I have a few dozen followers, all of them are very real people, many with very differing interests.

Spend some time each month pruning follower bots and unfollow the accounts that were once interesting but monetise themselves.

It's a bit of effort but for niche science/engineering/software stuff it's actually quite useful to see. Especially science/astronomy.

I look at it as a ”legal” drug. Take too much and you are fucked. In moderation and taken with care it's actually quite cathartic.