Kristie Leong M.D. engagement report
@DrKristieLeong - 68K followers on X
Measured over 56 original posts from a 30-day window, last computed on September 18, 2026.
Engagement
A typical post picks up 132 interactions against 68K followers, an engagement rate of 0.195%. Measured over 56 original posts, its engagement rate beats 60% of 21,185 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 3.4K times each, and 3.85% of those impressions turn into an interaction. That is about 5.03% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 2 posts a day over the last 30 days, with activity on roughly 47% of days. Most posts go out around 12:00 UTC, and Sunday is the busiest day of the week. Of the 56 posts sampled, 100% carry an image or video and 5% are part of a thread. The account's strongest tracked post pulled 488 interactions, about 3.7x its own typical post.
Measured over 56 original posts from a 30-day window, last computed on September 18, 2026.
Compared with accounts its own size
Kristie Leong M.D.'s engagement rate beats 60% of the tracked X accounts closest to it in follower count (21,185 accounts, accounts of similar size (decile 6 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 78% 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 0.195%, Kristie Leong M.D. sits above the 50th percentile of the 213,004 accounts in this comparison. That places it in the above the median band, which runs 0.147% to 0.698%.
Show the percentile table
| Percentile | Engagement rate |
|---|---|
| 10th percentile | 0.004% |
| 25th percentile | 0.025% |
| 50th percentile | 0.147% |
| 75th percentile | 0.698% |
| 90th percentile | 2.61% |
| 99th percentile | 82.8% |
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 Sunday 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 | 100% of posts | +111% | +108% to +115% | 34K |
| Outbound link | 0% of posts | -41% | -42% to -40% | 32K |
| Typical length | - | +15% | +14% to +16% | 32K |
- 100% 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 926 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 11, 20263.7x their median
Your chair is quietly wrecking your hips. Most adults sit ~10 hours a day. That parks the psoas and rectus femoris in chronic flexion. So: 1. They shorten. 2. The pelvis tips forward. 3. The lumbar spine takes the load. 4. The glutes go quiet. Walking lunges break it on every step. The trailing leg forces full hip extension (the position sitting never allows). That lengthens the flexors under load and wakes the glutes. The front leg has to decelerate and stabilize, so gluteus medius and deep core fire to stop pelvic drop. Left and right sides can’t hide anymore. Single-leg control isn’t a gym flex. Inability to hold a 10-second one-leg stand is linked to higher mortality risk. Balance declines with age faster than grip or gait. The Action Plan: If you sit most of the day, 2–3 sets of 8–10 walking lunges after work is mechanical medicine. Slow. Full extension on the back leg. Tall torso. Can you stand on one leg for 10 seconds without wobbling? Try it and tell me. #HipHealth #Posture
- Sep 12, 20263.2x their median
Your $5,000 sauna is delivering weaker results than a $50 bathtub. Hot water immersion produces greater rises in core temperature, heart rate, and cardiac output than traditional or infrared saunas. It also lowers blood pressure more effectively and mimics the cardiovascular load of moderate exercise. Only immersion triggers a clear immune response. Interleukin-6 spikes. Natural killer cells and cytotoxic T-cells increase and stay elevated for up to 48 hours. Dry heat does not reliably produce this effect. Sustained, full-body water contact appears to drive superior heat transfer and longer-lasting physiological adaptation. Tonight, fill the tub with water hot enough to raise your core temperature and soak for 20–30 minutes. Hydrate and exit if lightheaded. Still paying premium prices for inferior heat therapy, or will you test the free option that actually moves the biomarkers? #sauna Source: StudyFinds. Published June 27, 2025. Accessed August 26, 2026. ‌
- Sep 9, 20263.1x their median
Your hips called. They want their power back. Hours of sitting shut your glutes off. Weak glutes then force your lower back and hip flexors to do the work they were never designed for. That’s the cycle: Sit → glutes sleep → back tightens → you sit even more. One move breaks it. Glute bridges wake up the largest muscle in your body, restore hip extension, stabilize your core, and take pressure off your lumbar spine. Do them consistently and most people feel stronger in 4–6 weeks. Drop 10 slow reps every time you stand up from your desk today. What’s your current “I sit too much” warning sign — tight hips, low-back ache, or zero power when you stand up? #GluteBridge #FunctionalFitness
- Sep 9, 20262.7x their median
Most people chase fancy brain supplements. A handful of mixed nuts quietly improved blood flow to the thinking parts of the brain — and memory scores rose 16%. In a 16-week randomized crossover trial, 28 healthy adults (average age 65) ate 60g of mixed walnuts, pistachios, cashews, and hazelnuts daily — or none. MRI then showed significantly higher cerebral blood flow in the frontal, parietal, and prefrontal cortex during the nut period. Visuospatial and verbal memory each improved by 16%. Weight stayed stable. Why this matters: The aging brain often gets less blood, less oxygen, and less fuel. That drop in flow is part of the cycle that makes names, directions, and details slip. Nuts deliver L-arginine, unsaturated fats, polyphenols, and magnesium that help blood vessels relax and deliver more of what neurons need. Skip the exotic stack for a week. Put a small mixed-nut handful with your afternoon tea or after a meal. Would you actually eat 60g of mixed nuts every day if it meant sharper recall — or does that feel like too much? #BrainHealth #Nuts #HealthyAging
- Sep 5, 20262.5x their median
