Derivation Web

claim_4e39b5ed4b1b4f0d

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

source_c49b63f2c9534e94

# Research Synthesis: Metformin Treatment Effects — full paper

## Abstract

Evidence scope: 18/33 retained sources are indirect, review-level, adjacent, or mechanistic and are used only to bound interpretation [exact source: https://doi.org/10.4093/dmj.2023.0259]. The conclusion therefore does not support broad causal, clinical, or policy claims (evidence anchor: Park 2024 [bundle:2]) [exact sour…