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From my opinion you should focus on Google certification, local licensing, compliant landing pages and accurate conversion tracking. There are not any specific tricks to bypass costs or restrictions and for cheaper ads, you can work on relevant keywords, strong quality score and good conversion...

I also use Ubersuggest for keyword research and competitor research. I will never rely on its traffic estimates or position tracking as the only source but i will cross check important data with GSC or any another tool.

Design surely matters but mostly for user experience and trust. Good content is still the main SEO factor while a clean layout, fast loading and easy navigation can help people stay and engage with our site.

For launching a new adult site you should focus on SEO, niche specific content and organic social traffic first. Build some useful pages around what people actually searching for, optimizing the internal linking and avoid low quality mass content. Paid traffic can also help but adult platforms...

Yeah, this is happening sometimes. Meta can treat the same ad differently according to your account or page history. You can also check the rejection reason first.

share the site list please.

Affiliate marketing is still alive but the big change is traffic source like creators, youtube, social media, email, niche sites and paid traffic which are all being used thesedays. And the old banner, landing page method is not much attractive but the product focused content + social traffic...

Its not fully dead. Tiered links still work but I will keep the tiers small, relevant and controlled. So you should keep strong tier1 links your priority.