They are in competition with Mastodon, and have a marketing budget.
Five years from now, those platforms will become enshittified as their budgets dry up. They will need to milk the users for revenue. Well see another surge in a few years, until they learn that Mastodon is actually better.
The "false" rating is just if the photograph means he is abusing stimulants.
The photograph doesn't indicate or counterindicate that he's a hopped-up maniac who would be doing all-caps screeds on social media at 3am.
Edit to add: The photograph is real, though. Is it weird to have a chock-full Sudafed drawer?