Audit: QRS - Folate for Health & Longevity

Audit conducted on 24/08/2026 02:00 using AI4L / Opus 5

Iterations

Summary

Items Count
Total 93
Passed 83
Failed 0
N/A 10
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. 🟢 All protocol values, time-to-effect windows, gate items, tier lists, biomarker targets, cadence, and qualitative markers trace to ER lines 331–361, 385–405, 438, 464–487, 511–517.
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. 🟢 ER “No established target exists; track the direction of change from the individual’s own baseline” is carried as “No established target; track change from own baseline” in marker_9_target.
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”). 🟢 Dose qualifiers (“1 mg or more”, “above 400 µg daily”) retained so neither the cancer signal nor the contraindication scope is widened or narrowed.
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. 🟢 stop_items derive only from the ER “Populations who should avoid Folate” list; caution_items only from the ER interaction bullets; no Benefit-/Risk-Modifying Factor content is surfaced as a gate.
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, NCT identifiers, author names, or brand names appear anywhere in the QRS.
1.6 The QRS does not introduce new attributions. 🟢 No attributions of any kind present.

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. 🟢 Wording mirrors the ER’s measured, status-dependent framing (“depends almost entirely on whether a person is already short of it”).
2.2 The tone of the QRS is simultaneously expert, accessible, objective, and data-driven, but also empowering and encouraging 🟢 Numeric targets and thresholds throughout, paired with plain-language framing in At-A-Glance.
2.3 The QRS reads as a trusted, knowledgeable guide rather than a prescriptive doctor 🟢 Content is declarative (“Public health bodies specify folic acid”), not instructional.
2.4 The QRS avoids language that implies medical or clinical advice 🟢 No imperatives; dose cells are labelled descriptively as maintenance/correction doses.
2.5 The QRS “presents information” instead of “providing guidance”, “recommending”, or “advising” 🟢 Monitoring cadence is stated as a schedule of intervals, not as an instruction.
2.6 The QRS never addresses “the reader” directly — it presents evidence, not guidance 🟢 No second-person pronouns anywhere in the file.
2.7 The QRS is written in plain language, avoiding unnecessary medical jargon 🟢 Technical terms retained are load-bearing (methylmalonic acid, dihydrofolate reductase inhibitors); no gratuitous jargon.
2.8 Information is presented in a concise and very compact manner 🟢 Tier lists are semicolon-joined heading fragments; gate items are single clauses.
2.9 It DOES NOT address the reader directly 🟢 Confirmed: no “you”/”your” tokens present.
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. 🟢 Nine-marker monitoring panel and unmetabolised folic acid exposure marker reflect a proactive, testing-oriented 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. 🟢 Fasting baseline panel, eight-week and six-month rechecks, and research-assay marker assume willingness to test.
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. 🟢 No simplified “just take a multivitamin” framing; the sheet assumes biomarker-guided dosing.
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. 🟢 At-A-Glance foregrounds the replete-person case (little further gain, harms at milligram doses), which is the audience-relevant signal.
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 string “anti-aging” does not occur; the title uses “Health & Longevity”.
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. 🟢 Clinical register used throughout (megaloblastic anaemia, hypersensitivity, endothelial function); the plainer At-A-Glance wording is the ER Conclusion’s own language and is required by 7.4.

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 strings present unmodified at lines 445, 491, 539, 567, 591, 623, 654, 658–660, 789 and the four tier labels in both tier lists.
3.2 All “…” from the [qrs_template] are present in the the QRS. 🟢 All 34 template variables present; marker_#* and qualitative_item# repeatable rows expanded to 9 and 6 instances respectively.
3.3 Spans that are not addressed in a checklist item are left unchanged 🟢 Structural diff against the template shows changes confined to variable content, repeated marker/qualitative rows, and the metadata block; CSS, layout, header spans, and footer are byte-identical.

