Steady software leadership & delivery in hypergrowth, uncertain environment

The Mission

(we chose to accept it)

Enabling hyper-scale growth

Gifthealth faced a defining moment in late 2024. They had secured the opportunity to fulfill direct-to-patient weight loss medication orders for an important client—a partnership that would transform their business overnight. But hyper-scale growth brings hyper-scale challenges.

Starting with a single Test Double agent and ramping up to 19, Gifthealth needed software engineering expertise that could both execute immediately and help them scale their team sustainably.

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The Fix

Triad of product, design, engineering to support sustainable growth

The CTO knew Test Double from previous work and reached out to tackle critical DevOps needs to enable scale. The pressure was immense: grow too slowly and lose opportunities that demand scale, grow too fast and risk sustainability and maintainability.

As needs evolved throughout the year, we brought in specialized expertise: full-stack senior software consultants, product consultants, and data engineers—all working together from concept through delivery to deftly navigate the hypergrowth stage.

Our team dove in and took things off the CTO’s plate—freeing him up to focus on higher-level strategy while Test Double handled immediate product engineering needs. When an external disaster meant possibly lost shipments, our consultants dove into triage the situation and identified solutions so Gifthealth could ensure patients received medications and understood delays. We then went further and created a repeatable process should unforeseen circumstances ever develop again in the future.

The environment demanded flexibility, so we met the team where they were, and scaled our embedded consultant team as needed. We coached and mentored the growing Gifthealth team while building features, establishing processes, and jumping in during a critical crisis. Along the way we co-created an end-to-end user journey and advised on the product operating model, helping leadership understand mid-term to long-term needs to enable scaling alongside customer value.

CONSULTANTS

Tech & Techniques

AWS
Terraform
Ruby
Rails
PostgresSQL

The Results

Sustained hypergrowth enabled by stable, scalable systems and processes

Test Double’s embedded consultants helped the team think through what the organization needed at each phase of growth on people, roles, product operating model stage. Our experience meant the CTO could anticipate challenges, and the collaborative approach meant Gifthealth was ready to scale with confidence, and will continue to do so sustainably for years to come.

11x growth in order volume

From 15,147 orders per week in early December 2024 to 172,177 orders per week by January 2026

Co-created the user journey

Strategic product guidance ensured every feature delivered customer value while supporting scale

Trust in high-stakes leadership

Trusted advisors in a growing partnership built on consistent delivery and strategic insight

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11x

growth in order volume

Co-created the user journey

Trust in high-stakes leadership

Testimonial

Holistic problem solving

I’ve worked with Test Double before, so I knew they could execute, but seeing them scale from a single agent to a team of 19 while we hit 11x growth was impressive. They’ve been a steady hand for us, advising on our product model and acting as a sounding board so we could grow fast without breaking our foundation. It’s a partnership built on consistent delivery and actual trust, which can be hard to find in this industry.

Derek Schneider, CTO

Gifthealth