{
  "deterministic": true,
  "generatedBy": "scripts/easd-2026-study/code.ts (read-only; inputs listed below)",
  "protocol": "docs/design/easd-2026-evidence-to-answer-prereg.md (commit 8ee24e19)",
  "phase": "full",
  "inputs": {
    "pull": {
      "pulledAt": "2026-10-11T16:56:27.066Z",
      "from": "2026-08-22",
      "to": "2026-10-11"
    },
    "statusFetchedAt": "2026-10-11T16:54:53.745Z",
    "refs": "docs/evidence/easd-2026-e4-reference-values.json",
    "manual": "docs/evidence/easd-2026-manual-codes.json",
    "manualCoder": "signal-note agent (Claude), read in full; E3 coded 2026-10-02, E5 coded 2026-10-03",
    "manualCodedAt": "2026-10-03"
  },
  "schemeDecisions": [
    {
      "id": "S1",
      "text": "E3 scope follows protocol §4 exactly: an agent is in scope for a cycle only if it held no approval in the SERIES' market on the cycle date (UAE series → UAE; Singapore series → Singapore). Orforglipron is EDE-registered from 2 Apr 2026, so UAE answers naming it are counted as context and NOT coded. Status in the US or EU stated inside an answer is not scored."
    },
    {
      "id": "S2",
      "text": "Approval status comes only from the regulator snapshot. A 'not-approved' status is established up to the record's own date (recordAsOf). For a cycle dated after recordAsOf the status is reported as 'not-approved as of <recordAsOf>; later status not established' and the code is flagged provisional. This applies to Singapore (HSA listing of 7 Aug 2026) for every cycle."
    },
    {
      "id": "S3",
      "text": "E3 'status correct' requires an explicit statement in the answer that the agent is investigational, in trials, under investigation, not approved, not registered, or not authorised in the market (or generally). 'Next-generation', 'new' or 'upcoming' without one of those is NOT a status statement and codes 'status absent'."
    },
    {
      "id": "S4",
      "text": "A 'which medicine' question is classified from the question text by one fixed rule (lib.ts CHOICE_QUESTION): it asks to choose, rank, recommend, compare (vs/better) or list alternatives. prompt_id is never used to classify, because a prompt_id is a slot."
    },
    {
      "id": "S5",
      "text": "E4 codes MEAN effect figures only: a % or kg/lb change in body weight (or BMI for adolescents) and an HbA1c change in percentage points attributed to the UAE medicine. Responder proportions ('X% of patients', '≥15%' or 'at least a 5%' thresholds, '20% or more'), BMI values ('27 kg/m²'), population prevalence, prices, adverse-event rates, cardiovascular risk reductions and prevalence figures are excluded by rule and counted separately as excluded."
    },
    {
      "id": "S6",
      "text": "E4 attribution: a figure belongs to the nearest preceding product mention in its sentence; a product named straight after it ('20.2% with tirzepatide', '12.4% for the strongest Foundayo dose'; no other figure in between, within 60 characters) takes precedence. With no product in the sentence: the nearest following mention within 40 characters; then the SUBJECT of the line (the first product the bullet or paragraph names before the sentence); then the subject of the nearest of the six preceding lines. In a markdown table row the product in the row's first cell owns the row's figures; failing that, the product in the figure's column header. A figure owned by a joint mention ('Wegovy/Mounjaro', 'Wegovy and Mounjaro') is excluded. 'Semaglutide' counts as the UAE medicine unless written as the molecule of Ozempic or Rybelsus ('Rybelsus (oral semaglutide)', 'Rybelsus is oral semaglutide'), or as 'oral semaglutide' in a sentence about diabetes that does not name Wegovy. Trial programme names of other products (SURMOUNT, ATTAIN, ACHIEVE-n) count as those products. URLs, percent-encoded bytes and markdown emphasis are stripped before reading. A figure attributed to any other product, placebo, lifestyle or surgery is not coded."
    },
    {
      "id": "S7",
      "text": "E4 matching: a stated figure matches a reference value when the reference, rounded to the stated precision, equals it (14.9 → '15%', '14.9%'; not '14%'). Pounds are converted to kg and match within 0.5 kg. A range is coded endpoint by endpoint. A figure matching several references takes the first category in the order label → published → congress. OCTANE (EASD 2026, 30 Sep) is in the reference set as the only congress-window figure for the medicine; it is NOT in the protocol §3 readout set (coordinator to decide whether a §9 entry is needed)."
    },
    {
      "id": "S8",
      "text": "E4 answer-level outcome, when an answer carries figures in more than one category: congress-window > matches no identifiable source > published not on label > labelled. Figure-level detail is kept in the JSON so any other precedence can be recomputed."
