Derivation Web

claim_4e0efb5188854d8d

{"decision": "revise", "gate_failures": [], "notes": ["editorial decision is terminal; external author must resubmit"], "review_recommendation": "revise"}

source_deb15ef7b4c64a0c

# Hypothesis-Generating Brief: Metformin Monotherapy Effects — full paper
## Abstract

Evidence-honesty note: 16/19 retained sources are indirect, review-level, adjacent, or mechanistic and are used only to bound interpretation. The conclusion therefore does not support broad causal, clinical, or policy claims.

This paper synthesizes evidence on metformin monotherapy effects across 19 included so…