, posted on cadence across all platforms, and tracked for which content actually drives bookings (not just likes).
Builds qualified prospect lists from your ICP definition + verified contact data. Fully enriched, dedup'd, ready to outreach.
Auto-generates ad + email creative variants, tracks performance, kills underperformers before they burn budget.
Captures every customer payment event, posts to your dashboard, and fires the right onboarding sequence on the first dollar.
Foundation teams ship with 4 employees. Operations ships with 9-12. Enterprise scales to custom teams with industry-specific specialists — HIPAA-locked receptionists, FDA-aware copywriters, lot-tracker auditors, payor-mix analysts, insurance-verification clerks. Every employee is trained, scoped, and killable from your dashboard. None of them quit. None of them ghost. None of them need a recruiter fee.
I built Mira because hiring a $135K marketing director didn't pencil at Flow's revenue. The math broke the night before I made the offer. Six months later, the AI version costs less than the recruiter fee alone.
We run the same plays we sell.
I run three businesses in this exact category: Flow Wellness (cash-pay wellness clinic), Bio Prime Labs (research-peptide DTC), and Nexum (oral peptide DTC). I built Thresia because I lived the same gaps you're living — agencies that talk about marketing without understanding operations.
When we tell you to fix your missed-call flow before running more ads, it's because I spent the money finding out that running ads on a broken booking flow is just paying to find out faster that your booking flow is broken.
Every cold email passes a voice + compliance gate before you see it.
Drafts are generated in your operator voice, scored against your actual writing samples, and run through CAN-SPAM / FTC / FDA compliance checks before they hit your approval queue. Approve or reject in one click; the system learns from every decision.
→ demonstration. The same system runs in production for our clients.
One missed call. Six minutes later, a $280 booking.
Real flow from the Pax + Lex install at Flow Wellness, June 2025. Scroll to watch the recovery happen in real time.
Pax handles the inbound. Lex logs the win. Every missed call gets a 60-second text-back, every recovered booking gets attributed in the daily report. Same flow, every day, no human required — until something needs human judgment, in which case it escalates.
One operating layer. Three live installs.
Same dashboard, same agents, same compliance gates — running against three different brand operations. Cash-pay wellness operator. Research-peptide DTC. Telehealth supplement. The operating layer adapts; the discipline stays identical.
Each card is a thumbnail of the actual operator view for that brand — chosen metrics, not the full surface.
14 days. Same ad spend. Different missed-call rate.
Real shape from the Flow Wellness install. The operating layer doesn't generate new demand — it stops the leak in what you already have.
Real shape from the Flow Wellness install. Same playbook is the first thing we ship in every clinic pilot.
Live operating dashboard at dashboard.thresia.com — protected, operator login required.
Pulls from /api/health on the production dashboard. We monitor our own work — same as we will yours.
Three leaks every cash-pay wellness operator has.
Click any card for the exact fix we install.
Who we work with.
Honest filter: if your business is enterprise SaaS, B2B tech, or VC-funded growth stage — we're not your fit.
Cash-pay wellness operators
Med spas, IV studios, aesthetic clinics, peptide/TRT, hormone optimization, recovery + cryo, premium dental, chiropractic, hair-loss clinics, lash + brow studios. $250K-$2M annual revenue. Solo or 1-3 location operators.
Regulated DTC health brands
Supplements, peptides, recovery devices. Compliance-led performance marketing (CAN-SPAM / FTC / FDA-aware).
Founder-led practices
Operators who'd rather run their business than learn meta ad attribution.
Day-by-day, what ships.
Same six phases at every tier — what changes is how many agents we install. Foundation ships 4 agents ($3,500 install + $1,200/mo). Operations ships 9-12 ($7,500 + $4,500/mo). Enterprise scales to custom teams with industry-specific specialists.
- Days 1-3Discovery + team sizing — we audit your operation and propose the specific 3 to 30+ employees who fit your business.
- Days 4-8Employee design + customization — system prompts, integrations (CRM, scheduler, ad accounts), escalation rules per employee.
- Days 7-14Install + integration — employees go live in shadow mode. Rev (Front Desk Lead) + Pax (Missed-Call Triage) handle real traffic; you approve every message.
- Days 10-20Voice + brand training — Jove (Voice + Brand Guardian) runs the approval queue. After 2-3 weeks output reads like you wrote it.
- Days 18-28Live operations — employees move out of shadow mode, run autonomously, report daily to their Slack channels. First KPI moves visible.
- Days 26-30Day-30 report + 90-day plan — written report on KPI lift, next 90-day roadmap, optional tier-up or a-la-carte employee additions.
Measurable lift on at least one of three KPIs by Day 30, or we extend the engagement at no cost until we do. We don't refund. We finish.
Compliance is a feature, not a bug.
We work in cash-pay health where CAN-SPAM, FTC, and FDA boundaries are real. Every cold email we send passes three compliance gates before it reaches your prospects. Every claim in a paid ad is documented. Every campaign is built inside the lines from day one.
The agencies that ignore compliance burn fast and burn loud. We've built ours assuming a regulator could audit our outbound any week of the year. That's a feature for you — not a constraint.
Ten things prospects always ask.
If your question isn't here, the discovery call is the right place — but odds are it's one of these ten.
Real concern. Three layers of protection:
One: every employee who touches a patient message goes through Jove, your Voice + Brand Guardian, first — you approve the first 100-200 messages in a queue before anything ships autonomously. After 2-3 weeks of approvals, the output reads like you wrote it.
