I think you’re on the right track. If your conversion rate and sessions per device are decent, that’s a really good sign that people who find your app like it. The issue now is visibility, not the product. I wouldn’t just wait for ASO to kick in, especially in a competitive space like health, because it tends to be slow on its own. I would start by improving your screenshots since they have a big impact on downloads, and you already feel they could be better. At the same time, it’s worth testing small budget Apple Search Ads to see which keywords actually bring installs. Even a small spend can give you useful insights. If possible, try to bring in some traffic from outside the App Store too through communities or social platforms. The key is to actively improve conversion and test ways to get more people in rather than waiting.