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Beth Frates MD engagement report

@BethFratesMD - 153K followers on X

Measured over 11 original posts from a 30-day window, last computed on October 28, 2026.

Engagement

Middle of its size range
Per follower
0.022%
of 153K followers
Per impression
3.94%
864 views on a typical post
Reach
0.56%
of its followers see a post
Typical post
34
interactions (median)
Saved
0.116%
1 bookmarks on a typical post
Posting rate
1.33/day
active 23% of days
Peak time
01:00 UTC
Wednesday

A typical post picks up 34 interactions against 153K followers, an engagement rate of 0.022%. Measured over 11 original posts, its engagement rate beats 29% of 21,624 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 864 times each, and 3.94% of those impressions turn into an interaction. That is about 0.565% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 1.3 post a day over the last 30 days, though only 23% of days saw any activity at all. Most posts go out around 01:00 UTC, and Wednesday is the busiest day of the week. Of the 11 posts sampled, 55% carry an image or video and 64% link out. The account's strongest tracked post pulled 27K interactions, about 784x its own typical post. Recurring topics include #lifestylemedicine, #health, #exercise.

Measured over 11 original posts from a 30-day window, last computed on October 28, 2026. Recurring tags: #lifestylemedicine, #health, #exercise.

Compared with accounts its own size

Beth Frates MD's engagement rate beats 29% of the tracked X accounts closest to it in follower count (21,624 accounts, accounts of similar size (decile 8 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 80% 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 0.022%, Beth Frates MD sits above the 10th percentile of the 218,065 accounts in this comparison. That places it in the bottom 25% band, which runs below 0.025%.

p100.004%
p250.025%
p50 (median)0.149%
p750.705%
p902.63%
p9982.6%
Engagement rate as a share of followers, across the 218,065 accounts we have scanned enough to measure. The axis is logarithmic, because the top and bottom of this population are about 21,725 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 percentile0.025%
50th percentile0.149%
75th percentile0.705%
90th percentile2.63%
99th percentile82.6%

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 01:00 UTC, and Wednesday 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: 01:00 UTC.
0003060912151821
Above the authors' own mediansBelowScale: plus or minus 111%Busiest hour: 01:00 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: Wednesday.
SunMonTueWedThuFriSat
Above the authors' own mediansBelowScale: plus or minus 111%Busiest day: Wednesday
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 video55% of posts+111%+108% to +115%34K
Outbound link64% of posts-41%-42% to -40%32K
Typical length-+15%+14% to +16%32K
  • 55% 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.
  • 64% 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 306 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

  • Jul 8, 2017784x their median

    "It’s not that I’m so smart, it’s just that I stay with problems longer." -Albert Einstein #grit #perseverance #hope #mindset #success #ceo https://t.co/dwMjQARUEF

    16K8.7K1.4K529View on X
  • Oct 24, 20265.1x their median

    Fruits and vegetables outperform medication for treating metabolic acidosis in chronic kidney disease https://t.co/9FVjBZcsT5 via @medical_xpress #health #lifestylemedicine #nutrition #kidneydisease

    15310821.3K viewsView on X
  • Sep 20, 20263.3x their median

    Dr. Bob Brooks is coming back to join us for the Harvard Medical School Lifestyle Medicine and Wellness Coaching Immersion Program! I am thrilled. What an honor and a delight to have Dr. Brooks join us AGAIN. He has been a friend, colleague, and mentor to me for 25 years! I can't wait for you to meet him in person on November 20. The immersion runs November 19-20, 2026. We will have a small group in a room at Harvard Medical School set up with round tables. We are capping attendance to make sure this can be a more intimate experience where you can ask questions and meet the speakers (Harvard Faculty members like Dr. Walter Willett and Dr. Charles Czeisler). We learned a lot from our first immersion program. We know you want time with the speakers. So, we are carving out time and space for you to take photos with the speakers and ask them questions, if you like. And there will be time for a walking tour of Harvard Medical School as well as Harvard College. The food will be nutritious and delicious. There will be networking by profession the first day so that physicians interested in lifestyle medicine can connect, business leaders can connect, health coaches can connect, and we can create community. At the end of the first day, there is a reception during which we can relax and chat together. I look forward to this immersion. It was one of the highlights of the academic year for me last year. Don't miss the group photo! It's a great way to remember all the fun. Here's the link to copy and paste into your browser. https://t.co/onDKuKVwiI Or just Google Harvard Medical School Lifestyle Medicine and Wellness Coaching Immersion. #lifestylemedicine #wellnesscoach #physician #doctors #healthcare #business #medicalschools #healthcoach #healthyliving #learning #health #mentalhealth

