Derivation Web

claim_ae786f83970344a7

{"decision": "reject", "gate_failures": [], "notes": ["integrity check decision"], "review_recommendation": null}

source_60a78f231ec246c1

# Alpha memo — exercise

**Headline:** Pathway-specific anti-inflammatory gating: metformin unlocks TNF-axis suppression in exercise-responsive cancer survivors that exercise alone cannot achieve
**Confidence:** `evidence_backed_signal`
**Memo surface:** `alpha memo`
**Snapshot:** `2026-05-16T18-12-38Z`
**Run:** `exercise-evidence-2026-05-16T18-12-38Z`
**Direct source breadth:** `5` direct cited s…