Audit: QRS - Hydroxocobalamin for Health & Longevity

Audit conducted on 11/09/2026 02:14 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. 🟢 Spot-checked every span against the ER: protocol values vs ER lines 354-358, benefit/risk items vs the ER heading text, gate items vs ER lines 307-332, monitoring rows vs the ER biomarker table (lines 443-452), qualitative items vs ER lines 456-462. All literal.
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’s ⚠️ Conflicted markers on “Survival After Cyanide Exposure” and “Elevated Circulating B12” are carried as “(conflicted)” in benefits_low and risks_low.
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”). 🟢 “Absolute avoidance” (nitrous oxide), the eGFR<30 and 160/100 mmHg thresholds, and the gram-scale-only restrictions are all carried at ER strength, neither raised nor relaxed.
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; Key Interactions from the ER interaction bullets; no Benefit- or Risk-Modifying Factor is surfaced as a gate or a side effect.
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, author names, NCT identifiers or citations anywhere in the QRS. Only generic drug names that appear in the ER (omeprazole, esomeprazole, famotidine, hydrochlorothiazide, furosemide, indapamide, metformin, colchicine, chloramphenicol).
1.6 The QRS does not introduce new attributions. 🟢 The ER’s “Cochrane data” attribution in the oral high-dose bullet is dropped in action_3_sub; no attribution is added anywhere.

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. 🟢 Matches the ER’s measured, dose-stratified register.
2.2 The tone of the QRS is simultaneously expert, accessible, objective, and data-driven, but also empowering and encouraging 🟢 Expert and data-driven (thresholds, ranges, cadence) while remaining accessible; the at-a-glance states what is strong and what is unproven without hedging into vagueness.
2.3 The QRS reads as a trusted, knowledgeable guide rather than a prescriptive doctor 🟢 Presents gates and ranges as evidence, not as instructions to a patient.
2.4 The QRS avoids language that implies medical or clinical advice 🟢 No imperative directed at a reader; all directive-sounding wording (“absolute avoidance”, “caution”) is the ER’s own classification of the interaction.
2.5 The QRS “presents information” instead of “providing guidance”, “recommending”, or “advising” 🟢 No “recommended”, “advised” or “should” constructions in the QRS’s own voice.
2.6 The QRS never addresses “the reader” directly — it presents evidence, not guidance 🟢 No second-person pronouns present anywhere in the file.
2.7 The QRS is written in plain language, avoiding unnecessary medical jargon 🟢 Technical terms are confined to ER-verbatim headings and biomarker names; the at-a-glance renders homocysteine as “the marker that rises when the vitamin is lacking”.
2.8 Information is presented in a concise and very compact manner 🟢 Every item is reduced to a single clause; benefits and risks are collapsed to semicolon-separated tier lines.
2.9 It DOES NOT address the reader directly 🟢 Confirmed — no direct address.
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. 🟢 Framed for proactive adults: absorption decline after 50, functional rather than conventional biomarker targets, oral vs injected trade-off.
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 intramuscular injection schedules, a 10-marker panel and a multi-point cadence without softening for convenience.
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. 🟢 Functional targets (holotranscobalamin >50 pmol/L, MMA <0.27 µmol/L) are tighter than conventional cut-offs, which is the non-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. 🟢 The dose split that matters to this audience — benign milligram replacement vs gram-scale emergency harms — is carried in the at-a-glance and in both gram-scale-only contraindications.
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. 🟢 No “anti-aging” phrasing; the speculative benefit is framed as “attenuation of cellular ageing processes”, matching the ER.
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)”; “oral” / “administered orally” not “taken by mouth” / “given by mouth”; “injection” not “shot”; “adverse event” not “bad reaction”). This holds on EVERY surface, including the QRS lede — the stricter plain-language bar (see 2.7) does not license lay phrasing for route of administration. Direct quotes from sources are exempt. 🟢 Uses “intramuscularly”, “injection”, “oral or sublingual”, “intravenous dosing” — no lay route-of-administration phrasing on any surface including the lede.

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 verified verbatim against [qrs_template]: Protocol, Time to effect, Benefits, Risk & Side Effects, Monitoring, Qualitative Assessment, Contraindications, Key Interactions, the four tier labels and Marker/Target/Why.
3.2 All “<span data-qrs-var=”NAME”>…</span>” from the [qrs_template] are present in the the QRS. 🟢 All 38 template spans present; marker_#* and qualitative_item# are correctly expanded to marker_1..10_* and qualitative_item_1..7.
3.3 Spans that are not addressed in a checklist item are left unchanged 🟢 Diff against [qrs_template] shows changes confined to variable content plus the tooling frontmatter keys; no structural, CSS or non-variable text was altered.

