Author contributions

FAN: Conceptualization, Investigation, Writing—original draft, Writing—review & editing, Supervision. MMAR: Writing—original draft. AGA: Formal analysis. AA: Writing—review & editing. ARK: Writing—review & editing. NEB: Writing—review & editing. OL: Writing—review & editing. All authors read and approved the submitted version.

Conflicts of interest

Atanas G. Atanasov, who is the Editor-in-Chief of Exploration of Digital Health Technologies, had no involvement in the decision-making or the review process of this manuscript. The other authors declare no conflicts of interest.

Ethical approval

We extracted de-identified data from the public domain on X; hence, there was no indication of the need to obtain ethical approval and informed consent for the study. We have not identified or revealed any specific stakeholder or public figure name or the contents of the X post, and the study was conducted in strict compliance with General Data Protection Regulation (GDPR) requirements.

Additionally, we confirm that the study protocol was reviewed in accordance with our institutional policies, and it was determined that formal IRB approval was not required, as the study utilized only publicly available, de-identified data. Nevertheless, we adhered to all relevant ethical guidelines for internet research and complied with international data protection standards. In particular, our procedures conformed to the GDPR and the platform’s terms of service to ensure privacy and legal compliance across jurisdictions.

Consent to participate

Not applicable.

Consent to publication

Not applicable.

Availability of data and materials

The raw data supporting the conclusions of this manuscript will be made available by the authors, without undue reservation, to any qualified researcher.

Funding

Not applicable.

Copyright

© The Author(s) 2026.