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Chris van Tulleken πŸ³οΈβ€πŸŒˆ engagement report

@DoctorChrisVT - 1.2M followers on X

Measured over 2 original posts from a 30-day window, last computed on October 25, 2026.

Engagement

Per follower
0.045%
of 1.2M followers
Per impression
1.17%
48K views on a typical post
Reach
3.87%
of its followers see a post
Typical post
558
interactions (median)
Saved
0.072%
34 bookmarks on a typical post
Posting rate
0.6/day
active 30% of days
Peak time
09:00 UTC
Tuesday

Early reading. We have captured 2 original posts for this account, below the 8 we require before treating a median as settled. The numbers above describe what we have seen so far, not a finished profile of the account.

A typical post picks up 558 interactions against 1.2M followers, an engagement rate of 0.045%. Posts are seen about 48K times each, and 1.17% of those impressions turn into an interaction. That is about 3.87% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 0.6 post a day over the last 30 days, though only 30% of days saw any activity at all. Most posts go out around 09:00 UTC, and Tuesday is the busiest day of the week. Of the 2 posts sampled, 50% carry an image or video and 100% link out. The account's strongest tracked post pulled 1.3K interactions, about 2.3x its own typical post. Recurring topics include #cowmilkallergy, #formulamarketing, #infantformula. Only 2 original posts have been captured so far, fewer than the 8 posts we want behind a median before treating it as settled. Read the figures above as an early measurement of this account, not as a finished profile of it.

Measured over 2 original posts from a 30-day window, last computed on October 25, 2026. Recurring tags: #cowmilkallergy, #formulamarketing, #infantformula.

Where this sits in the catalog

At 0.045%, Chris van Tulleken πŸ³οΈβ€πŸŒˆ sits above the 25th percentile of the 204,880 accounts in this comparison. That places it in the below the median band, which runs 0.024% to 0.143%.

p100.004%
p250.024%
p50 (median)0.143%
p750.678%
p902.55%
p9982.4%
Engagement rate as a share of followers, across the 204,880 accounts we have scanned enough to measure. The axis is logarithmic, because the top and bottom of this population are about 22,891 times apart and a linear axis would flatten everything below the median into a single point.
Show the percentile table
Engagement rate percentiles
PercentileEngagement rate
10th percentile0.004%
25th percentile0.024%
50th percentile0.143%
75th percentile0.678%
90th percentile2.55%
99th percentile82.4%

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 09:00 UTC, and Tuesday 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.

Engagement by hour posted, UTCTwenty-four bars, one per UTC hour. Each bar shows how posts published in that hour compare with their own authors' median engagement. Bars above the centre line ran higher than the median, bars below ran lower. A marker flags Busiest hour: 09:00 UTC.
0003060912151821
Above the authors' own mediansBelowScale: plus or minus 111%Busiest hour: 09:00 UTC
Show engagement by hour posted, utc as a table
Engagement by hour posted, UTC
Hour (UTC)Vs author medianPosts
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 UTC0%116K
22:00 UTC-2%100K
23:00 UTC-1%90K
Engagement by day of weekSeven bars, one per weekday, Sunday first. Each bar shows how posts published on that day compare with their own authors' median engagement. Bars above the centre line ran higher than the median, bars below ran lower. A marker flags Busiest day: Tuesday.
SunMonTueWedThuFriSat
Above the authors' own mediansBelowScale: plus or minus 111%Busiest day: Tuesday
Show engagement by day of week as a table
Engagement by day of week
DayVs author medianPosts
Sunday+5%393K
Monday+1%483K
Tuesday-2%520K
Wednesday-3%472K
Thursday-2%430K
Friday-3%447K
Saturday+2%393K
See what moves engagement across the whole catalogWhat counts as a good engagement rate at this size

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.

This account's posting mix compared with catalog-wide effects
FormatThis accountCatalog effect95% intervalAccounts behind it
Image or video50% of posts+111%+108% to +115%34K
Outbound link100% of posts-41%-42% to -40%32K
Typical length-+15%+14% to +16%32K
  • 50% 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.
  • 100% of its posts carry a link off X. Across the catalog, posts with an outbound link run 41% below the same accounts' other posts, so a large share of this account's output sits in the weakest bucket we measure.
  • Its average post runs 457 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 4, 20262.3x their median

    The New Dark Ages, my book about the end of reading and what it means for our society is out now! By purchasing it you can help to hold back the spread of the post-literate society (and by refusing to purchase it you will only confirm my thesis!) https://t.co/goCo32gHHw

    1.0K159613996K viewsView on X
  • Oct 13, 20262.0x their median

    It is hard to believe that Helen Branswell has passed away. Just heartbreaking. On January 4, 2020, Helen wrote STAT's first story on a mystery pneumonia outbreak in China. She saw the pandemic coming well before anyone was paying attention. Helen was a journalist who knew more than most of the experts she interviewed. She understood the science, the history and the politics of every outbreak she covered. She asked the hardest (and best) questions and never let me get away with a vague answer Experts learned from her. I certainly did It's hard to imagine a world of pandemics, biological threats and so much more without a Helen Branswell to explain it all. https://t.co/kAanDgu1me