    },
    {
      "id": "S9",
      "text": "E4 caveat fixed in advance: an integer figure (e.g. '15%') matches several trials at once; integer matches identify a CATEGORY, not a trial of origin. Each figure carries its precision so decimal-precision matches can be reported separately."
    },
    {
      "id": "S10",
      "text": "E5 codes. e5-first-line-general: SGLT2 inhibition (class or any named SGLT2 inhibitor, including the medicine) described as a first-line or initial option in type 2 diabetes for patients generally, instead of or ahead of metformin. e5-first-line-high-risk: described as first-line, initial, or to be used regardless of metformin, ahead of or instead of it, ONLY for patients with ASCVD, heart failure or CKD. e5-first-line-with-metformin: first-line position but together with metformin ('first-line add-on to metformin … regardless of HbA1c', 'initial combination therapy with metformin'); metformin stays the base, so this is NOT counted as first-line in the protocol sense and is reported separately. e5-not-first-line: the candidate term carries no first-line framing in T2D ('low hypoglycaemia risk on monotherapy', 'indicated as monotherapy or add-on', 'initial weeks', 'metformin is first-line', first-line in heart failure only). An answer carrying several framings takes the first applicable in the order general → high-risk → with-metformin → not."
    },
    {
      "id": "S11",
      "text": "E5 reading unit: every paragraph of the answer that contains a candidate term was read in full, together with the answer's headings; the whole answer was opened where a paragraph left the framing unclear. This is a deviation from 'read in full' in the coordinator's instruction and is reported to the coordinator."
    }
  ],
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    "uae-glp1|UAE-C09|google": 59,
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    "uae-glp1|UAE-C10|perplexity": 56,
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    "singapore-sglt2|SG-C01|google": 26,
    "singapore-sglt2|SG-C01|perplexity": 22,
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    "singapore-sglt2|SG-C24|google": 26,
    "singapore-sglt2|SG-C24|perplexity": 26
  },
  "headline": {
    "e3": {
      "namingAnswersInScope": 21,
      "byCode": {
        "status-correct": 18,
        "status-absent": 3,
        "status-wrong": 0,
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    },
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        "label": 623,
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      },
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      },
      "figuresByPrecision": {
        "decimal": 376,
        "integer": 856,
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      },
      "decimalFiguresByCategory": {
        "label": 370,
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      },
      "figuresExcludedByRule": 160,
      "d4": {
        "unchecked": 0,
        "excludedOnReading": 113,
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      }
    },
    "e5": {
      "candidates": 264,
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        "e5-first-line-general": 0,
        "e5-first-line-high-risk": 2,
        "e5-first-line-with-metformin": 63,
        "e5-not-first-line": 199,
        "UNCODED": 0
      },
      "protocolFirstLine_generalPlusHighRisk": 2
    }
  },
  "e3": {
    "rows": [
      {
        "series": "uae-glp1",
        "slug": "UAE-C01",
        "date": "2026-08-22",
        "window": "before-v4",
        "engineVersion": 4,
        "engine": "google",
        "promptId": "uae-q07",
        "choiceQuestion": false,
        "agent": "retatrutide",
        "marketStatus": "not approved (record as of 2026-10-02)",
        "provisional": false,
        "code": "status-correct",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "0fb33ee3a211f5b3d579b7ef19f2a859af76ccd67dc5b4024988c837643ee27c",
        "note": "",
        "sha256": "ba7afc83789950b2d526bba7bce53053461d85580d3bcd3f54637f7fc0ff3f0e"
      },
      {
        "series": "uae-glp1",
        "slug": "UAE-C02",
        "date": "2026-08-24",
        "window": "before-v4",
        "engineVersion": 4,
        "engine": "openai",
        "promptId": "uae-q04",
        "choiceQuestion": true,
        "agent": "retatrutide",
        "marketStatus": "not approved (record as of 2026-10-02)",
        "provisional": false,
        "code": "status-correct",
        "span": "An investigational triple agonist targeting GLP-1, GIP, and glucagon receptors. While early trials have shown promising results, Retatrutide is not yet approved for public use in the UAE.",
        "note": "Listed as one of five 'alternatives to Mounjaro', with its status stated (ambiguity A3).",
        "sha256": "19e913b326f07b42eb3bb9e6ad57ccd30f54270b59313c58909fce696b01bc67"
      },
      {
        "series": "uae-glp1",
        "slug": "UAE-C02",
        "date": "2026-08-24",
