Audit: QRS - sh-Polypeptide-4 for Hair Regrowth

Audit conducted on 24/08/2026 04:11 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 values, time-to-effect values, tier items, gate items, biomarker targets and cadence trace to ER Therapeutic Protocol, Practical Considerations, Discontinuation & Cycling, Expected Benefits, Potential Risks & Side Effects, Key Interactions & Contraindications 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. 🟢 “No validated protocol”, “No effect demonstrated, so no time course exists”, “None established”, “No established target” all mirror the ER wording.
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 remain absolutes; the benefit is kept bounded by “within multi-factor preparations”.
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. 🟢 Gates come only from Key Interactions & Contraindications; no modifying factor is promoted into a gate or risk tier.
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 IDs or brand names appear; drug names (imatinib, minoxidil, cetirizine, etc.) all appear in the ER interaction bullets.
1.6 The QRS does not introduce new attributions. 🟢 No attributions present.

2. Focus, Tone & Audience

# Description Result Comments
2.1 The QRS follows the tone of the ER, which is determined by the ER’s own language, phrasing, and framing. 🟢 Same restrained, evidence-bounded register and British spelling as the ER.
2.2 The tone of the QRS is simultaneously expert, accessible, objective, and data-driven, but also empowering and encouraging 🟢 Presents thresholds and measurable endpoints without hedging or discouraging language.
2.3 The QRS reads as a trusted, knowledgeable guide rather than a prescriptive doctor 🟢 Protocol cells describe what protocols do, not what the reader must do.
2.4 The QRS avoids language that implies medical or clinical advice 🟢 Descriptive framing throughout (“in most protocols”, “usual trial threshold”).
2.5 The QRS “presents information” instead of “providing guidance”, “recommending”, or “advising” 🟢 No recommending verbs present.
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 are confined to decision gates and biomarkers where they are load-bearing.
2.8 Information is presented in a concise and very compact manner 🟢 Every field is a condensed clause or short sentence pair.
2.9 It DOES NOT address the reader directly 🟢 Confirmed by full-text scan for “you”/”your”/”we”.
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. 🟢 Optimal functional ranges and trichoscopic endpoints assume a proactive, measurement-driven 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 dosing over 6-12 months, 4-weekly standardised photography and a seven-marker panel are presented without softening.
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 to a general-population reading level.
2.13 Framing, takeaways, and risk/benefit weighting throughout the document reflect this audience, including where an intervention’s signal for the average person differs from its signal for this audience. 🟢 At-A-Glance foregrounds the delivery-barrier and funding-bias issues that matter to a discerning self-directed user.
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 term “anti-aging” does not occur.
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. 🟢 “Mast-cell activation”, “urticarial skin reactions”, “contact sensitisation”, “hyperpigmentation” used throughout.

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 headings, gate heads, tier labels and column headers are byte-identical to the template.
3.2 All “…” from the [qrs_template] are present in the the QRS. 🟢 All 34 template spans present; the repeatable marker_#_* and qualitative_item_# spans are expanded to 7 marker rows and 5 qualitative items.
3.3 Spans that are not addressed in a checklist item are left unchanged 🟢 A full diff against the template shows changes only inside variable spans; head, style block, website="…" spans, comments and footer 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 source ER section drawn on by the QRS is empty; absent benefit/risk tiers are handled under 12.5 / 13.5.
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. 🟢 “Conventional approach”, “Procedural approach”, “Baseline biomarkers”, “Time to effect”, “Duration”, “Post-discontinuation shedding” all match the ER bold labels verbatim.
4.3 Labels are not paraphrased, abbreviated, or invented. 🟢 No invented labels; monitoring row labels match the ER biomarker table entries.
4.4 The QRS DOES NOT use emoji indicators (no 🟩, 🟥, 🟨, etc.). Color and emphasis are conveyed through CSS and bold labels. 🟢 Full-text scan returns no emoji characters.
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. 🟢 Section budgets respected: 3 protocol cells, 3 time cells, 6 contraindications, 8 interactions, 7 marker rows, 5 qualitative items, all as single condensed clauses.

