Audit: QRS - KPV for Health & Longevity

Audit conducted on 05/08/2026 12:06 using AI4L / Opus 5

Iterations

Summary

Items Count
Total 91
Passed 82
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. 🟢 Every dose, threshold and range traced to the ER: 200–500 µg SC and 500 µg–1 mg oral (ER Therapeutic Protocol), 0.5–1% topical, 4–8 week blocks, CD4 < 200 cells/µL, neutrophils 1.5 × 10⁹/L, all seven biomarker targets, and the cadence text.
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. 🟢 Hedges carried through: “Figures from clinician-educator networks and compounding pharmacies, not trials”, “From practitioner protocols; consistent with animal colitis models but not evidence. No human data define this”, “no published toxicology”.
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; benefit tiers retain ER grades; no Medium/Low benefit is promoted, and benefits_high is suppressed rather than populated.
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 KPV entirely” list plus “Competitive sport”, which the ER itself labels “(absolute contraindication)”. No Benefit- or Risk-Modifying Factor 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 or investigator names appear anywhere in the QRS. All drug and peptide names (cephalexin, valacyclovir, tacrolimus, infliximab, BPC-157, TB-500, rapamycin, etc.) appear in the ER Key Interactions section for the same fact.
1.6 The QRS does not introduce new attributions. 🟢 Only attribution is “clinician-educator networks and compounding pharmacies”, taken from the ER Therapeutic Protocol bullet.

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 sober, provenance-flagging register; phrasing such as “continuing without a measured change is continuing on hope” is lifted from ER Practical Considerations.
2.2 The tone of the QRS is simultaneously expert, accessible, objective, and data-driven, but also empowering and encouraging 🟢 Presents thresholds, tiers and measurable endpoints that let a reader decide and self-assess, without either promotion or admonition.
2.3 The QRS reads as a trusted, knowledgeable guide rather than a prescriptive doctor 🟢 Protocol cells describe what is done in practice and name the provenance rather than instructing.
2.4 The QRS avoids language that implies medical or clinical advice 🟢 No imperatives; the sheet reports practice patterns, gates and markers. Footer disclaimer is unchanged from the template.
2.5 The QRS “presents information” instead of “providing guidance”, “recommending”, or “advising” 🟢 No occurrence of “recommend”, “advise”, “should” or “must” in QRS content.
2.6 The QRS never addresses “the reader” directly — it presents evidence, not guidance 🟢 No second-person pronouns anywhere in the QRS content.
2.7 The QRS is written in plain language, avoiding unnecessary medical jargon 🟢 Technical terms retained (PepT1, hs-CRP, eGFR, ALT) are all necessary to the Monitoring and Interactions gates and are used exactly as in the ER; no gratuitous jargon added.
2.8 Information is presented in a concise and very compact manner 🟢 Every card is reduced to headings, values and short fragments; no ER prose is carried over verbatim at paragraph length.
2.9 It DOES NOT address the reader directly 🟢 Confirmed — no direct address anywhere.
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. 🟢 Framing assumes a self-directed user weighing an uncharacterised compound: quality-of-supply gate, baseline testing, defined assessment window.
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. 🟢 Two-occasion baseline testing, a seven-marker panel and daily symptom scoring all assume high willingness to invest 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. 🟢 Optimal functional ranges rather than conventional laboratory cut-offs are used throughout the Monitoring table.
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 and the Risk card foreground the two decision-relevant facts for this audience — no human trial in forty years, and supply outside pharmaceutical quality standards.
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 appear in the QRS; the ER’s quoted academy name was not carried over.
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. 🟢 “subcutaneously”, “enteric-coated”, “peptidase degradation”, “hypersensitivity”, “adverse” register maintained; no consumer-grade substitutions.

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” 🟢 Line-by-line comparison against [qrs_template] shows all fixed headings, gate headings, tier labels and table headers byte-identical.
3.2 All “” from the [qrs_template] are present in the the QRS. 🟢 All 38 template variables present; the indexed patterns are expanded as intended — marker_#* to marker_1..7* and qualitative_item_# to qualitative_item_1..6.
3.3 Spans that are not addressed in a checklist item are left unchanged 🟢 The three non-variable spans (website=”evidence_review”, website=”audit”, website=”full_review”) are untouched, as are all CSS rules and the footer disclaimer.

