Twitter learned that they really had to take harm reduction more seriously if they didn't want to be known for things like that. I believe that their improvements there were part of what set them on the path to their later profits: https://www.netcials.com/financial-net-profit-year-quarter-u...
And as far as losing money goes, their "lean and mean" approach isn't doing so well. Ad revenues are reportedly down ~40% as the same time Musk is going to have to come up with billion-dollar interest payments.
As an impartial non-Twitter user, I think it's safe to say that neither version of Twitter was healthy for it's platform or users.
I think your claim on profitability is flat out wrong. If you think that's the case, what are the exact numbers you are imagining that would make Twitter profitable?