Adrian Soto-Mota

@AdrianSotoMota

MD, PhD, FACP. I lead the Metabolic Diseases Research Unit (@UIEMmx) and I am an Internal Medicine Consultant @incmnszmx. Prof @TecdeMonterrey.

9 270Followers

381Following

6 021Posts total

119KViews on collected posts

Against accounts of the same size

8 posts from the last 90 days, next to the under 10K follower range. below its peers on both reach and engagement.

Median views2 184this account9 558median for under 10K

Reach, %23.56%this account583.39%median for under 10K

Engagement, %0.67%this account0.92%median for under 10K

Metric	This account	Median for under 10K	Ratio
Median views per post	2 184	9 558	0.23×
Reach (views ÷ followers)	23.56%	5.8× audience	0.04×
Engagement rate	0.67%	0.92%	0.72×

Others in this range → Compare with another account → How these benchmarks are built →

Growth & engagement

How the posts we collected actually performed: views and reaction rate post by post, what the audience did with them, and where the follower count goes.

Views per post

104.8K25 Aug

2.7K

2.3K

1.9K

2.6K

1.6K

Last 8 collected posts, oldest on the left. The scale is logarithmic: one post can outrun the rest a hundred times over.

Engagement rate per post

0.17%25 Aug

0.64%

0.69%

0.64%

1.18%

1.58%

1.72%

Reactions — likes, reposts, replies and quotes — divided by views. Median for under 10K accounts is 0.92%.

What the audience does

Likes54.7%229 in total

Reposts9.1%38 in total

Replies6.2%26 in total

Quotes3.3%14 in total

Bookmarks26.7%112 in total

Share of every reaction we collected for this account. Replies mean argument, reposts mean endorsement, bookmarks mean the post was worth keeping.

The follower curve appears once this account has two daily snapshots — we take one a day, and this one is on its first.

Latest posts

@AdrianSotoMota @LauraBuchananMD @BioMedCentral Great study. But the real question is whether the lower cholesterol improves health or reduces risk. 1K views · 16 likes · 0 reposts · 2 replies 25 Aug 2026 @BioMedCentral Thank you to the patients who made this possible! https://t.co/L8LRquSKXZ @lipo_fan @JoshJwageman @LauraBuchananMD @DoctorTro @MattCalkinsMD @wakeforestmed @incmnszmx @TecdeMonterrey @UIEMmx Please help us share it 🙏🔄 https://t.co/qHP87TFUeB 1.6K views · 21 likes · 2 reposts · 2 replies 25 Aug 2026 @BioMedCentral Why? Chronically low insulin may shift the liver toward cholesterol ABSORPTION, not synthesis (via NPC1L1/ABCG5-G8) . Ezetimibe blocks that leg. This could be a useful insight for patients who can't or won't take statins. https://t.co/pcCoSC8kwB 2.6K views · 26 likes · 2 reposts · 2 replies 25 Aug 2026 @BioMedCentral Maybe high numbers just fall further? Nope. The lower-baseline half of the cohort dropped as steeply as the upper half. Maybe it was the statins? Also nope. 12 of 14 were on ezetimibe ALONE, and there the median drop was still −50.4% (95% CI −56.9 to −38.2). ht 1.9K views · 11 likes · 0 reposts · 1 replies 25 Aug 2026 @BioMedCentral Only 14 patients? Yes. But these are unusually well documented cases: serial fasting lipid panels, plasma sterol absorption markers, and genetic testing. No pathogenic LDLR, APOB or PCSK9 variants (n=10). No biallelic sitosterolemia. This is NOT undiagnosed 2K views · 13 likes · 0 reposts · 1 replies 25 Aug 2026 @BioMedCentral Mean follow-up 130 days and, ⬇️LDL-C: 254 → 127 mg/dL (−53.2%, 95% CI −61.1 to −40.9) ⬇️TC: 335 → 200 mg/dL (−38.5%) ⬇️TG: −23% ➡️HDL-C: −1.5% So the low-TG/high-HDL pattern of carb restriction stayed put. Only the LDL-C moved! https://t.co/lnxj9qqtuh 2.3K views · 13 likes · 1 reposts · 1 replies 25 Aug 2026 @BioMedCentral NO, this is not LMHRs. Because not all patients who adopt a ketogenic diet look alike, not all keto-diet-induced hypercholesterolemia cases are the same. https://t.co/XhGeeCpu2p 2.7K views · 16 likes · 0 reposts · 1 replies 25 Aug 2026 🚨NEW PAPER🚨 https://t.co/L8LRquSKXZ @BioMedCentral: Lipids in Health and Disease. Ezetimibe ⬇️ LDL-C by a median of 53% in patients with keto-induced hypercholesterolemia. That is ~3x! what you would expect in conventional hypercholesterolemia (~18%). 🧵👇🏼 https://t.co/MkLEbg 104.8K views · 113 likes · 33 reposts · 16 replies 25 Aug 2026