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 ER section feeding the QRS is empty; every source section has content.
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. 🟢 Bold labels carried verbatim: “Nitrous oxide (anaesthetic and recreational)”, “Metformin”, “Colchicine and aminosalicylic acid”, “Chloramphenicol”, “High-dose vitamin C supplements”, “Folic acid supplements”, “Supplements with additive homocysteine-lowering effects”, “Potassium-lowering agents (hydrochlorothiazide, furosemide, indapamide)”, “Haemodialysis and blood-leak detectors”; protocol labels likewise.
4.3 Labels are not paraphrased, abbreviated, or invented. 🟢 The only trimmed label is the PPI/H2 gloss, where the example drug list mandated by 9.5 is kept and only the explanatory phrase is dropped.
4.4 The QRS DOES NOT use emoji indicators (no 🟩, 🟥, 🟨, etc.). Color and emphasis are conveyed through CSS and bold labels. 🟢 No emoji codepoints anywhere in the file; the ER’s 🟩/🟥/🟨 tier markers are conveyed by the CSS tier labels.
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. 🟢 Each section is at minimum viable phrasing; the completeness mandated by 9.2, 14.2 and 15.2 is delivered without any elaboration that could be cut further.

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. 🟢 Lines 2-14: the metadata comment is the first element after <!doctype html>, ahead of the “QRS (Quick Reference Sheet)” comment at line 16.
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; the descriptive text on line 2 sits before the opening delimiter.
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. 🟢 Entirely inside an HTML comment; no element on the sheet echoes any metadata value.
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. 🟢 All values trimmed; only duration: “00:03” is quoted, which its colon requires.
5.5 The filename of the source ER is stated as “er_filename: [er_filename]” 🟢 Line 4: er_filename: hydroxocobalamin_2026-0911-0002_Opus_ER.md, matching 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]” 🟢 Line 5: qrs_prompt_version: 26.7.02, matching the version badge of [qrs_prompt].
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: 2026-0911-0207 — correct 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]” 🟢 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” 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]” 🟢 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” is nickname plus version with the session’s “(1M context)” qualifier correctly stripped.
5.12 The filename of the document is stated as “qrs_filename: [filename of this document]” 🟢 Line 9: qrs_filename: hydroxocobalamin_2026-0911-0002_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 — no stray whitespace or unnecessary quoting in any of the nine keys.

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: “Hydroxocobalamin for Health & Longevity - Quick Reference Sheet” — canonical_topic with & encoded, plus the required suffix.
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: “Hydroxocobalamin for Health & Longevity”, entity-encoded.
6.3 [header_subline_date] is set to [qrs_creation_date reformatted as MM/DD/YYYY] 🟢 Line 421: 09/11/2026, the MM/DD/YYYY rendering of qrs_creation_date 2026-0911-0207.
6.4 [header_subline_model] is set to [qrs_creator_ai_fullname] 🟢 Line 425: “Opus 5”, matching 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. 🟢 Header carries only the title and the template subline; the ER’s “Also known as” line, badges and audit stamps are absent.

7. At-A-Glance Section

# Description Result Comments
7.1 [at_a_glance] is dense, execution-oriented summary of the ER Conclusion section 🟢 Condenses all four paragraphs of the ER Conclusion — what it is, what the strongest evidence covers, what is unproven, how harms scale with dose.
7.2 [at_a_glance] is no longer than 60 words 🟢 55 words, within the 60-word ceiling.
7.3 Every fact in [at_a_glance] is supported by a distinct passage in the ER. 🟢 Each clause traces to a distinct Conclusion passage (ER lines 482, 484 and 486).
7.4 It DOES NOT use acronyms or technical classifications that require specialist knowledge, uses plain-language terms instead 🟢 Homocysteine is rendered as “the marker that rises when the vitamin is lacking”; only “vitamin B12” appears, which is general vocabulary rather than a specialist acronym.
7.5 It DOES NOT cite specific trials (names, years, sample sizes, p-values) 🟢 No study names, years or sample sizes.
7.6 It DOES NOT cite effect sizes, relative risks, or statistical results 🟢 No effect sizes, confidence intervals or risk ratios; “Strongest evidence” is a qualitative ranking only.

8. Contraindications

# Description Result Comments
8.1 The section is derived from the ER Key Interactions & Contraindications section 🟢 Sourced from the ER’s “Populations who should avoid hydroxocobalamin” list inside Key Interactions & Contraindications (ER lines 327-332).
8.2 [stop_items] represent the Contraindications from the ER 🟢 All four ER avoid-populations are present and none is invented.
8.3 Individual [stop_items] are formatted as <li></li> 🟢 Four discrete <li></li> elements 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. 🟢 Trailing rationale stripped — e.g. the ER’s “, given the predictable blood-pressure-raising effect” is dropped from the hypertension item. No dash-introduced clauses remain.
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). 🟢 Thresholds and scope qualifiers preserved: eGFR below 30 mL/min/1.73 m², above 160/100 mmHg, “until controlled”, and the “gram-scale intravenous dosing only” restriction on both dose-specific items.
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 this section.
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, and the ER does identify four avoid-populations, so leaving it non-empty is correct.
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. <!– empty: ER names no population that should avoid the intervention –> 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 🟢 Sourced from the ER Key Interactions & Contraindications bullets (ER lines 307-325).
9.2 [caution_items] represent the Key Interactions from the ER, excluding any that are already listed as Contraindications 🟢 All ten ER interaction bullets are represented, and none duplicates a contraindication.
9.3 Individual [caution_items] are formatted as <li></li> 🟢 Ten discrete <li></li> elements 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. 🟢 Mechanism and mitigation sentences are stripped throughout — e.g. metformin reduces to “caution and monitoring”, folic acid to “caution”. No dash-introduced trailing clauses.
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 and time windows preserved: (anaesthetic and recreational), (omeprazole, esomeprazole, famotidine), (hydrochlorothiazide, furosemide, indapamide), “during the first week of treating severe anaemia”, and the full folate/B6/riboflavin/betaine/creatine list.
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 this section.
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, and the ER identifies ten interactions, so leaving it non-empty is correct.
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. <!– empty: ER names no interaction that changes how the intervention is used –> N/A The section is not empty.

