Audit: QRS - Niacinamide for Health & Longevity

Audit conducted on 26/08/2026 11:44 using AI4L / Opus 5

Iterations

Summary

Items Count
Total 93
Passed 85
Failed 0
N/A 8
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, benefit, risk, contraindication, interaction, biomarker and qualitative entries trace to ER Therapeutic Protocol, Expected Benefits, Potential Risks & Side Effects, Key Interactions & Contraindications, Practical Considerations, Discontinuation & Cycling and Monitoring Protocol & Defining Success.
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. 🟢 The ER’s “That last finding is unsettled” is carried into [at_a_glance] as “though that finding is unsettled”.
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”). 🟢 Contraindication thresholds (Child-Pugh B/C, eGFR < 30, 14–18 mg NE, > 500 mg daily) are reproduced at ER strength.
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] come solely from the ER’s “Populations who should avoid Niacinamide” list; [caution_items] solely from the ER’s Key Interactions & Contraindications bullets. No Benefit-Modifying Factors or Risk-Modifying Factors content appears.
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. 🟢 Only “ONTRAC” and “veterans cohort” appear; both are used in the ER for the same dose and time-to-effect facts. No PMIDs, NCT IDs or brand names.
1.6 The QRS does not introduce new attributions. 🟢 No attribution beyond ONTRAC / the veterans cohort; the ER’s “Damian and Halliday” and “University of Sydney” were dropped rather than added to.

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. 🟢 Measured, evidence-weighted register matches the ER throughout.
2.2 The tone of the QRS is simultaneously expert, accessible, objective, and data-driven, but also empowering and encouraging 🟢 Tiered benefits and risks, explicit doses and biomarker targets give an actionable, non-alarmist frame.
2.3 The QRS reads as a trusted, knowledgeable guide rather than a prescriptive doctor 🟢 Protocol cells describe validated regimens rather than instructing the reader.
2.4 The QRS avoids language that implies medical or clinical advice 🟢 No imperatives; the footer disclaimer is the template’s.
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 anywhere in the document.
2.7 The QRS is written in plain language, avoiding unnecessary medical jargon 🟢 Technical terms retained (keratinocyte carcinoma, actinic keratoses, eGFR) are the ER’s own and are load-bearing.
2.8 Information is presented in a concise and very compact manner 🟢 Every card entry is a fragment; no sentences carry mechanistic rationale.
2.9 It DOES NOT address the reader directly 🟢 Confirmed by a full-document search for “you/your/yours” — no hits.
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. 🟢 Functional (not conventional-lab) biomarker targets and a 9-row monitoring panel assume a proactive 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. 🟢 Twice-daily indefinite dosing, 6-monthly dermatological review and multi-marker laboratory cadence are presented without hedging on burden.
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 simplification toward a 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. 🟢 [at_a_glance] states plainly that evidence is skin-confined and thins out elsewhere, which is the decision-relevant signal for this audience.
2.14 The document’s own voice frames usage in longevity terms, not “anti-aging” (e.g., “anti-aging clinics”, “anti-aging community”, “anti-aging medicine”). Proper names that contain “anti-aging” (e.g., “American Academy of Anti-Aging Medicine”) are quoted verbatim. 🟢 “Longevity” is used in the title and in [benefits_speculative]; “anti-aging” appears nowhere.
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. 🟢 “Gastrointestinal upset”, “transaminases”, “desquamation”-level register is preserved; “capsules” and “creams” in [at_a_glance] mirror the ER Conclusion’s own plain-language mandate.