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 source ER section mapped by the QRS is empty.
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. 🟢 action_1/2/3_label reproduce the ER bold labels “Standard maintenance dose”, “Deficiency correction dose”, “Conventional form approach” verbatim.
4.3 Labels are not paraphrased, abbreviated, or invented. 🟢 Time-to-effect and marker labels are the ER’s own biomarker names (“Homocysteine”, “Red blood cell folate”, “Serum folate”).
4.4 The QRS DOES NOT use emoji indicators (no 🟩, 🟥, 🟨, etc.). Color and emphasis are conveyed through CSS and bold labels. 🟢 No emoji code points in the file; the ER’s “⚠️ Conflicted” markers were correctly dropped.
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 compressed relative to the ER — tier lists reduced to heading fragments, gate items to single clauses, qualitative markers to short phrases; no second-page content or duplicated blocks.

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. 🟢 Comment opens at line 2 immediately after the doctype at line 1.
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, 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 metadata value is repeated in head or body.
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 requiring it.
5.5 The filename of the source ER is stated as “er_filename: [er_filename]” 🟢 Line 4: er_filename: folate_2026-0824-0001_Opus_ER.md.
5.6 Version of the QRS.md file used to create the document is stated as “qrs_prompt_version: [Version of QRS.md]” 🟢 Line 5: qrs_prompt_version: 26.7.02, matching 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) 🟢 Line 6: qrs_creation_date: 2026-0824-0146.
5.8 The nickname of the AI used to create the document is stated as “qrs_creator_ai_nickname: [qrs_creator_ai_nickname]” 🟢 Line 7: qrs_creator_ai_nickname: Opus.
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” — single word, no version.
5.10 The full name of the AI used to create the document is stated as “qrs_creator_ai_fullname: [qrs_creator_ai_fullname]” 🟢 Line 8: qrs_creator_ai_fullname: Opus 5.
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” — nickname plus version, no context-window or other qualifier.
5.12 The filename of the document is stated as “qrs_filename: [filename of this document]” 🟢 Line 9: qrs_filename: folate_2026-0824-0001_Opus_QRS.html, matching 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. 🟢 Re-verified across all nine keys; no stray whitespace or unnecessary quoting.

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., &amp; for &) 🟢 Line 22: “Folate for Health & Longevity - Quick Reference Sheet”.
6.2 [header_topic] is set to the [canonical_topic] of the ER frontmatter, with HTML entities encoded as needed (e.g., &amp; for &) 🟢 Line 417: “Folate for Health & Longevity”.
6.3 [header_subline_date] is set to [qrs_creation_date reformatted as MM/DD/YYYY] 🟢 Line 421: “08/24/2026”, matching qrs_creation_date 2026-0824-0146.
6.4 [header_subline_model] is set to [qrs_creator_ai_fullname] 🟢 Line 425: “Opus 5”.
6.5 No additional header content appears: no badge, version stamp, AKA / alternate names line, source-AI attribution, audit date, or QRS variant marker. 🟢 Header contains only the title and the template subline; the ER’s “Also known as” list is not carried over.

7. At-A-Glance Section

# Description Result Comments
7.1 [at_a_glance] is dense, execution-oriented summary of the ER Conclusion section 🟢 Compresses ER lines 511 and 515 into the status-dependency decision and the milligram-dose harm boundary.
7.2 [at_a_glance] is no longer than 60 words 🟢 58 words.
7.3 Every fact in [at_a_glance] is supported by a distinct passage in the ER. 🟢 Essential-vitamin/shortage framing from line 511; harms clustering, B12 masking, and the cancer signal from line 515.
7.4 It DOES NOT use acronyms or technical classifications that require specialist knowledge, uses plain-language terms instead 🟢 Uses “shortage”, “hiding”, “cancer diagnoses”; the only abbreviation is “vitamin B12”, which is in general use.
7.5 It DOES NOT cite specific trials (names, years, sample sizes, p-values) 🟢 No trial names, years, or sample sizes present.
7.6 It DOES NOT cite effect sizes, relative risks, or statistical results 🟢 No RR, HR, CI, or percentage figures.