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; every ER section mapped onto the QRS carries content. The empty benefits High tier is governed by item 12.5, which requires suppression rather than empty-state phrasing.
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..3_label are the ER Therapeutic Protocol bold labels verbatim (“Standard practice protocol”, “Best time of day”, “Single versus split dosing”); the six qualitative_item bold labels and all seven marker names are verbatim from the ER.
4.3 Labels are not paraphrased, abbreviated, or invented. 🟢 The three time labels are lifted from the ER’s own wording in Practical Considerations (“gut-related changes”, “skin-related changes”, “assessment window”), not invented.
4.4 The QRS DOES NOT use emoji indicators (no 🟩, 🟥, 🟨, etc.). Color and emphasis are conveyed through CSS and bold labels. 🟢 No emoji anywhere in the QRS; the ER’s tier emojis and the “⚠️ Conflicted” markers on Direct Antimicrobial Activity and Impairment of Host Defence 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 condensed to the template’s per-section budget: benefit and risk tiers reduced to semicolon-separated headings, gate items to single fragments, Monitoring “Why” cells to short clauses. No section carries ER prose at paragraph length.

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: single comment opening immediately after <!doctype html> on line 1, before the template comment and <html>.
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 --- on line 3 and closing --- on line 13; the descriptive text on line 2 precedes 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. 🟢 Enclosed entirely 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. 🟢 All values trimmed; only duration: "00:05" is quoted, correctly, because it contains a colon.
5.5 The filename of the source ER is stated as “er_filename: [er_filename]” 🟢 Line 4: er_filename: kpv_2026-0805-0820_Opus_ER.md, which matches the source ER on disk.
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.md.
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: 2026-0805-1145, correct format.
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 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” — nickname plus version only, 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: kpv_2026-0805-0820_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 including git_user: evipedia-1 and git_issue: 4795; 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 &) 🟢 “KPV for Health & Longevity - Quick Reference Sheet”; canonical_topic matches the ER frontmatter and the ampersand is entity-encoded.
6.2 [header_topic] is set to the [canonical_topic] of the ER frontmatter, with HTML entities encoded as needed (e.g., &amp; for &) 🟢 “KPV for Health & Longevity”.
6.3 [header_subline_date] is set to [qrs_creation_date reformatted as MM/DD/YYYY] 🟢 2026-0805-1145 → “08/05/2026”.
6.4 [header_subline_model] is set to [qrs_creator_ai_fullname] 🟢 “Opus 5”, identical to the frontmatter value.
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 title and the template subline; the ER’s “Also known as” list (Lys-Pro-Val, α-MSH 11-13, etc.) was correctly 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 🟢 Four sentences condensing the ER Conclusion’s four movements: what KPV is, where the preclinical case is strongest, the absence of human testing, and supply quality.
7.2 [at_a_glance] is no longer than 60 words 🟢 57 words.
7.3 Every fact in [at_a_glance] is supported by a distinct passage in the ER. 🟢 Each of the four statements maps to a distinct ER Conclusion passage; no synthesis beyond it.
7.4 It DOES NOT use acronyms or technical classifications that require specialist knowledge, uses plain-language terms instead 🟢 Uses “three-amino-acid fragment of a natural human hormone”, “switch off inflammation”, “darkening skin” — the ER’s own plain-language register; no acronym other than the intervention name itself.
7.5 It DOES NOT cite specific trials (names, years, sample sizes, p-values) 🟢 No trial, author or year is named.
7.6 It DOES NOT cite effect sizes, relative risks, or statistical results 🟢 No numeric result of any kind; “more than forty years” is a duration, not an effect size.

