Elie Jarrouge, MD engagement report
@ElieJarrougeMD - 176K followers on X
Measured over 30 original posts from a 30-day window, last computed on October 18, 2026.
Engagement
A typical post picks up 228 interactions against 176K followers, an engagement rate of 0.13%. Measured over 30 original posts, its engagement rate beats 64% 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 12K times each, and 1.96% of those impressions turn into an interaction. That is about 6.64% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 2.1 posts a day over the last 30 days, with activity on almost every day in the window. Most posts go out around 12:00 UTC, and Tuesday is the busiest day of the week. Of the 30 posts sampled, 10% are part of a thread. The account's strongest tracked post pulled 2.4K interactions, about 10x its own typical post.
Measured over 30 original posts from a 30-day window, last computed on October 18, 2026.
Compared with accounts its own size
Elie Jarrouge, MD's engagement rate beats 64% 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 62% 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 0.13%, Elie Jarrouge, MD sits above the 25th percentile of the 205,475 accounts in this comparison. That places it in the below the median band, which runs 0.024% to 0.143%.
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 12:00 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.
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 | 0% of posts | +111% | +108% to +115% | 34K |
| Outbound link | 0% of posts | -41% | -42% to -40% | 32K |
| Typical length | - | +15% | +14% to +16% | 32K |
- 0% 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.
- 0% 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 358 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
- Oct 5, 202610x their median
I graduated medical school in 2008. Then spent 3 years in Internal Medicine, 2 years in kidney medicine, and 9 years treating serious illness in hospitals. Heart attacks. Kidney failure. Strokes. Diabetic emergencies. COVID. So why do I now practice medicine around food, muscle, metabolic health, and lifestyle? Because after years of treating disease downstream, I became more interested in why people were getting sick in the first place. I didn’t move away from medicine. I moved upstream.
- Sep 20, 20264.1x their median
You can eat almost ZERO carbohydrates as a diabetic and still wake up see your glucose climb to 170 by 9 am. That surprises a lot of people. But in severe insulin resistance, the glucose in your blood isn’t necessarily coming from your food. It may be coming from your liver.
- Sep 26, 20263.2x their median
Modern medicine, step by step: High blood pressure? Here’s a pill. Still high? Here’s two more. Gaining weight? Let’s add a shot. Cholesterol’s up? Statin time. Now you’ve got diabetes? More pills and shots. Gout too? Add another. Finally got heart disease? Let’s blame the cholesterol. Congrats. You’re now on 8-10 medications… And not a single one reversed the underlying problem. This is what they call “managing chronic disease.” Here’s what I call it: A never-ending cycle of prescriptions that ignores the root cause. What I do instead: ✅ Real whole food. ✅ More muscle. ✅ Less visceral fat. ✅ Better metabolic health. ✅ Fewer meds. That’s the goal.
- Aug 30, 20262.9x their median
I’m surprised at how many smart people still believe that the number of calories is what determines metabolic health, not the type of calories.
- Sep 6, 20262.9x their median
I met a patient last week whose functional medicine doctor had told her to eat 200 grams of carbs per day specifically to improve her insulin resistance. She did. Guess what happened? She gained weight. Her blood sugar worsened. And she became borderline diabetic. Now we’re working on reversing a worse metabolic problem with carbohydrate restriction. If your body is already struggling to handle carbohydrates, giving it MORE carbohydrates is a strange way to fix the problem.
- Oct 3, 20262.9x their median
You do not need to eat breakfast. You do not need to eat every few hours. And hunger is not an emergency. Humans are perfectly capable of going several hours without food. If you can’t, your body may have become too dependent on a constant supply of glucose instead of comfortably accessing stored energy. Chances are you have insulin resistance and possibly also don’t eat enough protein.
- Oct 13, 20262.8x their median
If you have an autoimmune disease, you owe it to yourself to try the ultimate elimination diet: carnivore. I’ve seen patients with rheumatoid arthritis, psoriasis, psoriatic arthritis, ulcerative colitis, and other autoimmune conditions go into remission after making this change. It’s not a guarantee, but I’ve seen what it can do. Why not give it a try?
- Sep 4, 20262.5x their median
Muscle is where carbs are supposed to go. If you have little muscle and barely use it, you have less capacity to handle glucose. That means higher insulin, worsening insulin resistance, and more energy pushed toward fat storage. Want better metabolic health? Eat fewer carbs if you’re insulin resistant. And build more muscle.
- Aug 14, 20262.4x their median
Here’s what one of my patients noticed after changing to a low-carb, animal-based diet and dramatically improving his metabolic health: Weight loss wasn’t even the most interesting part… • His eyesight improved enough that he needed a weaker glasses prescription. • His skin tags started disappearing. • His varicose veins decreased by about 50%. • Wounds started healing faster. • He stopped getting sunburned. • His energy became stable all day. • His joints stopped hurting. • His mood became noticeably calmer and more stable. • His strength and stability improved. • And one of the strangest changes: every trip to Colorado used to give him altitude sickness that lasted nearly a week. Now, it doesn’t happen. All he did was change what he ate and improved his metabolic health. It sounds too good to be true. But when you improve the underlying physiology, sometimes things get better that you never expected to get better.
- Sep 25, 20262.4x their median
You’ve been taught to fear cholesterol. You should be far more afraid of metabolic dysfunction. Insulin resistance. High blood pressure. High triglycerides. Fatty liver. Visceral fat. Poor glucose control. Heart disease is largely a metabolic disease. If you’re obsessing over cholesterol while ignoring all of that, you’re missing the forest for one tree.
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.
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Reading these numbers
A typical post picks up 228 interactions against 176K followers, an engagement rate of 0.13%. Measured over 30 original posts, its engagement rate beats 64% 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 12K times each, and 1.96% of those impressions turn into an interaction. That is about 6.64% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 2.1 posts a day over the last 30 days, with activity on almost every day in the window. Most posts go out around 12:00 UTC, and Tuesday is the busiest day of the week. Of the 30 posts sampled, 10% are part of a thread. The account's strongest tracked post pulled 2.4K interactions, about 10x its own typical post.
- What is Elie Jarrouge, MD's engagement rate on X?
- Elie Jarrouge, MD (@ElieJarrougeMD) has an engagement rate of 0.13%, based on the median interactions across 30 original posts from the last 30 days against 175,686 followers. Replies, reposts and quote-posts of other people are excluded from that sample.
- Is that a good engagement rate?
- At 0.13%, Elie Jarrouge, MD sits above the 25th 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 @ElieJarrougeMD have real engagement?
- Its engagement rate beats 64% 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 @ElieJarrougeMD post?
- Most posts go out around 12:00 UTC, and Tuesday is its busiest day, at roughly 2.07 posts per day across the measured window.