I will reiterate how I have made Twitter work for me:
1) After a lot of hard work and time blocking hundreds of users, my feed has been whittled down generally to the things I care about.
2) I almost never read the comments by others (similar to how I read newspaper articles), just the main post written by authors whose content I know and trust.
3) I almost never post (nor do I argue, with the lone exception of making fun of the very occasional Utd fan). I might comment twice a year and haven't written an actual tweet in maybe two years.
4) There are still a lot of ads, most of them totally irrelevant, so once I see one more than 3 times or so I block the entity sending it. I assume this narrows down my dislikes for the algorithm so that eventually the ads will be more targeted to me, but given the poor financial performance of the platform, my guess is that advertisers tend to be lousy companies or very, very broad platform users (like McDonalds, e.g.)
As such Twitter is still a useable and useful platform for me, though I dislike knowing my eyeballs help Musk (who, by the way, I have blocked).