8. Contraindications

# Description Result Comments
8.1 The section is derived from the ER Key Interactions & Contraindications section 🟢 All eight items trace to that ER section — seven from “Populations who should avoid KPV entirely” plus the competitive-sport bullet marked “(absolute contraindication)”.
8.2 [stop_items] represent the Contraindications from the ER 🟢 Complete: pregnancy/lactation, malignancy, transplant/immunodeficiency, active untreated infection, low counts, under-18s, untested product, competitive sport. None omitted, none added.
8.3 Individual [stop_items] are formatted as <li></li> 🟢 Eight discrete <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. 🟢 Every trailing ER clause is stripped, e.g. “— no tumour-surveillance data, and the mechanism gives theoretical grounds for concern” and “— antipyretic and anti-inflammatory activity can mask progression”. No dash-trailing content remains in any item.
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). 🟢 Preserved: “in remission for less than 5 years”, “(CD4 below 200 cells/µL)”, “below 1.5 × 10⁹/L”/”below 1.0 × 10⁹/L”, “under 18”.
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 contraindication list.
8.7 If no [stop_items] are present the section is left empty N/A Eight stop_items are present.

9. Key Interactions

# Description Result Comments
9.1 The section is derived from the ER Key Interactions & Contraindications section 🟢 All nine items map one-to-one onto the ER’s interaction bullets.
9.2 [caution_items] represent the Key Interactions from the ER, excluding any that are already listed as Contraindications 🟢 Nine of the ER’s ten interaction bullets are carried; “Competitive sport” is correctly excluded here because it is placed in Contraindications.
9.3 Individual [caution_items] are formatted as <li></li> 🟢 Nine discrete <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. 🟢 The ER’s “Clinical consequence”/”Mitigation” prose is stripped from every item; no dash-trailing clauses remain.
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). 🟢 Every item retains its named-drug list, trimmed to representative members (e.g. β-lactams “(cephalexin, amoxicillin)”, biologics “(infliximab, adalimumab, ustekinumab, tofacitinib)”); none is dropped entirely.
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 If no [caution_items] are present the section is left empty N/A Nine caution_items are present.

10. Protocol

# Description Result Comments
10.1 The section is derived from the ER Protocol section 🟢 All three cells derive from ER Therapeutic Protocol bullets; the ER’s provenance caveat about commercial actors is retained in condensed form.
10.2 The three sets of [action] items cover the three most important actionable implementation aspects from the ER Protocol section 🟢 Dose and route, timing relative to food, and single-versus-split dosing — the only three bullets in the ER Protocol section that specify an executable parameter.
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 at least three distinct actionable aspects; 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 fields populated; each sub adds the ER’s route variants, competing considerations and provenance rather than filler.

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 🟢 Gut-related change (1–2 weeks), skin-related change (3–4 weeks) and assessment window (4–8 weeks) — the three aspects given in the ER “Time to effect” bullet.
11.2 The sets are picked and ordered by the magnitude of the related benefit 🟢 Gut first (the ER’s only Medium-tier benefit), skin second (Low tier), overall assessment window third.
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; 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 fields populated; each sub carries the ER’s evidential caveat (“From practitioner protocols”, “No human data define this”).
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 🟢 Each entry corresponds to an ER Expected Benefits heading at the matching tier.
12.2 Key variables are [benefits_high], [benefits_medium], [benefits_low], [benefits_speculative] 🟢 All four spans present and correctly assigned.
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 bare headings: e.g. all six Low-tier benefits as a semicolon list; no Magnitude text, nanomolar concentrations or 3.8-fold accumulation figures carried over.
12.4 Parenthetical content — including effect sizes, sample notes, mechanistic hints, and example studies — is stripped, NOT preserved. 🟢 No parenthetical content appears in any benefits entry.
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. 🟢 The ER records no High-tier benefit; benefits_high carries style="display: none" and an emptied item rather than empty-state text.

13. Risks

# Description Result Comments
13.1 The section is derived from the ER Potential Risks & Side Effects section 🟢 All ten entries correspond to ER risk headings at the matching tier.
13.2 Key variables are [risks_high], [risks_medium], [risks_low], [risks_speculative] 🟢 All four 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 headings; the ER’s “Magnitude” lines (zero trials in 40 years, 0 of 7 peptides approved) and the “⚠️ Conflicted” marker are not carried over.
13.4 Parenthetical content — including frequencies, severity grades, sample notes, mechanistic hints, and example studies — is stripped, NOT preserved. 🟢 No parenthetical content appears in any risks entry; the ER’s glosses such as “(redness)” and “(raised bumps)” are stripped.
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 carry items in the ER, so no span needs suppressing.