    958542.3K viewsView on X
  • Sep 15, 20263.1x their median

    Be curious and learn in a relaxed way to get the most out of life. Take your time to explore, push your boundaries and discover all you can! #lifelessons #learningislife #curiousminds #exploration #discovery https://t.co/yeKaMSOpZC

    7123842.1K viewsView on X
  • Oct 22, 20262.6x their median

    Fall in New England! Beautiful. Colorful. Crisp. Cool. Full of Joy! ❤️ #NewEngland #Boston #GermanShepherd #dogs #fall #autumn #wellbeing #WellnessJourney https://t.co/SP4oLGtjUg

    71883956 viewsView on X
  • Sep 20, 20262.6x their median

    Chronic stress may trigger hidden inflammation that damages the heart https://t.co/a3eJf2NeNn via @medical_xpress #stress #lifestylemedicine #health #hearthealth #cardiology #inflammation

    6418422.8K viewsView on X
  • Oct 19, 20262.4x their median

    "No man ever steps in the same river twice, for it's not the same river and he's not the same man." Heraclitus 🌊 #MondayMotivation #SuccessTRAIN #quote #mindbodysoul #WellnessJourney https://t.co/5OJKi3Mq0y

    671141789 viewsView on X
  • Sep 15, 20262.1x their median

    ❤️ Good to remember ❤️ #TuesdayThoughts #JoyTRAIN #happiness #healthcoach #pavingwellness #WellnessJourney https://t.co/5bEcROCK0W

    5117231.6K viewsView on X
  • Oct 21, 20261.8x their median

    New guidance urges doctors to prescribe exercise for heart health https://t.co/JBmjBouMRS via @mnt #lifestylemedicine #health #exercise #healthcare #doctors #physicians #medicaleducation

    478501.0K viewsView on X
  • Oct 21, 2026

    So honored and delighted to be interviewed by Jonathan Shaw at Harvard Magazine. To Promote Healthy Habits in Patients, Start With the Doctors | Harvard Magazine https://t.co/hZ1tDmblkU

    305411.1K 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

#lifestylemedicine#health#exercise#wellnessjourney#1of3

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 34 interactions against 153K followers, an engagement rate of 0.022%. Measured over 11 original posts, its engagement rate beats 29% of 21,624 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 864 times each, and 3.94% of those impressions turn into an interaction. That is about 0.565% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 1.3 post a day over the last 30 days, though only 23% of days saw any activity at all. Most posts go out around 01:00 UTC, and Wednesday is the busiest day of the week. Of the 11 posts sampled, 55% carry an image or video and 64% link out. The account's strongest tracked post pulled 27K interactions, about 784x its own typical post. Recurring topics include #lifestylemedicine, #health, #exercise.

What is Beth Frates MD's engagement rate on X?
Beth Frates MD (@BethFratesMD) has an engagement rate of 0.022%, based on the median interactions across 11 original posts from the last 30 days against 152,858 followers. Replies, reposts and quote-posts of other people are excluded from that sample.
Is that a good engagement rate?
At 0.022%, Beth Frates MD sits above the 10th percentile of the 218,065 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 @BethFratesMD have real engagement?
Its engagement rate beats 29% of the tracked X accounts closest to it in follower count (21,624 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 @BethFratesMD post?
Most posts go out around 01:00 UTC, and Wednesday is its busiest day, at roughly 1.33 posts per day across the measured window.

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