Audit: QRS - Eleutherosides for Health & Longevity
Audit conducted on 16/08/2026 03:09 using AI4L / Opus 5
Summary
| Items | Count |
|---|---|
| Total | 93 |
| Passed | 84 |
| Failed | 0 |
| N/A | 9 |
| Pass Rate | 100.00% |
- Total = Passed + Failed + N/A
- Pass Rate = Passed / (Passed + Failed) × 100
- N/A items are excluded from the pass rate calculation
1. General Rules
| # | Description | Result | Comments |
|---|---|---|---|
| 1.1 | Every claim, magnitude, label, recommendation, and statement in the QRS is literally supported by content in the source ER. | 🟢 | Verified item by item against the ER: protocol values (lines 379-393), time-to-effect (line 440), benefit and risk tiers (lines 145-301), gates (lines 323-353), biomarker rows (lines 474-482), cadence (line 470). |
| 1.2 | Where the ER uses cautious phrasing (“not formally studied”, “None documented in human trials to date”, “theoretical concern”, “data are limited”), the QRS uses the same phrasing. | 🟢 | Tier wording, “Conflicted” items and speculative framing are carried at the ER’s own strength. |
| 1.3 | The QRS never strengthens an ER claim (e.g., “not formally studied” → “not required”) or softens one (e.g., “do not use during pregnancy” → “use with caution during pregnancy”). | 🟢 | Contraindications retain absolute framing (e.g. “Uncontrolled hypertension (above 160/100 mmHg)”); no gate is softened to a caution and no speculative item is promoted. |
| 1.4 | The QRS does not relabel an ER fact under a different decision category. A “Benefit-Modifying Factor” from ER section is not surfaced as a “Caution”; a “Risk-Modifying Factor” is not surfaced as a “Side Effect”; etc. | 🟢 | Contraindications come from the ER’s “Populations who should avoid” list, interactions from the ER interaction bullets, risks from Potential Risks & Side Effects; no cross-category relabelling. |
| 1.5 | PubMed IDs, study citations, expert names, clinical trial identifiers (NCT*), and brand names appear in the QRS only if they appear in the source ER for the same fact. | 🟢 | No PMIDs, citations, author names, NCT identifiers or brand names appear anywhere in the QRS. |
| 1.6 | The QRS does not introduce new attributions. | 🟢 | No attribution is present that the ER does not carry. |
2. Focus, Tone & Audience
| # | Description | Result | Comments |
|---|---|---|---|
| 2.1 | The QRS follows the tone of the ER, which is determined by the ER’s own language, phrasing, and framing. | 🟢 | Sober, evidence-weighted register matching the ER. |
| 2.2 | The tone of the QRS is simultaneously expert, accessible, objective, and data-driven, but also empowering and encouraging | 🟢 | Expert and data-driven while remaining accessible and actionable. |
| 2.3 | The QRS reads as a trusted, knowledgeable guide rather than a prescriptive doctor | 🟢 | Presents findings and ranges rather than instructions. |
| 2.4 | The QRS avoids language that implies medical or clinical advice | 🟢 | No prescriptive clinical directives in the variable content. |
| 2.5 | The QRS “presents information” instead of “providing guidance”, “recommending”, or “advising” | 🟢 | Values and cadences are stated, not recommended. |
| 2.6 | The QRS never addresses “the reader” directly — it presents evidence, not guidance | 🟢 | No second-person address in any variable region. |
| 2.7 | The QRS is written in plain language, avoiding unnecessary medical jargon | 🟢 | Terminology is no more technical than the ER’s, and the At-A-Glance uses plain equivalents (“leg swelling”, “disturbed sleep”). |
| 2.8 | Information is presented in a concise and very compact manner | 🟢 | All items are bare noun phrases; no elaboration carried over. |
| 2.9 | It DOES NOT address the reader directly | 🟢 | No second-person address in any variable region. |
| 2.10 | The target audience is health- and longevity-oriented adults who are risk-aware, proactive, and actively seeking to optimize health or apply the intervention under review. | 🟢 | Monitoring panel, standardization target and cycling-relevant timing address a proactive, risk-aware audience. |
| 2.11 | The target audience is willing to employ lifestyle and behavioral changes as well as follow protocols that may be inconvenient, costly, or require effort. | 🟢 | Presents a 9-marker panel, timed dosing and identity verification without hedging on effort. |