8. Contraindications

# Description Result Comments
8.1 The section is derived from the ER Key Interactions & Contraindications section 🟢 All five items map to the “Populations who should avoid Folate” list at ER lines 357–361 within that section.
8.2 [stop_items] represent the Contraindications from the ER 🟢 All five ER avoid-list populations are represented, with the “People with/receiving” prefix stripped.
8.3 Individual [stop_items] are formatted as <li></li> 🟢 Five <li> elements at lines 570–586 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. 🟢 No dashes, rationale, or citations; each item is a single condition clause plus its scope qualifier.
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). 🟢 “(serum B12 below 148 pmol/L, or methylmalonic acid above 0.27 µmol/L)”, “(500 mg/m² or above)”, “until B12 is replaced”, and “above 400 µg daily” all preserved.
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 uses no ranking notation inside parentheses in its avoid list.
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 ER identifies five such populations and the section is correctly populated rather than empty.
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 section is not empty.

9. Key Interactions

# Description Result Comments
9.1 The section is derived from the ER Key Interactions & Contraindications section 🟢 All eleven items map to the ER bullets at lines 331–353.
9.2 [caution_items] represent the Key Interactions from the ER, excluding any that are already listed as Contraindications 🟢 Eleven of the ER’s twelve interaction bullets are carried; high-dose methotrexate is correctly omitted because it appears under Contraindications.
9.3 Individual [caution_items] are formatted as <li></li> 🟢 Eleven <li> elements at lines 594–613 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. 🟢 Each item is the drug/agent name only; the ER’s Monitor/Caution verdicts and mechanistic sentences are stripped.
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). 🟢 “(7.5–25 mg weekly)”, “(trimethoprim, pyrimethamine, sulfadoxine-pyrimethamine, proguanil)”, “(ibuprofen, naproxen)”, “(calcium carbonate, omeprazole, famotidine)”, “(trimethylglycine)”, and “at extract doses” all preserved.
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 uses no ranking notation inside parentheses in its interaction bullets.
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 ER identifies twelve interactions and the section is correctly populated rather than empty.
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 section is not empty.

10. Protocol

# Description Result Comments
10.1 The section is derived from the ER Protocol section 🟢 All three cells map to ER Therapeutic Protocol bullets at lines 385, 387, 389/391.
10.2 The three sets of [action] items cover the three most important actionable implementation aspects from the ER Protocol section 🟢 Maintenance dose, deficiency correction dose, and form selection are the three decision-bearing 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 contains twelve bullets, so all three sets are used.
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 variables carry ER-derived content; no placeholders remain.

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 🟢 Homocysteine (4–8 weeks), red blood cell folate (8–12 weeks), and serum folate (within days) are the three windows given at ER line 438.
11.2 The sets are picked and ordered by the magnitude of the related benefit 🟢 Homocysteine leads as the functional readout tied to the stroke benefit most relevant to the target audience, red blood cell folate follows as the status measure, and serum folate — tied to no benefit — is last.
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, so all three sets are used.
11.4 All used [time_#label], [time#value], [time#_sub] items are filled with meaningful content derived from the ER. 🟢 All nine time variables carry ER-derived content; subs draw on ER lines 438, 161, 471, and 470.
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 at line 438.

12. Benefits

# Description Result Comments
12.1 The section is derived from the ER Expected Benefits section 🟢 All ten entries correspond to the ER’s ten Expected Benefits sub-headings.
12.2 Key variables are [benefits_high], [benefits_medium], [benefits_low], [benefits_speculative] 🟢 All four spans present and populated at lines 541–560.
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. 🟢 Each entry is the ER sub-heading reduced to a noun phrase; no magnitudes, trials, or mechanisms carried over.
12.4 Parenthetical content — including effect sizes, sample notes, mechanistic hints, and example studies — is stripped, NOT preserved. 🟢 No parentheses appear in any benefits span.
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. N/A All four benefit tiers contain items in the ER.