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, immediately after the doctype and before the template comment on 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 “—” line 3, closing “—” line 13.
5.3 The metadata is not visible in any rendered view of the QRS and is not surfaced by any other element on the sheet. 🟢 Contained entirely within the HTML comment; no duplicate rendering elsewhere.
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: "00:02" is quoted, correctly, because it contains a colon.
5.5 The filename of the source ER is stated as “er_filename: [er_filename]” 🟢 er_filename: sh_polypeptide_4_hair_2026-0824-0218_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 matches the QRS.md badge version.
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: 2026-0824-0342.
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) 🟢 “Opus” — single word, no version.
5.10 The full name of the AI used to create the document is stated as “qrs_creator_ai_fullname: [qrs_creator_ai_fullname]” 🟢 qrs_creator_ai_fullname: Opus 5.
5.11 The full name of the AI consists of the [qrs_creator_ai_nickname] and the model version number and no additional qualifier (e.g., Opus 4.6, Sonnet 3.2, Grok 4.5, Gemini 3.1, ChatGPT 5.4) 🟢 “Opus 5” — nickname plus version, no qualifier.
5.12 The filename of the document is stated as “qrs_filename: [filename of this document]” 🟢 qrs_filename: sh_polypeptide_4_hair_2026-0824-0218_Opus_QRS.html 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 nine keys; no stray whitespace or unnecessary quoting.

6. Page Title & Header

# Description Result Comments
6.1 [page_title] is set to the [canonical_topic] of the ER frontmatter followed by “ - Quick Reference Sheet” (e.g., “Intervention - Quick Reference Sheet”). The [canonical_topic] is HTML-entity-encoded as needed (e.g., &amp; for &) 🟢 “sh-Polypeptide-4 for Hair Regrowth - Quick Reference Sheet”; no characters requiring entity encoding.
6.2 [header_topic] is set to the [canonical_topic] of the ER frontmatter, with HTML entities encoded as needed (e.g., &amp; for &) 🟢 “sh-Polypeptide-4 for Hair Regrowth” (line 417) matches canonical_topic.
6.3 [header_subline_date] is set to [qrs_creation_date reformatted as MM/DD/YYYY] 🟢 2026-0824-0342 → “08/24/2026”.
6.4 [header_subline_model] is set to [qrs_creator_ai_fullname] 🟢 “Opus 5”.
6.5 No additional header content appears: no badge, version stamp, AKA / alternate names line, source-AI attribution, audit date, or QRS variant marker. 🟢 Header contains only the title and the template subline; the ER’s “Also known as” list was 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 🟢 Condenses all four Conclusion paragraphs: what it is, the colour-vs-thickness limit, the absent single-agent evidence, the barrier problem and the funding bias.
7.2 [at_a_glance] is no longer than 60 words 🟢 56 words.
7.3 Every fact in [at_a_glance] is supported by a distinct passage in the ER. 🟢 Each clause maps to a distinct Conclusion sentence (ER lines 417-421).
7.4 It DOES NOT use acronyms or technical classifications that require specialist knowledge, uses plain-language terms instead 🟢 “laboratory-made copy of a natural human signalling protein” replaces “recombinant”; no acronyms, no kDa figure, no KIT terminology.
7.5 It DOES NOT cite specific trials (names, years, sample sizes, p-values) 🟢 No trial named or referenced.
7.6 It DOES NOT cite effect sizes, relative risks, or statistical results 🟢 No numbers appear.