| 2.12 | The document is NOT written for the general population, who are unwilling to employ lifestyle and behavioral changes or follow protocols that may be inconvenient, costly, or require effort. | 🟢 | Content depth exceeds general-population framing. |
| 2.13 | Framing, takeaways, and risk/benefit weighting throughout the document reflect this audience, including where an intervention’s signal for the average person differs from its signal for this audience. | 🟢 | Product-identity hazard and stress-axis caveat are foregrounded, matching the ER’s weighting for this audience. |
| 2.14 | The document’s own voice frames usage in longevity terms, not “anti-aging” (e.g., “anti-aging clinics”, “anti-aging community”, “anti-aging medicine”). Proper names that contain “anti-aging” (e.g., “American Academy of Anti-Aging Medicine”) are quoted verbatim. | 🟢 | The term “anti-aging” does not appear. |
| 2.15 | The document’s own voice uses formal clinical and scientific terminology, not colloquial or consumer-grade language (e.g., “oral medication” not “pill(s)”; “injection” not “shot”; “adverse event” not “bad reaction”). Direct quotes from sources are exempt. | 🟢 | Formal terminology throughout (“adverse events”, “neurological deficit”, “lower-limb swelling”). |
3. Template Integrity
| # | Description | Result | Comments |
|---|---|---|---|
| 3.1 | The following labels and headings on the QRS are fixed and not modified: Card and section headings: “Protocol”, “Time to effect”, “Benefits”, “Risk & Side Effects”, “Monitoring”, “Qualitative Assessment”; Gate headings: “Contraindications”, “Key Interactions”; Tier labels: “High”, “Medium”, “Low”, “Speculative”; Table column headers in Monitoring: “Marker”, “Target”, “Why” | 🟢 | All fixed headings, gate headings, tier labels and table column headers are present verbatim (lines 446, 490, 538, 567, 581, 604, 634, 638-640, 768). |
| 3.2 | All “…” from the [qrs_template] are present in the the QRS. | 🟢 | All template variable spans are present: page_title, header_, at_a_glance, action_1-3_, time_1-3*, benefits, stop_items, caution_items, risks_, marker_1-9_*, monitoring_cadence, qualitative_item_1-7. |
| 3.3 | Spans that are not addressed in a checklist item are left unchanged | 🟢 | The non-audited spans (website=”evidence_review”, website=”audit”, website=”full_review”) and all CSS/structure are untouched. |
4. Formatting
| # | Description | Result | Comments |
|---|---|---|---|
| 4.1 | When the source ER section is empty, the QRS uses the ER’s own empty-state phrasing verbatim. Typical phrasings are “None documented in human trials to date” and “Not formally studied” | N/A | No section of the source ER is empty, so no empty-state phrasing applies. |
| 4.2 | Where the ER presents a bulleted item as “Label: content”, the QRS uses the ER’s bold label verbatim as the cell or row label. | 🟢 | Protocol labels reuse the ER’s bold labels verbatim: “Standard dose range”, “Standardization target”, “Best time of day” (ER lines 379, 381, 389). |
| 4.3 | Labels are not paraphrased, abbreviated, or invented. | 🟢 | Biomarker names and qualitative items are carried verbatim from the ER tables and list. |
| 4.4 | The QRS DOES NOT use emoji indicators (no 🟩, 🟥, 🟨, etc.). Color and emphasis are conveyed through CSS and bold labels. | 🟢 | No 🟩/🟥/🟨 or any other emoji indicator appears in the file. |
| 4.5 | The QRS is designed to render on one A4 page. Any section that has more content in the ER than fits the per-section budget is condensed by the LLM, not extended onto a second page. | 🟢 | Every section is condensed to bare items with explanations, magnitudes and citations stripped; no content is spilled into an added page or block. |
5. Metadata
| # | Description | Result | Comments |
|---|---|---|---|
| 5.1 | The metadata is placed inside a single HTML comment that is the first element after “<!doctype html>” and before any other comment, head, or body content. | 🟢 | The metadata comment opens at line 2, immediately after <!doctype html>, before any other content. |
| 5.2 | Inside that HTML comment the YAML block is delimited by a line “—” opening and a line “—” closing. Text before the opening “—” is permitted but is not parsed as YAML. | 🟢 | Opening --- at line 3 and closing --- at line 13. |
| 5.3 | The metadata is not visible in any rendered view of the QRS and is not surfaced by any other element on the sheet. | 🟢 | Enclosed in an HTML comment; no element on the sheet surfaces it. |