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 twelve fixed strings present verbatim (lines 446, 491, 535, 567, 591, 615, 643, 647–649, 785 and the four tier labels in the Benefits and Risks cards).
3.2 All “…” from the [qrs_template] are present in the the QRS. 🟢 66 distinct data-qrs-var spans present, each exactly once: header (4), at_a_glance, action_1–3 × 3, time_1–3 × 3, benefits × 4, stop_items, caution_items, risks × 4, marker_1–9 × 3, monitoring_cadence, qualitative_item_1–5.
3.3 Spans that are not addressed in a checklist item are left unchanged 🟢 The non-variable website="evidence_review", website="full_review" and website="audit" spans, the stylesheet link and all inline CSS remain 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 source ER section that feeds 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_1–3_label] reproduce the ER Protocol bold labels verbatim; the [caution_items] labels reproduce the ER interaction bold labels, with “and radiotherapy” removed from the chemotherapy item only because radiotherapy is already carried as a contraindication (per 9.2).
4.3 Labels are not paraphrased, abbreviated, or invented. 🟢 The three [time_#_label] values (“Skin cancer counts”, “Actinic keratoses”, “Topical appearance changes”) are lifted from the ER Practical Considerations prose rather than invented.
4.4 The QRS DOES NOT use emoji indicators (no 🟩, 🟥, 🟨, etc.). Color and emphasis are conveyed through CSS and bold labels. 🟢 Document-wide search for tier and warning emoji returns no hits; 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 card is trimmed to fragments; trailing ER clauses (“rather than memory”, “which is the shortest interval that averages out normal fluctuation”, “rather than cancer incidence”) are stripped, and the 9-row monitoring table and 9-item interaction list are the minimum mandated by 14.2 and 9.2.

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 next comment is 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 preamble text sits on line 2.
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; none of its values are duplicated in the header or footer.
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, correctly so because it contains a colon.
5.5 The filename of the source ER is stated as “er_filename: [er_filename]” 🟢 er_filename: niacinamide_2026-0826-0933_Opus_ER.md (line 4).
5.6 Version of the QRS.md file used to create the document is stated as “qrs_prompt_version: [Version of QRS.md]” 🟢 qrs_prompt_version: 26.7.02 (line 5) matches the QRS.md version badge.
5.7 Creation date and time of the document is stated as “qrs_creation_date: [YYYY-MMDD-HHMM]” (e.g., 2026-0501-1430) 🟢 qrs_creation_date: 2026-0826-1131 (line 6).
5.8 The nickname of the AI used to create the document is stated as “qrs_creator_ai_nickname: [qrs_creator_ai_nickname]” 🟢 qrs_creator_ai_nickname: Opus (line 7).
5.9 The nickname of the AI is just a single word model name without version, etc. (e.g., Opus, Sonnet, Grok, Gemini, ChatGPT) 🟢 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 (line 8).
5.11 The full name of the AI consists of the [qrs_creator_ai_nickname] and the model version number and no additional qualifier (e.g., Opus 4.6, Sonnet 3.2, Grok 4.5, Gemini 3.1, ChatGPT 5.4) 🟢 “Opus 5” — nickname plus version, no qualifier.
5.12 The filename of the document is stated as “qrs_filename: [filename of this document]” 🟢 qrs_filename: niacinamide_2026-0826-0933_Opus_QRS.html (line 9) matches the file on disk.
5.13 All frontmatter values are trimmed: no leading or trailing whitespace, no surrounding quotes unless the value contains a colon, bracket, or leading special character that requires YAML quoting. 🟢 Re-verified across all ten keys; consistent with 5.4.