Two: clinical questions are always escalated to a human, never answered by an employee. We hard-code the escalation rules. Rev, your Front Desk Lead, books appointments — she doesn't diagnose anyone.
Three: every conversation gets logged and you can read every interaction from the dashboard. If something drifts, we patch the prompt within hours. It's not "set and forget" — it's a trained team you can audit.
ChatGPT is a prompt window. An AI team is multiple trained employees with job titles — Marketing Director, Front Desk Lead, Compliance Officer — doing specific jobs in production with memory, voice tuning, KPI monitoring, integrations with your CRM and scheduler, and escalation rules.
ChatGPT can draft a follow-up text once. Vega, your Dead-Lead Reactivator, runs a 90-day rolling reactivation across your entire CRM, personalized per segment, with deliverability monitoring and reply triage. Different category.
Fair question. We use the term "employee" deliberately — every one has a system prompt, decision-making logic, the ability to use tools (CRM, scheduler, ad accounts), memory of past interactions, and a voice profile.
Some employees trigger workflows that yes, sometimes route through Make.com or n8n. But the employee decides what to do, not a rigid if-this-then-that rule. Most of our team runs on Claude or GPT with structured tool access — closer to how Anthropic or OpenAI's own agents work than a no-code automation.
Because your employees aren't software you bought once — they're trained AI specialists with ongoing voice tuning, KPI monitoring, prompt updates as your business evolves, and a human on our side reviewing the approval queue weekly.
The install is the hire. The monthly is the operations team running your AI team on your behalf. It's why we can guarantee KPI lift — we're not just handing you software and walking away.
Three layers of protection. One: voice approval queue for the first 2-3 weeks of every install — you approve every message before it sends. Two: clinical or regulated questions get escalated to a human, never answered by an employee (hard-coded). Three: every conversation gets logged and you can read every interaction.
If something drifts, we patch the prompt within hours, not days. It's a trained team you can audit — not a black box.
Yes. Rev, your Front Desk Lead (Synthflow or Retell underneath), is configured under a HIPAA BAA when needed. No PHI is logged in your team dashboard — she routes to your existing intake system for anything beyond appointment scheduling.
For outbound marketing employees, we explicitly don't touch PHI. The team is structured so "patient operations" (your business owns) stays separate from "marketing operations" (our team runs). Axiom, your Compliance Officer, audits every outbound message for accidental PHI inclusion before send.
Default: we migrate you to GoHighLevel during the install because it's the cleanest fit for the team we plug in (booking flow + missed-call recovery + ad attribution in one place).
If you're committed to your current CRM (HubSpot, Pipedrive, custom), we can pipe your AI team into it — but it adds integration work and you lose the all-in-one advantage. Honest framing: 80% of clients migrate; 20% keep what they have.
Some will, some won't. The way we install it is AI-first for after-hours and overflow only — your human receptionist still answers business-hours calls. Rev (your AI Front Desk Lead) catches the 9 PM calls and the "we're already on a call" scenarios that used to die.
Net effect for your front-desk team: fewer voicemails to return Monday morning, more appointments already booked. We've yet to see real resistance once they see the missed-call list shrink in week 2.
Whatever monthly tier you sit at (Foundation $1,200/mo, Growth $2,500/mo, Operations $4,500/mo) continues — 6-month minimum, then month-to-month, no annual lock-in. The monthly covers ongoing team operations, voice tuning, monthly KPI reports, quarterly creative refreshes, prompt updates as your business evolves, and continued ownership of the AI team we installed.
What we don't do at month 4-12: hourly consulting, ad-hoc requests outside scope, multi-year contracts. After the 6-month minimum, if the monthly isn't earning, you cancel with 30 days notice. The relationship is performance-based, not lock-in.
Direct read: PatientGain ($899-$5K/mo) does website + ads + reviews. PracticeBloom does ads + SEO. Cardinal does big-clinic enterprise. None of them install the AI team — Front Desk Lead (Rev), Missed-Call Triage (Pax), Dead-Lead Reactivator (Vega), Compliance Officer (Axiom), Voice Guardian (Jove). They run marketing on top of whatever leaky system you already have.
We install the AI team that does the jobs you'd otherwise hire 12 to 30 people to do, then run marketing on top. If your booking flow and operations already work perfectly, you don't need us — hire any of those three. If your booking flow is the bottleneck (it usually is), we're the only firm in the lane that fixes that before spending your ad budget.
I hired the first version of this AI team because Flow Wellness was leaking 30% of inbound calls and I needed it fixed. Day 14 of the install, missed-call recovery hit 85%. That's the team I now install for every client.
I run three businesses in this exact category.
Lucas Schlegel. I built Thresia after running into the same broken stuff every wellness operator and regulated- DTC founder runs into: agencies that pitch "more ads" without understanding operations, AI tools that look good in a demo and fall apart in production.
I run Flow Wellness in Buffalo — cash-pay IV, peptide, recovery. Bio Prime Labs for research-peptide DTC. Nexum for oral-peptide telehealth. The AI team we install for you is the same one running these three brands right now. If an employee doesn't perform on my own books, they don't ship to yours.
Book the discovery call.
We'll ask about your three biggest operating leaks. If the math works, we send a pilot proposal within the hour. If it doesn't, we say so and refer.