Audit: QRS - Microdosing LSD for Health & Longevity

Audit conducted on 04/08/2026 15:44 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. 🟢 Spot-checked every populated span against the ER: protocol values (ER 376-382), time-to-effect (ER 171,177,425), benefit/risk tier headings, all 10 contraindications (ER 341-350), all 8 caution items (ER 319-337), all 8 markers and cadence (ER 449-460), all 6 qualitative items (ER 464-469). All literally supported.
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. 🟢 Cautious framing preserved: “None demonstrated” for cumulative benefit, “Speculative” tier for valvular disease and HPPD, mirroring the ER’s open-question language.
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”). 🟢 No strengthening or softening detected; e.g. contraindication list keeps “Known or suspected valvular heart disease of any grade” (ER 344) unweakened.
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. 🟢 Categories preserved: CYP2D6 genotype stays a monitoring marker (ER 459), not a contraindication; sex/expectancy modifiers are not surfaced as risks.
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 in the QRS. All generic drug names in [caution_items] appear in the ER for the same interaction.
1.6 The QRS does not introduce new attributions. 🟢 No attributions of any kind introduced.

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, sceptical register (e.g. “None demonstrated”, “no lasting gains”).
2.2 The tone of the QRS is simultaneously expert, accessible, objective, and data-driven, but also empowering and encouraging 🟢 Expert and data-driven (24.3 minutes, 140/90 mmHg, Child-Pugh B/C) while remaining readable.
2.3 The QRS reads as a trusted, knowledgeable guide rather than a prescriptive doctor 🟢 Presents thresholds and stopping signals as evidence, not as instructions from a clinician.
2.4 The QRS avoids language that implies medical or clinical advice 🟢 No imperative or prescriptive constructions; grep for recommend/advise/should returns no body-text hits.
2.5 The QRS “presents information” instead of “providing guidance”, “recommending”, or “advising” 🟢 Consistently declarative: “Used in all clinical protocols”, “Any recurrent anxiety on dosing days is the primary stopping signal”.
2.6 The QRS never addresses “the reader” directly — it presents evidence, not guidance 🟢 No second-person pronouns anywhere in the document.
2.7 The QRS is written in plain language, avoiding unnecessary medical jargon 🟢 Jargon glossed or replaced; e.g. ER’s “acute chronotropic (heart-rate-raising) response” becomes “acute heart-rate-raising response” in [marker_2_why].
2.8 Information is presented in a concise and very compact manner 🟢 Every span is compressed to headline-level content; no elaboration carried over.
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. 🟢 Content depth (echocardiography, CYP2D6 genotyping, hs-CRP, blinded self-check) targets a risk-aware, optimisation-oriented reader.
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. 🟢 Protocol assumes willingness to undertake baseline and annual cardiac imaging, genotyping and daily tracking.
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. 🟢 Not pitched at the general population; assumes tolerance for inconvenient and unreimbursed procedures.
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. 🟢 [time_3] “Cumulative benefit / None demonstrated” and the cognitive-control decrement are surfaced prominently, which is the audience-appropriate framing.
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. 🟢 “anti-aging” does not appear; [benefits_speculative] uses “brain aging” per the ER heading.
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 the QRS’s own voice. The plain-language wording in [at_a_glance] is ER Conclusion phrasing 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 headings byte-identical to the template: Protocol, Time to effect, Benefits, Risk & Side Effects, Monitoring, Qualitative Assessment, Contraindications, Key Interactions, High/Medium/Low/Speculative, Marker/Target/Why.
3.2 All “…” from the [qrs_template] are present in the the QRS. 🟢 All 38 template variables present. The 4 repeating variables (marker_#name/target/why, qualitative_item#) are correctly instantiated as marker_1..8 and qualitative_item_1..6.
3.3 Spans that are not addressed in a checklist item are left unchanged 🟢 Diff against the template shows changes only inside spans that a checklist item addresses; CSS, comments, footer disclaimer and website=”…” spans 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 ER section mapped into the QRS is empty. The empty Benefits/High tier is governed by 12.5, not by this item.
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 reproduced verbatim: protocol labels “Dose range”, “Standard schedules”, “Time of day” (ER 376-382); all 6 qualitative labels (ER 464-469); all 8 biomarker names (ER 453-460).
