ADM Brian Christine, MD engagement report
@ADM_Christine - 222K followers on X
Measured over 18 original posts from a 30-day window, last computed on October 2, 2026.
Engagement
A typical post picks up 40 interactions against 222K followers, an engagement rate of 0.018%. Measured over 18 original posts, its engagement rate beats 31% of 20,444 tracked accounts of a similar size, which puts it in the middle of its size range rather than at either end. Posts are seen about 4.9K times each, and 0.831% of those impressions turn into an interaction. That is about 2.19% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 1.8 posts a day over the last 30 days, with activity on roughly 67% of days. Most posts go out around 19:00 UTC, and Friday is the busiest day of the week. Of the 18 posts sampled, 78% carry an image or video and 22% link out. The account's strongest tracked post pulled 470 interactions, about 12x its own typical post.
Measured over 18 original posts from a 30-day window, last computed on October 2, 2026. Recurring tag: #therealfoodshow.
Compared with accounts its own size
ADM Brian Christine, MD's engagement rate beats 31% of the tracked X accounts closest to it in follower count (20,444 accounts, accounts of similar size (decile 9 of 10)). A percentile is spread evenly by construction, so 50 really is the middle of that group and 90 really is its top tenth.
On engagement per impression rather than per follower it beats 38% of the same group. When those two numbers disagree, the gap is about how far its posts travel rather than how people react to them.
Where this sits in the catalog
At 0.018%, ADM Brian Christine, MD sits above the 10th percentile of the 205,475 accounts in this comparison. That places it in the bottom 25% band, which runs below 0.024%.
Show the percentile table
| Percentile | Engagement rate |
|---|---|
| 10th percentile | 0.004% |
| 25th percentile | 0.024% |
| 50th percentile | 0.143% |
| 75th percentile | 0.678% |
| 90th percentile | 2.55% |
| 99th percentile | 82.4% |
This ruler is the whole measured catalog, not a size-matched group: it shows where the raw rate falls across every account we can measure, all of which are large. For a like-for-like comparison, read the size-band percentile above instead. See how the bands are built
Posting timing
This account posts most often around 19:00 UTC, and Friday is its busiest day of the week. The bars below are the catalog-wide pattern, with this account's own busiest slot marked. They do not show how this account performs at each hour: we keep one aggregate per account, not one per hour, so that measurement does not exist in our data.
Show engagement by hour posted, utc as a table
| Hour (UTC) | Vs author median | Posts |
|---|---|---|
| 00:00 UTC | -1% | 89K |
| 01:00 UTC | -2% | 90K |
| 02:00 UTC | -3% | 88K |
| 03:00 UTC | -4% | 94K |
| 04:00 UTC | -5% | 76K |
| 05:00 UTC | -4% | 75K |
| 06:00 UTC | -5% | 86K |
| 07:00 UTC | -5% | 93K |
| 08:00 UTC | -4% | 108K |
| 09:00 UTC | -4% | 124K |
| 10:00 UTC | -3% | 129K |
| 11:00 UTC | -3% | 141K |
| 12:00 UTC | -3% | 154K |
| 13:00 UTC | -3% | 167K |
| 14:00 UTC | -4% | 173K |
| 15:00 UTC | -2% | 176K |
| 16:00 UTC | -3% | 171K |
| 17:00 UTC | -3% | 159K |
| 18:00 UTC | -2% | 149K |
| 19:00 UTC | -2% | 141K |
| 20:00 UTC | -1% | 131K |
| 21:00 UTC | 0% | 116K |
| 22:00 UTC | -2% | 100K |
| 23:00 UTC | -1% | 90K |
Show engagement by day of week as a table
| Day | Vs author median | Posts |
|---|---|---|
| Sunday | +5% | 393K |
| Monday | +1% | 483K |
| Tuesday | -2% | 520K |
| Wednesday | -3% | 472K |
| Thursday | -2% | 430K |
| Friday | -3% | 447K |
| Saturday | +2% | 393K |
Formats this account uses
Its own posting mix on the left, and what each of those formats does across every account we track on the right. Only formats where the effect clears our publish test appear here, so an empty row is a format we could not measure rather than one that does nothing.
| Format | This account | Catalog effect | 95% interval | Accounts behind it |
|---|---|---|---|---|
| Image or video | 78% of posts | +111% | +108% to +115% | 34K |
| Outbound link | 22% of posts | -41% | -42% to -40% | 32K |
| Typical length | - | +15% | +14% to +16% | 32K |
- 78% of this account's sampled posts carry an image or video. Across the catalog, posts with an image or video run 111% above the same accounts' other posts.
- 22% of its posts carry a link off X. Across the catalog, posts with an outbound link run 41% below the same accounts' other posts.
- Its average post runs 451 characters, which falls in the over 280 characters band. Across the catalog, posts over 280 characters run 15% above the same accounts' other posts.
These are catalog-wide differences applied to this account's own posting mix, not a measurement of how each format performs for this account specifically. We keep one median per account, not one per format per account, so the second thing is not something this data can tell you.
Best tweets
- Sep 22, 202612x their median
.@POTUS at UNGA: “It is equally unacceptable that, with all the genuine atrocities in the world, U.N. human rights officials spend their time criticizing the United States for protecting our children from transgender mutilation and transgender insanity.” Under @SecKennedy's leadership, @HHSGov stands firm against efforts to push sex-rejecting procedures on America’s children.
- Aug 31, 20266.6x their median
Sex-rejecting treatments and procedures can include cross-sex hormones, puberty blockers, breast removal, removal or reconstruction of genitalia, and procedures such as tracheal shaves. These extreme procedures carry significant costs and lead to years of continued medical care. The HHS-commissioned Wolves in White Coats report exposes the financial incentives behind the medicalization of vulnerable young people. Follow the money. Follow the evidence.