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 &) 🟢 “Niacinamide for Health & Longevity - Quick Reference Sheet” (line 22), 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 &) 🟢 “Niacinamide for Health & Longevity” (line 417).
6.3 [header_subline_date] is set to [qrs_creation_date reformatted as MM/DD/YYYY] 🟢 2026-0826-1131 → “08/26/2026” (line 421).
6.4 [header_subline_model] is set to [qrs_creator_ai_fullname] 🟢 “Opus 5” (line 425).
6.5 No additional header content appears: no badge, version stamp, AKA / alternate names line, source-AI attribution, audit date, or QRS variant marker. 🟢 The header contains only the title and the template subline; the ER’s “Also known as” line 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 the ER Conclusion’s three load-bearing points — what it is, where the evidence is strong, where it thins — into the decision the reader faces.
7.2 [at_a_glance] is no longer than 60 words 🟢 59 words.
7.3 Every fact in [at_a_glance] is supported by a distinct passage in the ER. 🟢 Each clause maps to the ER Conclusion (lines 480–482): flush-free form, cheapest precursor, topical skin appearance, gram-level chemoprevention in prior-cancer patients, the unsettled status, and thin extra-cutaneous results.
7.4 It DOES NOT use acronyms or technical classifications that require specialist knowledge, uses plain-language terms instead 🟢 “Helper molecule”, “damaged genetic material”, “common skin cancers” replace NAD⁺, DNA and keratinocyte carcinoma; no acronyms appear.
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 percentages, hazard ratios or confidence intervals.

8. Contraindications

# Description Result Comments
8.1 The section is derived from the ER Key Interactions & Contraindications section 🟢 Sourced from the “Populations who should avoid Niacinamide” list (ER lines 327–333).
8.2 [stop_items] represent the Contraindications from the ER 🟢 All five ER avoidance populations are present, in ER order.
8.3 Individual [stop_items] are formatted as <li></li> 🟢 Five <li> elements inside the [stop_items] span (lines 570–586).
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 introduce trailing clauses; the ER’s “the recommended dietary allowance of” was trimmed while keeping the threshold.
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). 🟢 Child-Pugh Class B or C, “>3× ULN transaminases”, “eGFR below 30 mL/min/1.73 m²”, “in flare, at doses above 500 mg daily”, “14–18 mg niacin equivalents daily” and “unless directed by the treating oncologist” are all retained.
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. 🟢 The ER uses no ranking notation in these bullets; no bare symbols were carried through.
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 names five such populations and the section is correspondingly populated, not 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 🟢 Sourced from the nine interaction bullets at ER lines 309–325.
9.2 [caution_items] represent the Key Interactions from the ER, excluding any that are already listed as Contraindications 🟢 All nine ER interactions present; “and radiotherapy” is correctly dropped from the chemotherapy item because radiotherapy is already carried in [stop_items].
9.3 Individual [caution_items] are formatted as <li></li> 🟢 Nine <li> elements inside the [caution_items] span (lines 594–605).
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. 🟢 Every item is reduced to the bold label alone; the ER’s “Caution”/”Monitor” 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). 🟢 All seven parenthetical drug lists preserved verbatim (carbamazepine/primidone; cisplatin/doxorubicin; nicotinic acid/NR/NMN; betaine/choline/methylfolate/methylcobalamin; sevelamer/lanthanum carbonate; tretinoin/adapalene; glycolic acid/lactic acid).
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. 🟢 The ER’s parentheses contain plain comma-separated drug names only; no ranking symbols exist to normalize.
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 names nine interactions and the section is correspondingly populated, not 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 🟢 Sourced from the ER Therapeutic Protocol section (ER lines 355–375).
10.2 The three sets of [action] items cover the three most important actionable implementation aspects from the ER Protocol section 🟢 The three dosing regimens — standard chemoprevention, high-dose neuroprotection, topical-only — are the ER’s own first three bullets and the only ones that specify a dose.
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 ten protocol bullets; 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 cells populated: labels verbatim from ER bold labels, values “500 mg twice daily” / “1.5–3 g daily in divided doses” / “4–5% applied twice daily”, subs drawn from the same ER bullets.

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 🟢 Skin cancer counts, actinic keratoses and topical appearance changes are the three endpoints given explicit latencies in the ER Practical Considerations “Time to effect” bullet.
11.2 The sets are picked and ordered by the magnitude of the related benefit 🟢 Ordered from the ER’s highest-graded benefit (keratinocyte carcinoma prevention) through its precancerous surrogate to the second High-tier benefit (photoaged skin appearance).
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 four distinct latencies; 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 cells populated; values “12 months”, “3 months”, “8–12 weeks” match the ER, and [time_3_sub] draws the reversal window from the ER Discontinuation & Cycling topical bullet.
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 an explicit “Time to effect” bullet, so the section is correctly retained.