4.3 Labels are not paraphrased, abbreviated, or invented. 🟢 No label paraphrased or abbreviated. The three time-to-effect labels are derived because the ER carries no bold-labelled time-to-effect list.
4.4 The QRS DOES NOT use emoji indicators (no 🟩, 🟥, 🟨, etc.). Color and emphasis are conveyed through CSS and bold labels. 🟢 No emoji present anywhere in the file; the ER’s tier emoji and the two “⚠️ Conflicted” markers were correctly stripped.
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. 🟢 Content is condensed relative to the ER rather than extended: marker rationales shortened, caution-item drug lists trimmed, tier items reduced to headings. No section was carried over at ER 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. 🟢 Metadata comment spans lines 2-14, immediately after <!doctype html> and before any other comment or markup.
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 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 in an HTML comment; not rendered and not duplicated by any visible element.
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 is quoted, correctly, because “00:05” contains a colon.
5.5 The filename of the source ER is stated as “er_filename: [er_filename]” 🟢 er_filename: microdosing_lsd_2026-0804-1108_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]” 🟢 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) 🟢 qrs_creation_date: 2026-0804-1535, correct YYYY-MMDD-HHMM format.
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
5.9 The nickname of the AI is just a single word model name without version, etc. (e.g., Opus, Sonnet, Grok, Gemini, ChatGPT) 🟢 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]” 🟢 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 number, no additional qualifier.
5.12 The filename of the document is stated as “qrs_filename: [filename of this document]” 🟢 qrs_filename matches the file on disk exactly.
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. 🟢 Confirmed for all nine frontmatter 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 &) 🟢 Microdosing LSD for Health & Longevity - Quick Reference Sheet, with & correctly 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 &) 🟢 [header_topic] = Microdosing LSD for Health & Longevity, matching ER canonical_topic (ER frontmatter line 8).
6.3 [header_subline_date] is set to [qrs_creation_date reformatted as MM/DD/YYYY] 🟢 qrs_creation_date 2026-0804-1535 renders as 08/04/2026.
6.4 [header_subline_model] is set to [qrs_creator_ai_fullname] 🟢 [header_subline_model] = 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. 🟢 Subline carries only the template-mandated date, AI4L link and model. No badge, version stamp, alternate-names line 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 🟢 Distils the ER Conclusion (ER 493-497): what the practice is, what survives blinding, what does not, the leading stopping reason, and the open long-term question.
7.2 [at_a_glance] is no longer than 60 words 🟢 59 words, within the 60-word limit.
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; the heart-valve clause is additionally anchored in the Speculative risk (ER 295).
7.4 It DOES NOT use acronyms or technical classifications that require specialist knowledge, uses plain-language terms instead 🟢 Plain-language throughout: “dummy tablet”, “focused mental control”, “heart-valve safety”. No specialist classifications.
7.5 It DOES NOT cite specific trials (names, years, sample sizes, p-values) 🟢 No trial names, years or sample sizes.
7.6 It DOES NOT cite effect sizes, relative risks, or statistical results 🟢 No effect sizes, confidence intervals or statistics; the 24.3-minute figure is deliberately confined to [time_2_sub].

8. Contraindications

# Description Result Comments
8.1 The section is derived from the ER Key Interactions & Contraindications section 🟢 Derived from the “Populations who should avoid this intervention” bullet of ER Key Interactions & Contraindications (ER 339-350).
8.2 [stop_items] represent the Contraindications from the ER 🟢 All 10 ER avoid-populations map one-to-one onto the 10 [stop_items].
8.3 Individual [stop_items] are formatted as <li></li> 🟢 Ten discrete <li> elements inside the 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 throughout, e.g. “the standard exclusion applied in current LSD trials” (ER 341) and “given the unresolved 5-HT2B question” (ER 344) are both removed.
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). 🟢 Qualifiers preserved: 140/90 mmHg, within 90 days, past 6 months, past 12 months, Child-Pugh Class B or C, Prodromal Questionnaire-16 score of 6 or above.
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 If no [stop_items] are present the section is left empty N/A [stop_items] are present.