| 5.4 | All frontmatter values are trimmed: no leading or trailing whitespace, no surrounding quotes unless the value contains a colon, bracket, or leading special character that requires YAML quoting. | 🟢 | Only duration: "00:03" is quoted, and it contains a colon, which requires YAML quoting. |
| 5.5 | The filename of the source ER is stated as “er_filename: [er_filename]” | 🟢 | er_filename: eleutherosides_2026-0825-0026_Opus_ER.md (line 4) matches the source ER. |
| 5.6 | Version of the QRS.md file used to create the document is stated as “qrs_prompt_version: [Version of QRS.md]” | 🟢 | qrs_prompt_version: 26.7.02 (line 5) matches the QRS.md version badge. |
| 5.7 | Creation date and time of the document is stated as “qrs_creation_date: [YYYY-MMDD-HHMM]” (e.g., 2026-0501-1430) | 🟢 | qrs_creation_date: 2026-0816-0247 (line 6) is in YYYY-MMDD-HHMM form. |
| 5.8 | The nickname of the AI used to create the document is stated as “qrs_creator_ai_nickname: [qrs_creator_ai_nickname]” | 🟢 | qrs_creator_ai_nickname: Opus (line 7). |
| 5.9 | The nickname of the AI is just a single word model name without version, etc. (e.g., Opus, Sonnet, Grok, Gemini, ChatGPT) | 🟢 | “Opus” is a single word with no version or qualifier. |
| 5.10 | The full name of the AI used to create the document is stated as “qrs_creator_ai_fullname: [qrs_creator_ai_fullname]” | 🟢 | qrs_creator_ai_fullname: Opus 5 (line 8). |
| 5.11 | The full name of the AI consists of the [qrs_creator_ai_nickname] and the model version number and no additional qualifier (e.g., Opus 4.6, Sonnet 3.2, Grok 4.5, Gemini 3.1, ChatGPT 5.4) | 🟢 | “Opus 5” is nickname plus version number with no additional qualifier. |
| 5.12 | The filename of the document is stated as “qrs_filename: [filename of this document]” | 🟢 | qrs_filename: eleutherosides_2026-0825-0026_Opus_QRS.html (line 9) matches the file on disk. |
| 5.13 | All frontmatter values are trimmed: no leading or trailing whitespace, no surrounding quotes unless the value contains a colon, bracket, or leading special character that requires YAML quoting. | 🟢 | No stray whitespace or unnecessary quoting in any value. |
6. Page Title & Header
| # | Description | Result | Comments |
|---|---|---|---|
| 6.1 | [page_title] is set to the [canonical_topic] of the ER frontmatter followed by “ - Quick Reference Sheet” (e.g., “Intervention - Quick Reference Sheet”). The [canonical_topic] is HTML-entity-encoded as needed (e.g., & for &) |
🟢 | <title>Eleutherosides for Health & Longevity - Quick Reference Sheet</title> (line 22), with the ampersand entity-encoded. |
| 6.2 | [header_topic] is set to the [canonical_topic] of the ER frontmatter, with HTML entities encoded as needed (e.g., & for &) |
🟢 | [header_topic] is “Eleutherosides for Health & Longevity” (line 417), matching canonical_topic. |
| 6.3 | [header_subline_date] is set to [qrs_creation_date reformatted as MM/DD/YYYY] | 🟢 | “08/16/2026” (line 421) is 2026-0816-0247 in MM/DD/YYYY form. |
| 6.4 | [header_subline_model] is set to [qrs_creator_ai_fullname] | 🟢 | “Opus 5” (line 425) matches qrs_creator_ai_fullname. |
| 6.5 | No additional header content appears: no badge, version stamp, AKA / alternate names line, source-AI attribution, audit date, or QRS variant marker. | 🟢 | The subline carries only the template’s fixed date/model/AI4L elements; no badge, AKA line, version stamp or audit date. |
7. At-A-Glance Section
| # | Description | Result | Comments |
|---|---|---|---|
| 7.1 | [at_a_glance] is dense, execution-oriented summary of the ER Conclusion section |
🟢 | Condenses the ER Conclusion (lines 517-523): marker-compound identity, mixed modern results, modest harms, product-identity hazard. |
| 7.2 | [at_a_glance] is no longer than 60 words | 🟢 | 59 words, under the 60-word limit. |
| 7.3 | Every fact in [at_a_glance] is supported by a distinct passage in the ER. | 🟢 | Each clause maps to a distinct Conclusion passage (ER lines 517, 519, 521). |
| 7.4 | It DOES NOT use acronyms or technical classifications that require specialist knowledge, uses plain-language terms instead | 🟢 | No acronyms; plain-language terms used throughout (“leg swelling”, “disturbed sleep”, “product identity”). |
| 7.5 | It DOES NOT cite specific trials (names, years, sample sizes, p-values) | 🟢 | No trial names, sample sizes or p-values; the single date refers to when the Soviet archive became readable in English, matching ER line 517. |
| 7.6 | It DOES NOT cite effect sizes, relative risks, or statistical results | 🟢 | No effect sizes, risk ratios or statistical results. |