- Sep 21, 20265.9x their median
.@POTUS’s MAHA wins keep stacking up: 💊 MFN deals now cover 89% of the branded drug market 🧑🏭 Drug manufacturing and jobs coming BACK to America 📉 Largest prescription drug price drop in more than SIX DECADES 👉 Check your price at https://t.co/hQjIQU6ZyF https://t.co/cBuzWcyOaD
- Sep 4, 20265.3x their median
ANOTHER WIN: Nine MORE pharmaceutical companies have agreed to bring their drugs down to MFN status and reshore manufacturing. This means: 💰 Less Medicaid costs for states. ✅ Big win for US consumers. 🇺🇸 Re-investment in America. https://t.co/gRJYe8ItY3
- Sep 16, 20264.6x their median
.@DrOzCMS: “We are not going to tolerate Americans leaving drugstores emptyhanded because they cannot afford their drugs.” Lower prices today 👉 https://t.co/hQjIQU7xod https://t.co/D4g382uS1x
- Sep 2, 20263.6x their median
Parents have a right to know what is happening with their children. Whether in a doctor’s office or a classroom, institutions entrusted with our children owe families transparency—not secrecy. Wolves in White Coats sounded the alarm. Now, @CivilRights is taking action. The message is clear: Parents have rights. Children deserve protection. Institutions must respect both. I absolutely support and stand with @AGToddBlanche and @AAGDhillon .
- Sep 22, 20262.8x their median
“From 2019 to 2023, $120 million [was] spent on sex-rejecting procedures.” “That includes over 5,500… sex-rejecting surgeries on minors.” Assistant HHS Secretary Admiral Brian Christine just revealed shocking statistics on transgender surgeries in minors. “It’s almost unbelievable.” “But unfortunately, it’s true.” He told me “ideologues” on the left sold these surgeries to the public by claiming they would only occur in a “small segment” of adults. “Then, the slippery slope occurs.” “And before you know it, you’ve got 14-year-olds having their breasts removed.” @ADM_Christine
- Aug 27, 20262.8x their median
These young people trusted their doctors with their lives and their futures. The HHS-commissioned report Wolves in White Coats documents how, when they detransitioned and embraced their biological sex, the medical establishment that encouraged, prescribed, and performed these sex-rejecting, gender-mutilating procedures and treatments offered little support when they needed care. It’s heartbreaking. The Trump Administration will not abandon these young people. We are committed to addressing the harm left in the wake of the Biden Administration.
- Aug 24, 20262.5x their median
Luke Healy may be one of eight stories featured in Wolves in White Coats, but sadly, his story is not unique. According to the HHS commissioned report, Wolves in White Coats, the medical establishment turned vulnerable young people into sources of recurring revenue, with each intervention opening the door to another appointment, prescription, or procedure.
- Sep 17, 2026
Today, I joined leaders from @FDA and @NIH, clinicians, researchers, and patients for an important conversation on testosterone use in menopausal women. The Trump Administration believes women deserve care grounded in gold-standard science with a clear understanding of benefits and risks. We must listen to patients, close critical knowledge gaps, and ensure women and their physicians have the evidence they need to make informed health decisions. Thank you to the FDA for convening this important discussion.
Ranked by total interactions across everything we have tracked for this account, which is a longer history than the 30-day window the rates above use. The multiple compares each post to this account's own median.
Recurring topics
The most frequent hashtags in the sampled posts. They describe what this account writes about; they are not a performance signal, and the catalog-wide breakdown on the hub shows how little hashtag count moves.
Buy or sell Twitter (X) accounts - escrow-protected
PlayerSells is an escrow marketplace for Twitter (X) accounts. Every deal is protected, with no middleman risk.
Reading these numbers
A typical post picks up 40 interactions against 222K followers, an engagement rate of 0.018%. Measured over 18 original posts, its engagement rate beats 31% of 20,444 tracked accounts of a similar size, which puts it in the middle of its size range rather than at either end. Posts are seen about 4.9K times each, and 0.831% of those impressions turn into an interaction. That is about 2.19% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 1.8 posts a day over the last 30 days, with activity on roughly 67% of days. Most posts go out around 19:00 UTC, and Friday is the busiest day of the week. Of the 18 posts sampled, 78% carry an image or video and 22% link out. The account's strongest tracked post pulled 470 interactions, about 12x its own typical post.
- What is ADM Brian Christine, MD's engagement rate on X?
- ADM Brian Christine, MD (@ADM_Christine) has an engagement rate of 0.018%, based on the median interactions across 18 original posts from the last 30 days against 222,073 followers. Replies, reposts and quote-posts of other people are excluded from that sample.
- Is that a good engagement rate?
- At 0.018%, ADM Brian Christine, MD sits above the 10th percentile of the 205,475 accounts in this comparison. Those comparison accounts are all large ones, because our scanning cadence is weighted towards big accounts, so this is a ranking among peers of similar scale rather than a ranking across X.
- Does @ADM_Christine have real engagement?
- Its engagement rate beats 31% of the tracked X accounts closest to it in follower count (20,444 accounts), which puts it in the middle of its size range group. Ranking inside a size band matters because engagement rate falls as accounts grow, so a raw rate would mostly re-measure the follower count. It is a starting point for a look at follower quality, not a verdict on it.
- When does @ADM_Christine post?
- Most posts go out around 19:00 UTC, and Friday is its busiest day, at roughly 1.77 posts per day across the measured window.