I'm curious what cesspool you mean, because i can see cutting edge true hardcore science publication announcements on X better than elsewhere.
i ask because i evidently have tuned my account parameters somehow way the heck better than you experience.
I _do_ still see what look like rage-bait nonsense that people post for clicks, totally unrelated to medicine or biology, so i block or mute that nonsense. I'm guessing that's part of the cesspool but you may see different stuff.