14. Monitoring

# Description Result Comments
14.1 The section is derived from the ER Monitoring section 🟢 Table and cadence both derive from ER “Monitoring Protocol & Defining Success”.
14.2 All measurable/quantifiable biomarkers from the Monitoring section are listed 🟢 All seven ER biomarkers present with targets verbatim: hs-CRP, fecal calprotectin, IL-6, complete blood count with differential, comprehensive metabolic panel, ferritin, fasting insulin.
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. 🟢 Carries baseline on two occasions a week apart, full panel at 8 weeks and end of first off-period, then every 3–6 months, with the 4-week blood count and liver panel trigger.

15. Qualitative Assessment

# Description Result Comments
15.1 The section is derived from the ER Monitoring section 🟢 All six entries derive from the ER’s qualitative marker bullets in that section.
15.2 All subjective/qualitative biomarkers from the Monitoring section are listed 🟢 All six present: gastrointestinal symptom burden, joint stiffness and morning function, skin appearance and reactivity, energy and post-exertional recovery, cognitive clarity and mood, sleep quality and continuity.

Issues 05/08/2026 12:06

Pass rate 100.00%. No issues found.

Issues 05/08/2026 11:52

  1. 2.5 — Imperative dosing instruction: [action_1_sub] (line 457) states “Run in blocks of 4–8 weeks.” as an imperative, which advises rather than presents; the ER phrases it descriptively as part of the regimen description (ER line 387).
  2. 4.5 — Sheet overflows one A4 page: The rendered sheet runs to roughly two A4 pages (~6,900 characters of body text against a ~774pt budget), driven mainly by the nine multi-line [caution_items] (lines 603–637), seven two-line Monitoring “why” cells (lines 686–789), six multi-line qualitative items (lines 807–845), four-sentence protocol subs (lines 454–539) and the four-line [monitoring_cadence] (lines 794–799).

Fixes 05/08/2026 11:52

  1. 2.5 — Imperative dosing instruction removed: [action_1_sub] now reads “Used in 4–8 week blocks.” instead of the imperative “Run in blocks of 4–8 weeks.”, restoring the ER’s descriptive framing.
  2. 4.5 — Protocol and time-to-effect subs condensed: All six [action_#sub] and [time#_sub] entries were tightened (e.g. “Described in practitioner protocols and consistent with the rapid onset seen in animal colitis models” → “From practitioner protocols; consistent with animal colitis models”), removing about three rendered lines.
  3. 4.5 — Decision gates shortened: [stop_items] and [caution_items] were compressed and their example drug lists trimmed rather than dropped (e.g. “Absolute neutrophil count below 1.5 × 10⁹/L, or lymphocyte count below 1.0 × 10⁹/L at baseline” → “Baseline neutrophils below 1.5 × 10⁹/L or lymphocytes below 1.0 × 10⁹/L”); all 8 contraindications and 9 interactions are retained.
  4. 4.5 — Monitoring “why” cells reduced to one line each: All seven [marker_#_why] entries were cut to a single line (e.g. “Rises with inflammation independently of iron status, providing a slower-moving cross-check on hs-CRP” → “Slower-moving inflammatory cross-check on hs-CRP”), saving roughly seven rendered lines.
  5. 4.5 — Monitoring cadence tightened: [monitoring_cadence] was reduced from 346 to 238 characters while keeping the baseline, 8-week, off-period, 3–6 month and 4-week conditional intervals.
  6. 4.5 — Qualitative items trimmed: All six [qualitative_item_#] entries had their trailing explanatory clauses shortened, with the ER bold labels left verbatim.
  7. 4.5 — Benefit and risk tier strings compressed: The Low and Speculative benefit strings and the Low and Speculative risk strings were shortened without dropping any ER sub-heading. Total rendered body text fell from about 6,900 to 5,630 characters.