8. Contraindications
| # | Description | Result | Comments |
|---|---|---|---|
| 8.1 | The section is derived from the ER Key Interactions & Contraindications section |
🟢 | Derived from the ER “Populations who should avoid Eleutherosides” list (ER lines 345-353). |
| 8.2 | [stop_items] represent the Contraindications from the ER | 🟢 | All seven ER populations are represented as [stop_items] (lines 570-576). |
| 8.3 | Individual [stop_items] are formatted as <li></li> | 🟢 | Each item is a discrete <li> inside the [stop_items] span. |
| 8.4 | Items are as concise as possible. No trailing explanations, no elaborations, no mechanistic rationale, no attributions, no citations, no study details. No content after an em-dash, en-dash, or hyphen-dash (e.g., “— dose reduction required”, “— reduced efficacy”) — these trailing clauses are stripped. Just the key fact. | 🟢 | Every ER trailing em-dash rationale is stripped (e.g. “— no controlled safety data…” removed from Pregnancy and breastfeeding). |
| 8.5 | Parenthetical qualifiers from the ER bullet — time windows, severity classes, threshold values, clinical staging — ARE preserved as part of the item, kept as concise as possible (shortened or trimmed where needed to fit the one-page budget, but never dropped entirely). | 🟢 | Threshold and time-window parentheticals retained: “(above 160/100 mmHg)” and “(<90 days)”. |
| 8.6 | When the ER uses ranking notation inside parens (e.g., “>” for severity ordering) that depends on an explanatory phrase to interpret, normalize the items to a plain comma-separated list rather than carrying through the bare symbol. | N/A | The ER’s Key Interactions & Contraindications section uses no ranking notation inside parentheses. |
| 8.7 | The section is left empty ONLY IF the ER’s Key Interactions & Contraindications section identifies no population, condition, or scenario for which the intervention should be avoided, deferred, or used only under specialist supervision. |
🟢 | The section is populated, matching the ER’s seven avoid-populations. |
| 8.8 | If the section is left empty, an HTML comment inside the [stop_items] span records the ER basis for the absence, naming or quoting the ER text relied on. E.g. | N/A | The Contraindications section is not left empty (7 items derived from the ER). |
9. Key Interactions
| # | Description | Result | Comments |
|---|---|---|---|
| 9.1 | The section is derived from the ER Key Interactions & Contraindications section |
🟢 | Derived from the ER interaction bullets (ER lines 323-343). |
| 9.2 | [caution_items] represent the Key Interactions from the ER, excluding any that are already listed as Contraindications | 🟢 | All eleven ER interaction bullets appear (lines 584-594); none duplicates a Contraindication. |
| 9.3 | Individual [caution_items] are formatted as <li></li> | 🟢 | Each item is a discrete <li> inside the [caution_items] span. |
| 9.4 | Items are as concise as possible. No trailing explanations, no elaborations, no mechanistic rationale, no attributions, no citations, no study details. No content after an em-dash, en-dash, or hyphen-dash (e.g., “— dose reduction required”, “— reduced efficacy”) — these trailing clauses are stripped. Just the key fact. | 🟢 | Caution/Monitor verdicts, consequences and mitigation clauses are all stripped; only the agent or class remains. |
| 9.5 | Parenthetical qualifiers from the ER bullet — example drug lists, time windows, severity classes, threshold values, clinical staging — ARE preserved as part of the item, kept as concise as possible (shortened or trimmed where needed to fit the one-page budget, but never dropped entirely). | 🟢 | Example drug lists are preserved and trimmed to fit, e.g. “(sertraline, paroxetine, duloxetine)”, “(metformin, sulfonylureas, insulin)”, “(zolpidem, benzodiazepines)”. |
| 9.6 | When the ER uses ranking notation inside parens (e.g., “>” for severity ordering) that depends on an explanatory phrase to interpret, normalize the items to a plain comma-separated list rather than carrying through the bare symbol. | N/A | The ER’s Key Interactions & Contraindications section uses no ranking notation inside parentheses. |
| 9.7 | The section is left empty ONLY IF the ER’s Key Interactions & Contraindications section identifies no interaction, additive effect, or exposure that changes how the intervention is used. |
🟢 | The section is populated with all eleven ER interactions. |
