Definitely no doubt they are still be worth testing and traffic quality depends on your niche and targeting so just start with a small budget and check the conversions again n again.
It could be a wider CPM drop especially with social traffic, compare recent stats with older months and also ask Adsterra support if there were any rate changes.
Yes these click sounds are seem not real for sure, you should check the click details and billing first and if the traffic looks suspicious and ask Google to review it for invalid clicks.
I would really focus on relevant high-quality backlinks rather than automated packages because guest posts and niche-relevant links can still help especially when they come from trusted sites.
Tbh i think it’s mainly because of the new competition and because of more competitors can increase cpc and a lower quality score can also affect the cost.
I would recommend to start with Meta or TikTok Ads on a small budget and then test for a few days also check traffic quality and conversions then scale if results are good.
I think you can try Monetag or PropellerAds because as they accept US traffic and offer different the monetization options like the direct links and redirects.
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