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You can play with the content suitability settings in your account + you also also add keyword exclusions.
Meanwhile I do understand PMAX uses machine learning, but I think that’s what bad actors are trying to exploit and they magically send you ‘visitors’ from those website to fill in your forms with garbage data, so I’m unsure those will die out + if something is really off and the page has 1000s of articles written by chatgpt, I think it’s safe to remove and not just waiting on the AI to eliminate that domain for you