| 9.8 | If the section is left empty, an HTML comment inside the [caution_items] span records the ER basis for the absence, naming or quoting the ER text relied on. E.g. | N/A | The Key Interactions section is not left empty (11 items derived from the ER). |
10. Protocol
| # | Description | Result | Comments |
|---|---|---|---|
| 10.1 | The section is derived from the ER Protocol section |
🟢 | Derived from the ER Therapeutic Protocol section (ER lines 379-403). |
| 10.2 | The three sets of [action] items cover the three most important actionable implementation aspects from the ER Protocol section |
🟢 | Dose range, standardization target and dosing time are the three load-bearing implementation aspects of the ER protocol. |
| 10.3 | If less that three distinct actionable implementation aspects are mentioned in the ER the unused sets are left empty and made invisible, not filled with placeholder text or empty-state phrasing. | N/A | The ER Therapeutic Protocol section supplies three distinct actionable aspects; no unused sets. |
| 10.4 | All used [action_#label], [action#value], [action#_sub] items are filled with meaningful content derived from the ER Protocol section. |
🟢 | All nine action fields carry ER-derived content (lines 450-486). |
11. Time to Effect
| # | Description | Result | Comments |
|---|---|---|---|
| 11.1 | The three sets of [time] items cover the three most important time-to-effect aspects from the ER | 🟢 | Lower-limb swelling, endurance, and fatigue/immune measures are the three time-to-effect aspects the ER names (ER line 440). |
| 11.2 | The sets are picked and ordered by the magnitude of the related benefit | 🟢 | Ordered swelling (Medium-tier benefit) → endurance → fatigue/immune (both Low-tier). |
| 11.3 | If less that three distinct time-to-effect aspects are mentioned in the ER the unused sets are left empty and made invisible, not filled with placeholder text or empty-state phrasing. | N/A | The ER supplies three distinct time-to-effect aspects; no unused sets. |
| 11.4 | All used [time_#label], [time#value], [time#_sub] items are filled with meaningful content derived from the ER. | 🟢 | All nine time fields carry ER-derived content (lines 496-530). |
| 11.5 | If the ER does not provide any information on time to effect, the section is removed completely from the Protocol Panel |
N/A | The ER provides time-to-effect information (Practical Considerations, line 440), so the section is retained. |
12. Benefits
| # | Description | Result | Comments |
|---|---|---|---|
| 12.1 | The section is derived from the ER Expected Benefits section |
🟢 | Derived from the ER Expected Benefits section (ER lines 141-227). |
| 12.2 | Key variables are [benefits_high], [benefits_medium], [benefits_low], [benefits_speculative] | 🟢 | All four tier spans are present (lines 540, 541, 547, 556). |
| 12.3 | Items are as concise as possible. No explanations, no elaborations, no effect sizes, no qualifiers, no attributions, no citations, no study details, no mechanistic explanations, etc. Just the key fact. | 🟢 | Items are bare noun phrases; magnitudes, mechanisms and “⚠️ Conflicted” markers are dropped. |
| 12.4 | Parenthetical content — including effect sizes, sample notes, mechanistic hints, and example studies — is stripped, NOT preserved. | 🟢 | No parenthetical content survives in any benefit item. |
| 12.5 | If no items of a specific sub-section (high, medium, low, speculative) are present the respective is set to “display=none”, not filled with “None documented in human trials to date” or similar empty-state phrasing. | 🟢 | [benefits_high] carries style="display: none" and no empty-state text, matching the ER’s empty High tier (ER line 147). |
13. Risks
| # | Description | Result | Comments |
|---|---|---|---|
| 13.1 | The section is derived from the ER Potential Risks & Side Effects section |
🟢 | Derived from the ER Potential Risks & Side Effects section (ER lines 247-301). |
| 13.2 | Key variables are [risks_high], [risks_medium], [risks_low], [risks_speculative] | 🟢 | All four tier spans are present (lines 606, 611, 617, 623). |
| 13.3 | Items are as concise as possible. No explanations, no elaborations, no effect sizes, no qualifiers, no attributions, no citations, no study details, no mechanistic explanations, etc. Just the key fact. | 🟢 | Items are bare noun phrases; magnitudes, case counts and mechanisms are dropped. |
