DoctorTro ✓

@DoctorTro · We see patients NATIONWIDE · joined 31 Dec 2010

172 553Followers

469Following

81 697Posts total

199.3KViews on collected posts

Against accounts of the same size

17 posts from the last 90 days, next to the 100K–1M follower range. ordinary reach for its size, weaker reaction than most.

Median views5 308this account12 273median for 100K–1M

Reach, %3.08%this account3.89%median for 100K–1M

Engagement, %0.44%this account1.25%median for 100K–1M

Metric	This account	Median for 100K–1M	Ratio
Median views per post	5 308	12 273	0.43×
Reach (views ÷ followers)	3.08%	3.89%	0.79×
Engagement rate	0.44%	1.25%	0.36×

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

4.4K25 Aug

4.6K

3.7K

8.8K

3.4K

3.5K

3.1K

7.9K

1.1K26 Aug

30.6K1 Sep

5.3K2 Sep

5.6K

7.6K3 Sep

4.4K

Last 14 collected posts, oldest on the left. The scale is logarithmic: one post can outrun the rest a hundred times over.

Engagement rate per post

0.37%25 Aug

0.39%

0.46%

0.14%

0.32%

0.40%

0.44%

0.32%

1.70%26 Aug

0.52%1 Sep

0.53%2 Sep

6.86%

1.99%3 Sep

1.83%

Reactions — likes, reposts, replies and quotes — divided by views. Median for 100K–1M accounts is 1.25%.

What the audience does

Likes70.9%1 027 in total

Reposts5.2%75 in total

Replies4.2%61 in total

Quotes0.7%10 in total

Bookmarks19.0%276 in total

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

Followers by day

3 Sep

Daily snapshots since 03 Sep 2026; the dashed line is the starting count.

Latest posts

Later this month, I’ll have the amazing opportunity to meet real-food champion Mike Tyson in Washington, DC… I’m proud to support real food. I’m proud to support ketogenic diets and metabolic health. And I’m honored to represent the low-carb community at an upcoming Summit in 4.4K views · 69 likes · 7 reposts · 5 replies 03 Sep 2026 I wonder how many years of planning it took to execute population wide Alpha-Gal 7.6K views · 141 likes · 5 reposts · 6 replies 03 Sep 2026 Eat animal fats and animal proteins 5.6K views · 351 likes · 27 reposts · 7 replies 02 Sep 2026 Great discussion about cardiovascular health and proper patient selection for interventions. 5.3K views · 26 likes · 1 reposts · 1 replies 02 Sep 2026 A new trial just showed that aggressive LDL lowering saved lives in high-risk cardiac patients. Yesterday I wrote about a trial where it didn't. They had the same therapeutic goal but with very different mortality results. It’s the perfect contrast to help us better understand 30.6K views · 135 likes · 8 reposts · 13 replies 01 Sep 2026 @DoctorTro The reduction of LDL is not indicated, and neither is the use of statins. Period. 1.1K views · 17 likes · 0 reposts · 1 replies 26 Aug 2026 11/ Read the peer-reviewed study: https://t.co/Vipdyqvl5b Press release: https://t.co/Qf0vohYMVs Thank you to the patients who made this research possible ... and to our collaborators at @gotowardhealth, Wake Forest University School of Medicine, and INCMNSZ. https://t.co/RLurF 7.9K views · 19 likes · 1 reposts · 4 replies 25 Aug 2026 9/ This does NOT prove ezetimibe is equivalent to PCSK9... It was a retrospective, hypothesis-generating case series of 14 patients... But a median 53% LDL-C reduction is large enough to demand prospective study. 3.1K views · 13 likes · 0 reposts · 1 replies 25 Aug 2026 10/ Before employers and patients are directed toward the most expensive option, we should determine whether an inexpensive generic could achieve substantial LDL-C lowering in the appropriate phenotype. Better biology. Better targeting. Potentially far lower cost. 3.5K views · 13 likes · 0 reposts · 1 replies 25 Aug 2026 8/ The economic question is unavoidable. Generic ezetimibe can cost roughly $10/month. PCSK9-targeting therapies can cost employers and health plans hundreds of dollars every month... often around $700... before administration and other costs. 3.4K views · 10 likes · 0 reposts · 1 replies 25 Aug 2026 6) Lipidologists unfamiliar with ketogenic diets previously said this is due to genetic defects in ABCG5/8 We specifically tested ASCVD in multi-gene panels and found to relation to FH genes or sitosterolemia genes. Furthermore cholesterol balance testing did not predict this 8.8K views · 10 likes · 0 reposts · 1 replies 25 Aug 2026 7/ This is precision medicine: Don’t just ask, “How high is the LDL?” Ask, “Why is the LDL elevated in this patient?” Understanding the mechanism may help identify a treatment that is more targeted, accessible, and affordable. 3.7K views · 16 likes · 0 reposts · 1 replies 25 Aug 2026 4/ The magnitude matters. In broader clinical trials, ezetimibe monotherapy typically lowers LDL by 15%. The response in this cohort was 3 times what is generally expected... Why might these patients respond differently? 4.6K views · 15 likes · 0 reposts · 3 replies 25 Aug 2026 5/ Ezetimibe blocks intestinal cholesterol absorption through NPC1L1. Our paper proposes that chronically low insulin may alter cholesterol esterification, absorption, recycling, and transport through unknown and novel pathways. 4.4K views · 15 likes · 0 reposts · 1 replies 25 Aug 2026 2/ We studied 14 patients who developed substantial LDL-C elevations while following a ketogenic diet. After treatment with ezetimibe: • Median LDL-C fell >53% • Total cholesterol fell nearly 39% • Triglycerides improved • HDL-C remained stable https://t.co/EiciKELnV8 5.8K views · 13 likes · 1 reposts · 1 replies 25 Aug 2026 3/ Four classes of drugs have been shown to DECREASE plaque, decrease CV death and also lower cholesterol (PCKS9, statins, ezetimibe, bempedoic acid). Other drugs and supplements have been shown to reduce plaque outside of cholesterol too (EPA, colchicine, nattokinase and 7K views · 35 likes · 3 reposts · 3 replies 25 Aug 2026 1/ NEW STUDY: https://t.co/Vipdyqvl5b If a ~$10 generic drug reduced LDL by 53% on a ketogenic diet why should we use statins or injection antibodies? Why are cardiologists pushing drugs costing ~$700/month? A thread 🧵 92.3K views · 129 likes · 22 reposts · 11 replies 25 Aug 2026