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Ad Account Rescue

Pinterest disapproved our weight loss or telehealth ad

The notice
With the exception of approved healthcare advertisers in the US and Canada who promote prescription GLP-1 medication, we don't allow any weight loss language or imagery in advertisements.
On this page

Pinterest disapproved the ad because its guidelines ban weight loss language and imagery in ads, with one exception: approved healthcare advertisers in the US and Canada promoting prescription GLP-1 medication. Approval means prior permission from Pinterest, and the same goes for prescription telehealth providers and online pharmacies. Even approved GLP-1 ads can't body-shame or promote unrealistic weight loss, and telehealth advertisers can't use Pinterest lead ads at all. Request permission if you qualify, fix the creative, then appeal by email with the disapproval reason and your ad URLs.

Curve Compliance helps weight loss and telehealth brands measure every patient they win. Curve's team replaces browser pixels with HIPAA-compliant, server-side conversion tracking for Meta, Google, TikTok, Microsoft and LinkedIn, with consent management built in and attribution kept through booking tools such as IntakeQ, Calendly and Jane. It is typically live in about a week, with a BAA signed on every plan. Book a call with Curve.

What Pinterest's weight loss rules say

Pinterest's guidelines open the section with "We want Pinterest to be a positive and inspiring place for everyone." Beyond the general ban on weight loss language and imagery, "For all advertisers, we don't allow":

  • "Body shaming, such as imagery or language that mocks or discredits certain body types or appearances, or that calls negative attention to areas of the body"
  • "Weight loss or appetite suppressant pills, supplements, or other products"
  • "Any products that claim weight loss through something worn or applied to the skin"
  • "Before-and-after weight-loss imagery"
  • "Weight loss procedures like liposuction or fat burning"
  • "Claims regarding unrealistic cosmetic results"
  • "Testimonials regarding weight loss or weight loss products (excluding approved healthcare advertisers in the US who promote prescription GLP-1 medication)"
  • "References to Body Mass Index (BMI) or similar indexes (excluding approved healthcare advertisers in the US who promote prescription GLP-1 medication)"

Prescription GLP-1 and telehealth need prior permission

"With prior permission from Pinterest, ads for the following are allowed with restrictions": pharmaceutical manufacturers, prescription drugs, online pharmacies and prescription telehealth providers. "Ads promoting prescription GLP-1 medication in the US and Canada require prior permission from Pinterest". Telehealth providers that don't prescribe are allowed "with restrictions except where prohibited in our country-specific guidelines".

In the United States, those ads must follow every restriction on the list, including:

  • "Ads for prescription GLP-1 medication must not include any body shaming language or imagery or promote unrealistic weight loss"
  • "Ads can only target Pinners 18 years or older"
  • "Ads cannot offer prescription drugs without a prescription or promote or suggest prescription drug abuse"
  • "Ads will only be eligible for certain Pinterest ad formats"
  • "Advertisers must secure prior permission from Pinterest. Please note that we rely on third party checks to determine eligibility of an advertiser to run these ads."

Lead ads, targeting and your Pinterest tag

  • Lead ads are off the table: "Advertisers promoting Pharmacy (Rx), Over-the-Counter (OTC) products, health-related apps (e.g., heart rate, weight), and/or Telehealth Services are prohibited from using lead ads."
  • You can't target any audience based on "Sensitive health or medical condition".
  • Other healthcare content Pinterest doesn't allow includes "Claims regarding the prevention or cure of disease" and "Invasive medical procedures".
  • For the Pinterest tag, the guidelines say "Don't give us information that relates to sensitive categories", with medical condition as the first example, and "Anywhere you collect data used with a Pinterest ads service, you must disclose and get legally-required consent from each individual for that data collection, sharing and use."

Fix and appeal

  1. Read the notice. Pinterest sends "a notification in your Ads Manager" and an email from ad-reviews at account.pinterest.com explaining why the Pin was disapproved.
  2. If you promote prescription GLP-1 medication or prescription telehealth in the US or Canada, secure prior permission from Pinterest before resubmitting.
  3. Without that permission, remove all weight loss language and imagery. With it, still remove body shaming, unrealistic results and before-and-after images.
  4. Move any lead ad to a standard ad that sends people to your own landing page.
  5. Edit and resubmit. Changes to targeting or the ad description send it back to review, which "may take an additional 24 hours."
  6. If you believe the disapproval is wrong, Pinterest says: "To appeal an ad disapproval, email us with the disapproval reason you received and URLs to your ad(s)."

The November 2026 guidelines update

Pinterest is updating its Advertising Guidelines, effective November 12, 2026. The weight loss, GLP-1, telehealth, lead ad and sensitive targeting lines quoted on this page read the same in the published preview, so the fixes above hold after the change. For the same offer on other platforms, see Microsoft's weight loss rules and TikTok's Weight Management and Body Image policy.

Talk to Curve

While a Pinterest permission request is in progress, your other channels carry the load, and Curve makes sure they are measured on real patients. Curve's team sets up HIPAA-compliant, server-side conversion tracking in place of browser pixels for Meta, Google, TikTok, Microsoft and LinkedIn, with PHI-like pattern detection, neutral event names, consent management, and attribution kept through your booking tool. It is typically live in about a week, with a BAA signed on every plan. Book a call with Curve.

How Curve helps

  • Replaces browser pixels with HIPAA-compliant, server-side conversion tracking for Meta, Google, TikTok, Microsoft and LinkedIn.
  • Includes consent management, and detects PHI-like patterns before data reaches an ad platform.
  • Uses neutral event names and hashes identifiers with SHA-256 to each platform's requirements.
  • Keeps attribution through booking tools such as IntakeQ, Calendly and Jane.
  • Signs a BAA on every plan, with setup done for you by Curve's team, typically live in about a week.

Frequently asked questions

Can a GLP-1 telehealth company advertise on Pinterest?

In the US and Canada, with prior permission. Pinterest allows approved healthcare advertisers to promote prescription GLP-1 medication, with restrictions including 18+ targeting and no body shaming or unrealistic weight loss.

Can approved GLP-1 advertisers use testimonials, BMI or before-and-after images?

Pinterest excludes approved US healthcare advertisers promoting prescription GLP-1 medication from its bans on weight loss testimonials and BMI references. Before-and-after weight-loss imagery is not allowed for any advertiser.

Can telehealth brands use Pinterest lead ads?

No. Pinterest says advertisers promoting pharmacy, OTC products, health-related apps and telehealth services "are prohibited from using lead ads."

How do we appeal a Pinterest ad disapproval?

Email Pinterest with the disapproval reason you received and the URLs of your ads. Edits to targeting or the ad description also send the ad back to review, which can take up to 24 hours.

How does Curve help weight loss and telehealth brands?

Curve's team sets up HIPAA-compliant, server-side conversion tracking for Meta, Google, TikTok, Microsoft and LinkedIn, with consent management and attribution kept through your booking tool, under a BAA signed on every plan. Book a call with Curve.

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