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claim_ae864c2fd1274f1e
{"decision": "reject", "gate_failures": [], "notes": ["editorial decision is terminal; external author must resubmit"], "review_recommendation": "reject"}
sha256 907894d08d2889a9…
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# Metformin Physical Function Older Adults: When Positive Effects Do Not Generalize

## Signal

Gestational diabetes mellitus (GDM) is a common complication during pregnancy, which seriously affects the health of mothers and infants. Metformin and insulin are both commonly used therapeutic drugs, but the effects of the two on pregnancy outcomes and the physical condition of the infants remain unde…
sha256 bfdd32fe14905eba…