13. Risks

# Description Result Comments
13.1 The section is derived from the ER Potential Risks & Side Effects section 🟢 All eleven entries correspond to the ER’s eleven Potential Risks & Side Effects sub-headings.
13.2 Key variables are [risks_high], [risks_medium], [risks_low], [risks_speculative] 🟢 All four spans present and populated at lines 625–648.
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. 🟢 Each entry is the ER sub-heading reduced to a noun phrase; the “⚠️ Conflicted” markers and all magnitudes are stripped.
13.4 Parenthetical content — including frequencies, severity grades, sample notes, mechanistic hints, and example studies — is stripped, NOT preserved. 🟢 No parentheses appear in any risks span.
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 tiers contain items in the ER.

14. Monitoring

# Description Result Comments
14.1 The section is derived from the ER Monitoring section 🟢 The table reproduces the ER biomarker table at lines 468–478.
14.2 All measurable/quantifiable biomarkers from the Monitoring section are listed 🟢 All nine ER biomarkers present with their target ranges and rationales carried verbatim or minimally condensed.
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. 🟢 Lines 779–783 condense the ER cadence paragraph at line 466, including the six-monthly triggers (above 800 µg daily, over 65, interacting medication).

15. Qualitative Assessment

# Description Result Comments
15.1 The section is derived from the ER Monitoring section 🟢 All six entries map to the ER subjective-marker bullets at lines 482–487.
15.2 All subjective/qualitative biomarkers from the Monitoring section are listed 🟢 Six of six ER subjective markers present, each condensed to its key phrase.

Issues 24/08/2026 02:00

Pass rate 100.00%. No issues found.

Issues 24/08/2026 01:54

  1. 1.2 / 1.3 — Cancer hedge dropped in At-A-Glance: The At-A-Glance (line 437) states “a small rise in cancer diagnoses” where the ER Conclusion (ER line 515) reads “a small, inconsistent rise in cancer diagnoses”; dropping “inconsistent” strengthens the claim.
  2. 1.3 — Homocysteine mechanism asserted, not presumed: [time_1_sub] (lines 503-506) calls homocysteine “the route behind the stroke and cognition findings”, while the ER states only that the stroke mechanism “is presumed to run through homocysteine and the vessel lining” (ER line 161).
  3. 4.5 — Sheet overruns one A4 page: The populated content runs to roughly twice the ~1030 px of printable A4 height — 11 Key Interactions items (lines 596-615), a 9-row monitoring table (lines 666-777), 6 Qualitative Assessment items each carrying a trailing explanatory clause (lines 795-830), and protocol/time sub-lines of 3-5 wrapped lines each (e.g. lines 483-486, 503-506) — with no section condensed to a per-section budget.

Fixes 24/08/2026 01:54

  1. 1.2 / 1.3 — Cancer hedge restored: At-A-Glance now reads “a small, inconsistent rise in cancer diagnoses”, matching the ER Conclusion’s cautious phrasing; the span remains within the 60-word ceiling at 58 words.
  2. 1.3 — Homocysteine framed as presumed route: [time_1_sub] changed from “the route behind the stroke and cognition findings” to “Functional readout of the methylation branch; the presumed stroke route”, matching the ER’s “presumed to run through homocysteine”.
  3. 4.5 — Qualitative Assessment condensed: All six subjective markers retained but stripped of their trailing explanatory clauses (e.g. “Energy through the afternoon, which often improves when a genuine deficiency is corrected” became “Energy through the afternoon”).
  4. 4.5 — Protocol and time sub-lines condensed: The three action sub-lines and the three time-to-effect sub-lines were shortened to one to two wrapped lines each, cutting roughly a third of the protocol panel’s height without dropping any ER-supported fact.
  5. 4.5 — Monitoring row and cadence condensed: [marker_9_target] shortened to “No established target; track change from own baseline” and [monitoring_cadence] tightened while keeping every interval and escalation trigger.

Not changed: the Contraindications and Key Interactions gate lists were left intact, since items 4.2, 8.5 and 9.5 require their ER bold labels and parenthetical qualifiers verbatim. They remain the tallest blocks on the sheet.