    896184171492K viewsView on X
  • Aug 21, 2026

    "At the show were also seven wholesalers selling chocolate bars, crisps, and sweets, one of which had a display stand full of bags of Walkers crisps, Lucozade, Mars bars, and Kit Kats, with a sign saying β€œPlease help yourself.” Five ice cream firms were present, four soft drinks companies, and other suppliers that make items including pizzas and cake mixes and confectionery vending machines." Incredible investigation of the UK’s biggest school food show by @bmj_latest with @BiteBack2030 - unhealthy food is very much on the menu for kids. https://t.co/s3sI0EcJHy @BiteBack2030

    195538350K viewsView on X
  • Aug 17, 2026

    BMJ is corrupt. Retracts the Mostert paper in violation of COPE guidelines. So you should put your trust what has been REMOVED from the journals, not what is in the journals.

    1624912418K viewsView on X
  • Jul 22, 2026

    β€˜If all else fails, sue.’ This is an astounding new report. We know that big food companies deliberately engineer and market unhealthy products so that we eat too much of them, too often. And lots of you will have seen that this is why multiple lawsuits are beginning in the USA. But what you probably didn’t realise is that it isn’t just people who are harmed by unhealthy food who are using the law. The companies who make unhealthy food are doing it too. But on a MUCH bigger scale...🧡 https://t.co/thYzFueJpC

    107561510118K viewsView on X
  • Aug 22, 2026

    β€œ For decades food companies have employed scientists to work out how to keep you eating without stopping long enough to remember you have a body... …By contrast, the selling point of Magnum’s new ice-creams seems to be they will keep you laser-focused on your own body.” A magnificent piece on ice cream in today’s @guardian by @kitty__drake - one of the best food articles I’ve read. https://t.co/gw7lclxfFH

    1412563111K viewsView on X
  • Aug 8, 2026

    I went for a full body MOT and the results came as a shock https://t.co/CruKm87LVe

    1036107213K viewsView on X
  • May 4, 2024

    If you're building the most sustainable stand-alone home possible what features does it have? Low emodied carbon Solar gain PV Heat pump Solar shading Passivhaus Hot water recovery Rainwater fed toilets/washing machine Recovered materials What about waste water? What else?

    27259319K viewsView on X
  • Aug 10, 2026

    "It will turbocharge inequality; it is already facilitating a breathtaking shift of power and wealth from the hands of the many to the hands of a tiny number of men who – to put it in terms for which I can’t be sued – seem to hold dangerously damaged views about the value and dignity of human life." Much needed piece by author and academic Katherine Rundell in the @Guardian on the effect of AI on kids. Do we need for the sort of approaches we are seeing with social media and other online harms? https://t.co/Ik1LmRJz78

    66162045K viewsView on X
  • Sep 9, 2026

    Is it okay to cry at work? "Ultimately, to cry is to be human, and being human is central to being a doctor. Having said that, context is clearly important." https://t.co/HdhOV5QYyZ

    2090419K viewsView on X

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

#cowmilkallergy#formulamarketing#infantformula

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.

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Reading these numbers

A typical post picks up 558 interactions against 1.2M followers, an engagement rate of 0.045%. Posts are seen about 48K times each, and 1.17% of those impressions turn into an interaction. That is about 3.87% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 0.6 post a day over the last 30 days, though only 30% of days saw any activity at all. Most posts go out around 09:00 UTC, and Tuesday is the busiest day of the week. Of the 2 posts sampled, 50% carry an image or video and 100% link out. The account's strongest tracked post pulled 1.3K interactions, about 2.3x its own typical post. Recurring topics include #cowmilkallergy, #formulamarketing, #infantformula. Only 2 original posts have been captured so far, fewer than the 8 posts we want behind a median before treating it as settled. Read the figures above as an early measurement of this account, not as a finished profile of it.

What is Chris van Tulleken πŸ³οΈβ€πŸŒˆ's engagement rate on X?
Chris van Tulleken πŸ³οΈβ€πŸŒˆ (@DoctorChrisVT) has an engagement rate of 0.045%, based on the median interactions across 2 original posts from the last 30 days against 1,230,766 followers. Replies, reposts and quote-posts of other people are excluded from that sample.
Is that a good engagement rate?
At 0.045%, Chris van Tulleken πŸ³οΈβ€πŸŒˆ sits above the 25th percentile of the 204,880 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 @DoctorChrisVT have real engagement?
There is not yet enough sample to rank this account against others of its size.
When does @DoctorChrisVT post?
Most posts go out around 09:00 UTC, and Tuesday is its busiest day, at roughly 0.6 posts per day across the measured window.

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