12. Benefits

# Description Result Comments
12.1 The section is derived from the ER Expected Benefits section 🟢 All ten benefit headings from ER lines 151–213 are represented in their ER tiers.
12.2 Key variables are [benefits_high], [benefits_medium], [benefits_low], [benefits_speculative] 🟢 All four spans present and populated (lines 537–560).
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 tier is a semicolon-separated list of the ER’s own benefit headings; no “Magnitude” content, mechanism paragraphs or trial names carried over.
12.4 Parenthetical content — including effect sizes, sample notes, mechanistic hints, and example studies — is stripped, NOT preserved. 🟢 No parentheses in any benefits span; the ER’s “⚠️ Conflicted” markers and bracketed citations are absent.
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 tiers carry ER content, so no span needs hiding.

13. Risks

# Description Result Comments
13.1 The section is derived from the ER Potential Risks & Side Effects section 🟢 All eight risk headings from ER lines 237–287 are represented in their ER tiers.
13.2 Key variables are [risks_high], [risks_medium], [risks_low], [risks_speculative] 🟢 All four spans present and populated (lines 617–637).
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 tier is a semicolon-separated list of the ER’s own risk headings; no “Magnitude” figures (61% homocysteine, hazard ratios 1.64–2.02) carried over.
13.4 Parenthetical content — including frequencies, severity grades, sample notes, mechanistic hints, and example studies — is stripped, NOT preserved. 🟢 No parentheses in any risks span; the ER’s “⚠️ Conflicted” markers and bracketed citations are absent.
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 tiers carry ER content, so no span needs hiding.

14. Monitoring

# Description Result Comments
14.1 The section is derived from the ER Monitoring section 🟢 Sourced from the ER Monitoring Protocol & Defining Success biomarker table (ER lines 438–448).
14.2 All measurable/quantifiable biomarkers from the Monitoring section are listed 🟢 All nine ER rows present with targets verbatim: ALT, AST, homocysteine, fasting glucose, HbA1c, eGFR, serum phosphate, fasting insulin, dermatological lesion count.
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. 🟢 Reproduces the ER’s cadence paragraph: liver enzymes and homocysteine at baseline, 3 months, then annually; kidney and glucose markers annually; dermatological review every 6 months.

15. Qualitative Assessment

# Description Result Comments
15.1 The section is derived from the ER Monitoring section 🟢 Sourced from the ER’s “Qualitative markers worth tracking alongside the laboratory values” list (ER lines 452–456).
15.2 All subjective/qualitative biomarkers from the Monitoring section are listed 🟢 All five present in ER order: gastrointestinal comfort, skin barrier feel, visible skin appearance, afternoon energy, absence of new acne lesions.

Issues 26/08/2026 11:44

Pass rate 100.00%. No issues found.

Issues 26/08/2026 11:36

  1. 11.4 — Time-to-effect sub-line mismatched: QRS line 525 sets [time_3_sub] to “Blood NAD⁺ plateaus at about two weeks” under the label “Topical appearance changes” and the value “8–12 weeks”; the sub-line is a separate clause of the ER Practical Considerations bullet (ER 408) and does not describe its own cell.

Fixes 26/08/2026 11:36

  1. 11.4 — Time-to-effect sub-line mismatched: Replaced [time_3_sub] “Blood NAD⁺ plateaus at about two weeks” with “Barrier and pigment effects reverse over roughly the same period after stopping”, so the sub-line describes its own cell (“Topical appearance changes”, 8–12 weeks) and is drawn from the ER Discontinuation & Cycling topical bullet.