| 13.4 | Parenthetical content — including frequencies, severity grades, sample notes, mechanistic hints, and example studies — is stripped, NOT preserved. | 🟢 | No parenthetical content survives in any risk item. |
| 13.5 | If no items of a specific sub-section (high, medium, low, speculative) are present the respective is set to “display=none”, not filled with “None documented in human trials to date” or similar empty-state phrasing. | N/A | All four risk sub-sections (high, medium, low, speculative) carry items in the ER, so no span needs hiding. |
14. Monitoring
| # | Description | Result | Comments |
|---|---|---|---|
| 14.1 | The section is derived from the ER Monitoring section |
🟢 | Derived from the ER Monitoring Protocol & Defining Success table (ER lines 472-483). |
| 14.2 | All measurable/quantifiable biomarkers from the Monitoring section are listed |
🟢 | All nine quantifiable biomarkers with functional ranges are listed with matching targets; the tenth ER row, “Subjective sleep latency”, has no established target and is carried in Qualitative Assessment. |
| 14.3 | [monitoring_cadence] is populated with the monitoring cadence/frequency derived from the ER Monitoring section. It is not left with placeholder text or empty. |
🟢 | Populated with the ER’s cadence, including the tighter medicated-user schedule (ER line 470). |
15. Qualitative Assessment
| # | Description | Result | Comments |
|---|---|---|---|
| 15.1 | The section is derived from the ER Monitoring section |
🟢 | Derived from the ER’s qualitative marker list (ER lines 487-493). |
| 15.2 | All subjective/qualitative biomarkers from the Monitoring section are listed |
🟢 | All seven ER qualitative markers are listed as [qualitative_item_1] through [qualitative_item_7]. |
Issues 16/08/2026 03:09
Pass rate 100.00%. No issues found.
Issues 16/08/2026 03:02
- 1.1 — Qualitative marker broadened: Qualitative Assessment item 6 (line 795) reads “Frequency and duration of respiratory infections over a season”, dropping “upper” from the ER’s “upper respiratory infections” (ER line 492), which broadens the marker beyond the ER’s statement.
Fixes 16/08/2026 03:02
- 1.1 — Qualitative marker broadened: Restored “upper” in Qualitative Assessment item 6, changing “Frequency and duration of respiratory infections over a season” to “Frequency and duration of upper respiratory infections over a season” to match the ER wording.
Issues 16/08/2026 02:51
- 4.5 — Content exceeds one A4 page: The combined header, At-A-Glance, protocol panel, benefits card and decision gates already fill the print budget, leaving the risks card, the nine-row monitoring table and the seven-item qualitative card to overflow onto a second page.
- 7.2 — At-A-Glance over word limit: The [at_a_glance] text at lines 434-438 runs to 61 words against the 60-word maximum.
Fixes 16/08/2026 02:51
- 7.2 — At-A-Glance word count: Tightened the [at_a_glance] text (“carrying a reputation” → “with a reputation”, “fatigue relief shows up only in milder cases” → “fatigue relief only in milder cases”), bringing it from 61 to 59 words.
- 4.5 — Protocol and time-to-effect sub-lines condensed: Shortened all six sub-lines, e.g. action_1_sub dropped “the range used across the modern controlled trials” and time_3_sub dropped “a four-week minimum trial is reasonable”.
- 4.5 — Benefits and risks items tightened: Rewrote the medium and low benefit runs and the medium and low risk runs in shorter form (e.g. “Reduction of lower-limb swelling” → “Reduced lower-limb swelling”, “adverse events in combination with antidepressant medication” → “adverse events with antidepressants”).
- 4.5 — Decision-gate items trimmed: Shortened contraindication and interaction wording and pruned redundant example drugs while keeping every qualifier (e.g. “Uncontrolled hypertension (resting blood pressure above 160/100 mmHg)” → “(above 160/100 mmHg)”; anticoagulant list reduced to warfarin, apixaban, aspirin).
- 4.5 — Monitoring “Why” cells and cadence shortened: Trimmed four “Why” cells and rewrote the cadence text (“Baseline before starting, drawn fasting between 07:00 and 09:00” → “Baseline fasting 07:00–09:00”), removing roughly a line from the table and the cadence paragraph.
- 4.5 — Qualitative items shortened: Condensed two items (“Irritability and restlessness, particularly in the first two weeks” → “Irritability and restlessness in the first two weeks”; “upper respiratory infections” → “respiratory infections”).