10. Protocol

# Description Result Comments
10.1 The section is derived from the ER Protocol section 🟢 Drawn from the ER Therapeutic Protocol section (ER lines 354-358).
10.2 The three sets of [action] items cover the three most important actionable implementation aspects from the ER Protocol section 🟢 Loading regimen, maintenance interval and the oral high-dose alternative are the three actionable bullets; the remaining ER bullets are background (half-life, who popularised, best time of day) rather than implementation steps.
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 supplies more than three actionable aspects, so no set is unused.
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, e.g. action_1_value “1 mg intramuscularly, three times weekly for two weeks” from ER line 354.

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 🟢 Blood counts, homocysteine and nerve symptoms are the three time-to-effect aspects tied to named ER benefits.
11.2 The sets are picked and ordered by the magnitude of the related benefit 🟢 Ordered by benefit tier: blood-count correction and homocysteine lowering are both High-tier benefits, nerve recovery sits below them. Fatigue/mood was correctly passed over as it maps to no graded ER benefit.
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 Three distinct time-to-effect aspects exist in the ER.
11.4 All used [time_#label], [time#value], [time#_sub] items are filled with meaningful content derived from the ER. 🟢 All nine time fields populated from the ER: 6-8 weeks and the 3-7 day reticulocyte rise (ER lines 159, 411); the 12-week duration and >500 µg dose threshold for homocysteine (ER line 165); 3-6 months and the >1 year caveat (ER line 411).
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 does provide time-to-effect information, so the section is correctly retained.

12. Benefits

# Description Result Comments
12.1 The section is derived from the ER Expected Benefits section 🟢 All eight items map one-to-one onto the ER Expected Benefits headings.
12.2 Key variables are [benefits_high], [benefits_medium], [benefits_low], [benefits_speculative] 🟢 All four tier spans present and populated.
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. 🟢 Reduced to the ER heading text alone — no magnitudes, mechanisms or study references carried across.
12.4 Parenthetical content — including effect sizes, sample notes, mechanistic hints, and example studies — is stripped, NOT preserved. 🟢 The ER’s parenthetical glosses (e.g. “young red blood cell”, “RCTs”) are absent; the only parenthesis is the ER’s own conflicted-evidence marker, which 1.2 requires be preserved.
12.5 If no items of a specific sub-section (high, medium, low, speculative) are present the respective <SPAN> is set to “display=none”, not filled with “None documented in human trials to date” or similar empty-state phrasing. N/A All four tiers have items in the ER, so no span needed hiding.

13. Risks

# Description Result Comments
13.1 The section is derived from the ER Potential Risks & Side Effects section 🟢 All nine items map one-to-one onto the ER Potential Risks & Side Effects headings.
13.2 Key variables are [risks_high], [risks_medium], [risks_low], [risks_speculative] 🟢 All four tier spans present and populated.
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. 🟢 Reduced to the ER heading text alone — no odds ratios, percentages, dose contexts or mechanisms carried across.
13.4 Parenthetical content — including frequencies, severity grades, sample notes, mechanistic hints, and example studies — is stripped, NOT preserved. 🟢 The ER’s parenthetical glosses (e.g. “red-coloured urine”, “low blood potassium”) are absent; the only parenthesis is the ER’s own conflicted-evidence marker, which 1.2 requires be preserved.
13.5 If no items of a specific sub-section (high, medium, low, speculative) are present the respective <SPAN> is set to “display=none”, not filled with “None documented in human trials to date” or similar empty-state phrasing. N/A All four tiers have items in the ER, so no span needed hiding.

14. Monitoring

# Description Result Comments
14.1 The section is derived from the ER Monitoring section 🟢 Drawn from the ER Monitoring Protocol & Defining Success section.
14.2 All measurable/quantifiable biomarkers from the Monitoring section are listed 🟢 All ten rows of the ER biomarker table are present, with names, optimal ranges and rationale carried verbatim.
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 from ER line 439 — baseline before first dose, potassium and CBC at 1 week, MMA/homocysteine/CBC at 8 weeks, full panel every 6-12 months.

15. Qualitative Assessment

# Description Result Comments
15.1 The section is derived from the ER Monitoring section 🟢 Drawn from the ER Monitoring Protocol & Defining Success section.
15.2 All subjective/qualitative biomarkers from the Monitoring section are listed 🟢 All seven of the ER’s qualitative markers (ER lines 456-462) are present and verbatim.

Issues 11/09/2026 02:14

Pass rate 100.00%. No issues found.