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Would you recommend cold calling for SMMA Leads?

I'm trying my hands on lead generation, and so far, none of the methods I've tried have hit the mark. Cold calling seems to be a popular suggestion, and I'm cool with that since I'm an extroverted person who enjoys building connections.

Here's the catch – I'm based in Pakistan. Is cold calling feasible for reaching clients in the US/Canada market from here?

I've heard about using VOIP softwares like Google Voice, Openphone, and Textnow with virtual numbers, but they don't seem to work in Pakistan. Any tips or workarounds to make this approach effective?