9. Key Interactions

# Description Result Comments
9.1 The section is derived from the ER Key Interactions & Contraindications section 🟢 Derived from the drug- and supplement-class bullets of ER Key Interactions & Contraindications (ER 319-337).
9.2 [caution_items] represent the Key Interactions from the ER, excluding any that are already listed as Contraindications 🟢 Eight of the ten ER interaction bullets are carried; MAOIs (ER 321) and lithium (ER 323) are correctly excluded because both already appear in [stop_items].
9.3 Individual [caution_items] are formatted as <li></li> 🟢 Eight discrete <li> elements inside the 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. 🟢 Severity labels, mechanisms, clinical consequences and mitigating actions all stripped; no trailing dash 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). 🟢 Named example drugs preserved for every class, trimmed to the longest members that fit (e.g. CYP inhibitors and inducers both retained with named agents).
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 If no [caution_items] are present the section is left empty N/A [caution_items] are present.

10. Protocol

# Description Result Comments
10.1 The section is derived from the ER Protocol section 🟢 Derived from ER Therapeutic Protocol (ER 374-394).
10.2 The three sets of [action] items cover the three most important actionable implementation aspects from the ER Protocol section 🟢 Dose range, standard schedules and time of day are the three actionable aspects; the remaining ER bullets are modifiers or context, not implementation actions.
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 Three distinct actionable aspects exist, 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 populated from ER 376, 378 and 382.

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 🟢 Same-day mood/wellbeing, post-dose sleep extension and absence of cumulative benefit are the three time-to-effect facts the ER supplies (ER 171, 177, 425).
11.2 The sets are picked and ordered by the magnitude of the related benefit 🟢 Ordered Medium-tier mood, then Medium-tier sleep, then the null cumulative finding, matching the ER’s own benefit ordering.
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, 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 populated with ER-derived content.
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.

12. Benefits

# Description Result Comments
12.1 The section is derived from the ER Expected Benefits section 🟢 Derived from ER Expected Benefits (ER 157-213).
12.2 Key variables are [benefits_high], [benefits_medium], [benefits_low], [benefits_speculative] 🟢 All four tier variables present and correctly named.
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 ER sub-heading text only; magnitudes, posterior probabilities, trial descriptions and grading rationale all omitted.
12.4 Parenthetical content — including effect sizes, sample notes, mechanistic hints, and example studies — is stripped, NOT preserved. 🟢 No parenthetical content carried into any tier.
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 (ER 163), and [benefits_high] is set to style=”display: none” rather than filled with empty-state phrasing.

13. Risks

# Description Result Comments
13.1 The section is derived from the ER Potential Risks & Side Effects section 🟢 Derived from ER Potential Risks & Side Effects (ER 233-299).
13.2 Key variables are [risks_high], [risks_medium], [risks_low], [risks_speculative] 🟢 All four tier variables present and correctly named.
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 ER sub-heading text only; the 10% withdrawal rate, d = -0.34 and the 1.1-5.1 h window are all excluded.
13.4 Parenthetical content — including frequencies, severity grades, sample notes, mechanistic hints, and example studies — is stripped, NOT preserved. 🟢 No parenthetical content carried into any tier.
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, so no span needed hiding.

14. Monitoring

# Description Result Comments
14.1 The section is derived from the ER Monitoring section 🟢 Derived from ER Monitoring Protocol & Defining Success (ER 445-460).
14.2 All measurable/quantifiable biomarkers from the Monitoring section are listed 🟢 All 8 rows of the ER biomarker table are present, with names and optimal ranges reproduced exactly.
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. 🟢 [monitoring_cadence] carries the full front-loaded cadence from ER 449, including the 12-month and annual imaging repeat.

15. Qualitative Assessment

# Description Result Comments
15.1 The section is derived from the ER Monitoring section 🟢 Derived from the qualitative-marker list in ER Monitoring Protocol & Defining Success (ER 462-469).
15.2 All subjective/qualitative biomarkers from the Monitoring section are listed 🟢 All 6 qualitative markers present, with the ER’s bold labels verbatim.

Issues 04/08/2026 15:44

Pass rate 100.00%. No issues found.