8. Contraindications

# Description Result Comments
8.1 The section is derived from the ER Key Interactions & Contraindications section 🟢 Drawn from the ER’s “Populations who should avoid sh-Polypeptide-4” list (ER lines 269-276).
8.2 [stop_items] represent the Contraindications from the ER 🟢 All six ER avoid-populations are present, none added.
8.3 Individual [stop_items] are formatted as <li></li> 🟢 Six <li> elements inside the stop_items span (lines 570-577).
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 (“…, where no exposure data of any kind exist” → “Pregnancy and lactation”); no dashes carrying trailing clauses.
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). 🟢 “above 20 ng/mL”, “five or more atypical moles on the scalp or neck”, “more than standard-dose antihistamines”, “in the active inflammatory phase” 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. N/A The ER contraindication list uses no ranking notation.
8.7 The section is left empty ONLY IF the ER’s Key Interactions & Contraindications section identifies no population, condition, or scenario for which the intervention should be avoided, deferred, or used only under specialist supervision. 🟢 The ER identifies six such populations and the section is correspondingly populated.
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 🟢 Drawn from the eight ER interaction bullets (ER lines 253-267).
9.2 [caution_items] represent the Key Interactions from the ER, excluding any that are already listed as Contraindications 🟢 All eight interactions present; none duplicates a contraindication.
9.3 Individual [caution_items] are formatted as <li></li> 🟢 Eight <li> elements inside the caution_items span (lines 583-592).
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 notes and mechanistic rationale from each ER bullet are stripped; only the agent/exposure name remains.
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 retained for KIT inhibitors, corticosteroids, antihistamines, retinoids, plus “(PRP)” and “(GHK-Cu)”.
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 interaction bullets use no ranking notation.
9.7 The section is left empty ONLY IF the ER’s Key Interactions & Contraindications section identifies no interaction, additive effect, or exposure that changes how the intervention is used. 🟢 The ER identifies eight interactions and the section is correspondingly populated.
9.8 If the section is left empty, an HTML comment inside the [caution_items] span records the ER basis for the absence, naming or quoting the ER text relied on. E.g. N/A The section is not empty.

10. Protocol

# Description Result Comments
10.1 The section is derived from the ER Protocol section 🟢 All three cells trace to the ER Therapeutic Protocol bullets (ER lines 296-318).
10.2 The three sets of [action] items cover the three most important actionable implementation aspects from the ER Protocol section 🟢 Conventional route, procedural route and baseline-biomarker correction are the only three bullets that specify an executable action.
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 and 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; “1-2 mL twice daily”, “3-6 sessions, 2-6 weeks apart” and “Corrected first” all match ER text.

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 🟢 Time to effect (Practical Considerations), Duration and Post-discontinuation shedding (Discontinuation & Cycling) are the ER’s only temporal bullets.
11.2 The sets are picked and ordered by the magnitude of the related benefit 🟢 Ordered onset → maintenance → withdrawal, matching the ER’s own sequencing of the (undemonstrated) 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 and 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; “None established”, “Indefinite” and “3-4 months” all trace to ER text.
11.5 If the ER does not provide any information on time to effect, the section is removed completely from the Protocol Panel N/A The ER provides time-to-effect information, so the section is correctly retained.

12. Benefits

# Description Result Comments
12.1 The section is derived from the ER Expected Benefits section 🟢 Both entries reproduce ER benefit sub-headings (ER lines 157, 165, 169).
12.2 Key variables are [benefits_high], [benefits_medium], [benefits_low], [benefits_speculative] 🟢 All four spans present in the Benefits card.
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. 🟢 The 14.93 hairs/cm² and 57.1 hairs/cm² magnitudes and the risk-of-bias commentary are all omitted.
12.4 Parenthetical content — including effect sizes, sample notes, mechanistic hints, and example studies — is stripped, NOT preserved. 🟢 No parenthetical content in either benefit item.
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 has no High or Medium benefit; both spans carry style="display: none" with no empty-state text (lines 544, 547).

13. Risks

# Description Result Comments
13.1 The section is derived from the ER Potential Risks & Side Effects section 🟢 All six entries reproduce ER risk sub-headings (ER lines 201, 207, 215, 221, 229, 233).
13.2 Key variables are [risks_high], [risks_medium], [risks_low], [risks_speculative] 🟢 All four spans present in the Risks card.
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. 🟢 The 10-patient phase I details, the 50% hyperpigmentation incidence and the minoxidil mean difference are all omitted.
13.4 Parenthetical content — including frequencies, severity grades, sample notes, mechanistic hints, and example studies — is stripped, NOT preserved. 🟢 No parenthetical content in any risk item.
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. 🟢 The ER has no High risk; the span carries style="display: none" with no empty-state text (line 603).

