If your domain and content remain the same, the new Pixel will likely be flagged again. It may also take 1-2 weeks to actually see the H&W categorisation appear in Events Manager for the new pixel, and in the meantime, the pixel will either not activate or just not send any events like pageviews.

Categorisation applies per domain. Hence why if you create a new pixel, it will also likely be flagged. There may be some situations where this is not the case though, due to inconsistencies in how Meta’s systems carry out checks. NOTE: A subdomain is technically a separate domain, and therefore is deemed as a new domain in this instance.

Using a separate domain might delay enforcement but if your content or events still relate to health conditions, Meta will likely flag it again. Seek to make a ‘clean’ domain, that limits health-related language and references where possible.

Go to Events Manager: https://business.facebook.com/events_manager2 Then either within the Overview section you will see a notification such as the below: Or go into the Pixel itself within settings, and under ‘Manage data source categorises’, click ‘manage’: You will then be able to see more details about what specific domain are restricted with more details and the ability to appeal the decision.

The flagged domain is then reviewed manually by a human. This is a dedicated team at Meta, although details about the team and their processes are strictly guarded. What is known is that any information across the data source that may provide sensitive health information is subject to review against their policy. The homepage is likely where they will start though. They will not be able to review unpublished pages.

Core Setup is a restricted mode applied to your Meta Pixel when Meta detects sensitive topics like health on your website, limiting data collection and certain functionalities. While the Pixel may still function, features like custom audiences, advanced matching, and URL-based tracking can be affected. However, standard events (like purchases) can still be used for reporting and optimisation unless full restrictions are applied.

Meta’s stricter data handling policies are driven by legal requirements like the Digital Markets Act, which requires clear user consent for tracking by large platforms. Unlike Google, which introduced Consent Mode V2, Meta lacked a similar solution and likely had to halt sensitive data sharing abruptly to comply. As a result, even well-meaning organisations like charities are affected by systems designed to protect user privacy and prevent misuse.

The restrictions aren’t limited to Health and Wellness content only. We have focussed on this categorisation as this is the most commonly applied one for charities, and our area of specialism. But it also extends to categories such as Financial Services, Politics, Religion, Sexuality. see full list here: Meta Business Help – Data Source Categorisation.

If your Meta Pixel or domain has been flagged under Health & Wellness, you can take steps like requesting a review, using a clean domain, or switching to on-platform tools like Lead Ads to reduce the impact on tracking and targeting. Campaigns can also be optimized for upper-funnel actions such as engagement or clicks, while leveraging first-party data and CRM tools for better performance analysis. Finally, diversifying your media mix across platforms like TikTok, programmatic display, and Google PMax helps reduce dependency on Meta and mitigates platform-specific restrictions.