Your calves are a second heart. Most people never turn it on. Each time you walk or rise onto your toes, your calf muscles compress the deep veins and help propel blood back toward your heart against gravity. One-way valves keep it from falling back. Healthy calves eject about 65% of that venous volume in a single contraction. That is the pump that was built to fight pooling all day. •Sit or stand still and the pump shuts off. •Fluid sits in the lower legs. •Legs feel heavy. •Ankles puff. •You move less. •Valves take more load. •Risk of varicosities and blood clots goes up. You need the pump on. Do this every hour you sit or stand in place: •20–30 slow toe raises •2-second squeeze at the top •Drop your heels. •Repeat. Coffee line. Brushing teeth. End of a Zoom. How many hours do you go without a single toe raise? #Circulation #CalfPump
- Sep 16, 20262.4x their median
Grip strength predicted death better than blood pressure in ~140,000 adults. Most people are still stretching their shoulders. The move that actually predicts how long you’ll live is hanging from a bar. A study of ~140,000 adults in 17 countries found weaker grip was a stronger death-and-heart-disease signal than blood pressure. (Shows correlation, not necessarily causation) Every 5 kg drop in grip strength tracked with about 16% higher risk of dying. Here’s why 30 seconds on a bar is not “just stretching”: Even a supported hang (feet on the floor) unloads the spine, opens tight pecs and lats, and forces the shoulder stabilizers that desk posture shuts off. Your hands and forearms stay on the whole time, that’s the back-chain link that posture and pulling strength depend on. The cycle nobody names: Tight shoulders → you stop reaching overhead → shoulders get tighter → posture collapses → more pain. A short hang breaks that loop. Start stupid-easy: 10-second supported hangs, 3–5 rounds. Work toward 20–30 seconds. No heroics. If you sit a lot, one daily hang is the cheapest posture reset you can do. Do one today: feet down, slow breath, shoulder blades gently down. What’s one 30-second mobility habit you’re adding this month? Source: PURE study, The Lancet (2015); ~139,691 adults, 17 countries.
- Sep 8, 20262.4x their median
Small but mighty: pumpkin seeds are nutritional powerhouses in disguise. Just one handful packs nearly a third of your daily zinc—a mineral your immune system can’t do without. But the benefits don’t stop there. These tiny seeds bring fiber, plant-based omega-3s, iron, magnesium, and protein to the table. Action plan: 1. Snack on a small handful (about 1 oz) daily for a zinc and nutrient boost. 2. Sprinkle them on salads, yogurt, oatmeal, or blend into smoothies. 3. Top creamy soups, like butternut squash or tomato, with a spoonful of toasted seeds. 4. Blend roasted seeds in a high-speed food processor until smooth to create a nutrient-dense spread. Excellent alternative for sandwiches or as a dip for apple slices. 5. Store raw or roasted seeds in an airtight container for freshness and grab-and-go ease. #PumpkinSeeds #ZincBoost
- Sep 11, 20262.2x their median
Knees don’t get stronger from rest. They get stronger from the right kind of work. Avoiding squats, stairs, and lunges because “it’ll ruin your knees” is how the joint actually loses capacity. Quad and lower-body strength training consistently reduces pain and improves function in people with knee osteoarthritis, when you work your knees using good form and gradually progressing. Painless pops are common even in pain-free knees. Swelling, locking, giving way, or sharp worsening pain is the stop sign, not movement itself. Save the graphic. This week: 2 sets of slow sit-to-stands or split squats. Stop where it stays tolerable. What’s one knee exercise you dropped that you could scale back in instead of stopping entirely? #kneehealth #fitness
- Sep 10, 20261.9x their median
Walking is wonderful for your heart and mood. Still, it’s not enough to protect your joints. It doesn’t build the strength or stability needed to prevent arthritis, tendinitis, or chronic pain. Strength training is the real long‑term safeguard. Think of walking as the warm‑up, not the whole plan. No weights? Try doing bodyweight exercises, like: 1.Push-Ups 2.Squats 3.Lunges 4.Wall Sits 5.Planks Walking gets you moving, but strength keeps you moving. Which of these five exercises are you adding to your routine? #JointHealth #StrengthTraining
- Sep 9, 20261.7x their median
⏰ The simplest workday habit that protects your posture, energy & metabolism: Set a recurring 45-minute timer. When it rings, pick one: • 10–15 bodyweight squats • 1–2 minutes brisk walking • 10 lunges per leg Stack it onto what you’re already doing — between charts, emails, or patient calls. No extra time needed. Tiny movement breaks like this fight the damage of prolonged sitting, boost circulation, and keep your metabolism humming. Your future self will thank you. Who’s trying this next week? 👇 #MovementBreaks #MetabolicHealth
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 132 interactions against 68K followers, an engagement rate of 0.195%. Measured over 56 original posts, its engagement rate beats 60% of 21,185 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 3.4K times each, and 3.85% of those impressions turn into an interaction. That is about 5.03% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 2 posts a day over the last 30 days, with activity on roughly 47% of days. Most posts go out around 12:00 UTC, and Sunday is the busiest day of the week. Of the 56 posts sampled, 100% carry an image or video and 5% are part of a thread. The account's strongest tracked post pulled 488 interactions, about 3.7x its own typical post.
- What is Kristie Leong M.D.'s engagement rate on X?
- Kristie Leong M.D. (@DrKristieLeong) has an engagement rate of 0.195%, based on the median interactions across 56 original posts from the last 30 days against 68,406 followers. Replies, reposts and quote-posts of other people are excluded from that sample.
- Is that a good engagement rate?
- At 0.195%, Kristie Leong M.D. sits above the 50th percentile of the 213,004 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 @DrKristieLeong have real engagement?
- Its engagement rate beats 60% of the tracked X accounts closest to it in follower count (21,185 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 @DrKristieLeong post?
- Most posts go out around 12:00 UTC, and Sunday is its busiest day, at roughly 2.03 posts per day across the measured window.