Hard to Swallow Pills refers to photoshop edits of pictures from WikiHow.
There are several versions of the meme, the most popular of which are the image where someone is holding a bottle of pills, called “Hard to Swallow Pills” while the other image depicts three pills in someone’s hand with various texts written on them.
The original WikiHow images can be found in the article called How to Lower Myostatin Levels and they were uploaded to the guide in 2017.
The first “hard to swallow pills” meme was uploaded to Reddit in 2018 as an object labeling meme.
Not long after, new versions of the format started appearing on the message board, as well as sites like Facebook, Twitter as well as Instagram.