14. Monitoring

# Description Result Comments
14.1 The section is derived from the ER Monitoring section 🟢 All rows come from the ER Monitoring Protocol & Defining Success biomarker table (ER lines 379-387).
14.2 All measurable/quantifiable biomarkers from the Monitoring section are listed 🟢 All seven ER biomarkers present: total hair density, terminal-to-vellus ratio, ferritin, 25-hydroxyvitamin D, TSH, serum zinc, serum total tryptase.
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. 🟢 “Baseline, then 3, 6 and 12 months; scalp photographs every 4 weeks during the first 3 months; deficiency panel repeated at 6 months if abnormal at baseline and annually thereafter.” matches ER line 377.

15. Qualitative Assessment

# Description Result Comments
15.1 The section is derived from the ER Monitoring section 🟢 Taken from the ER’s “Qualitative markers worth tracking alongside the numbers” list (ER lines 391-395).
15.2 All subjective/qualitative biomarkers from the Monitoring section are listed 🟢 All five ER qualitative markers present and verbatim.

Issues 24/08/2026 04:11

Pass rate 100.00%. No issues found.

Issues 24/08/2026 04:03

  1. 1.3 — Baseline-biomarker hedge dropped: [action_3_value] “Corrected first” (line 480) and [action_3_sub] (lines 484-486) drop the ER’s “in most protocols” qualifier (ER line 316), turning a description of common practice into an unqualified requirement.
  2. 2.8 / 4.5 — Free-text cells exceed compact budget: [time_1_sub] (175 characters, lines 503-507), [action_1_sub] (124 characters, lines 455-458), [action_3_sub] (122 characters, lines 483-486) and [marker_1_target] (79 characters, lines 645-648) were carried over near-verbatim from the ER instead of being condensed, pushing the sheet past the single-A4-page budget.

Fixes 24/08/2026 04:03

  1. 1.3 — Baseline-biomarker hedge restored: [action_3_sub] now reads “Ferritin, vitamin D and thyroid function in most protocols, since deficiency otherwise masks any topical effect”, restoring the ER’s “in most protocols” qualifier that had been dropped.
  2. 2.8 / 4.5 — Time-to-effect sub condensed: [time_1_sub] shortened from 175 to 136 characters (“No effect demonstrated, so no time course exists; growth-factor trials showed density changes at 3-6 months, full assessment at 12 months”).
  3. 2.8 / 4.5 — Conventional-approach sub condensed: [action_1_sub] shortened from 142 to 119 characters by dropping the redundant “continued for” and “exists” clauses while keeping the 6-12 month window.
  4. 2.8 / 4.5 — Hair-density target condensed: [marker_1_target] shortened to “No established target; usual trial threshold is a gain of 10 or more hairs/cm² from baseline”, which also repairs the dangling “from own baseline”.

Issues 24/08/2026 03:55

  1. 1.3 — Time-to-effect value overstated: [time_1_value] at line 500 headlines “3-6 months” for “Time to effect”, strengthening the ER’s “No effect has been demonstrated, so no time course exists” (ER line 351), where 3-6 months is offered only as a growth-factor-class guide.

Fixes 24/08/2026 03:55

  1. 1.3 — Time-to-effect value overstated: [time_1_value] changed from “3-6 months” to “None established”, and [time_1_sub] reworded to carry the 3-6 month figure explicitly as the growth-factor-class guide, matching the ER’s “no time course exists”.

Issues 24/08/2026 03:48

  1. 1.2 / 1.3 — Dropped “no established target” caution: [marker_1_target] (line 646) asserts “Gain of 10 or more hairs/cm² from own baseline”, while the ER’s biomarker table (line 387) states “No established target exists for this intervention” and frames the figure only as “the usual trial-level threshold”; the QRS drops the ER’s cautious phrasing and strengthens it into a stated target.

Fixes 24/08/2026 03:48

  1. 1.2 / 1.3 — Restored “no established target” caution: [marker_1_target] changed from “Gain of 10 or more hairs/cm² from own baseline” to “No established target; usual trial-level threshold is a gain of 10 or more hairs/cm² from own baseline”, matching the ER’s cautious phrasing at line 387.