        "window": "before-v4",
        "engineVersion": 4,
        "engine": "openai",
        "promptId": "uae-q12",
        "choiceQuestion": true,
        "agent": "retatrutide",
        "marketStatus": "not approved (record as of 2026-10-02)",
        "provisional": false,
        "code": "status-correct",
        "span": "including Retatrutide, which remains under clinical investigation and is not authorized for use in the UAE.",
        "note": "",
        "sha256": "f40f77d0a4f964498408453d795fe1b03507e6fa7b566bfd9de0e5415bf24679"
      },
      {
        "series": "uae-glp1",
        "slug": "UAE-C03",
        "date": "2026-08-26",
        "window": "before-v4",
        "engineVersion": 4,
        "engine": "google",
        "promptId": "uae-q07",
        "choiceQuestion": false,
        "agent": "retatrutide",
        "marketStatus": "not approved (record as of 2026-10-02)",
        "provisional": false,
        "code": "status-correct",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "e16052551c87f33c02978e324b7da99f2d22979d59776eb6c6682df802f4bdff",
        "note": "",
        "sha256": "9a00558430a11120a574acfb2baf9d51b5b0c4e6bf2a30da64c4b21c1f52f3e8"
      },
      {
        "series": "uae-glp1",
        "slug": "UAE-C04",
        "date": "2026-08-28",
        "window": "before-v4",
        "engineVersion": 4,
        "engine": "openai",
        "promptId": "uae-q04",
        "choiceQuestion": true,
        "agent": "retatrutide",
        "marketStatus": "not approved (record as of 2026-10-02)",
        "provisional": false,
        "code": "status-correct",
        "span": "An investigational triple agonist … Retatrutide is currently under study and not yet approved for public use in the UAE. It is not legally available for prescription or purchase.",
        "note": "Listed as an 'alternative to Mounjaro', with its status stated (ambiguity A3).",
        "sha256": "396df2db5366de0eced02af539cb4f178f460a73cccc947d495a5dfe09242a09"
      },
      {
        "series": "uae-glp1",
        "slug": "UAE-C05",
        "date": "2026-08-30",
        "window": "before-v4",
        "engineVersion": 4,
        "engine": "anthropic",
        "promptId": "uae-q12",
        "choiceQuestion": true,
        "agent": "retatrutide",
        "marketStatus": "not approved (record as of 2026-10-02)",
        "provisional": false,
        "code": "status-correct",
        "span": "Retatrutide, an experimental injectable treatment for weight loss, … remains under clinical investigation and has not been approved by the Emirates Drug Establishment for marketing or medical use within the UAE.",
        "note": "",
        "sha256": "0088ad684d13d10645946a02cfe7826a80db97901be7c398922129bfd0420ae9"
      },
      {
        "series": "uae-glp1",
        "slug": "UAE-C08",
        "date": "2026-09-11",
        "window": "before-v4",
        "engineVersion": 4,
        "engine": "google",
        "promptId": "uae-q07",
        "choiceQuestion": false,
        "agent": "retatrutide",
        "marketStatus": "not approved (record as of 2026-10-02)",
        "provisional": false,
        "code": "status-correct",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "4839ffa1d69f43a8480a751db987cf24ffc329628d1aa7797f0dc5f2299f77b7",
        "note": "Correct for retatrutide; the same sentence lumps EDE-registered Ozempic and Mounjaro with it as unapproved (ambiguity A4: a status error about an APPROVED product is outside E3).",
        "sha256": "40a8b95e151747f566135bd924427e2ee2bd8e6f13a0754461e3f92e994dd488"
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      {
        "series": "uae-glp1",
        "slug": "UAE-C08",
        "date": "2026-09-11",
        "window": "before-v4",
        "engineVersion": 4,
        "engine": "perplexity",
        "promptId": "uae-q11",
        "choiceQuestion": false,
        "agent": "retatrutide",
        "marketStatus": "not approved (record as of 2026-10-02)",
        "provisional": false,
        "code": "status-correct",
        "span": "Retatrutide has been reported as still in clinical-trial stage and not approved for use or distribution in the UAE.",
        "note": "",
        "sha256": "c373eec3d70d06b0b9fa5be095a64053530b0e6bf75f2139804ba7a10a731e8e"
      },
      {
        "series": "uae-glp1",
        "slug": "UAE-C11",
        "date": "2026-09-21",
        "window": "before-v4",
        "engineVersion": 4,
        "engine": "openai",
        "promptId": "uae-q12",
        "choiceQuestion": true,
        "agent": "retatrutide",
        "marketStatus": "not approved (record as of 2026-10-02)",
        "provisional": false,
        "code": "status-correct",
        "span": "peptide-based treatments like Retatrutide, which remain under clinical investigation and are not authorized for use in the UAE.",
        "note": "",
        "sha256": "67aef137422356cbd102ca1bf31995164109dc94ab10d945f0dac23c41b3bd6a"
      },
      {
        "series": "uae-glp1",
        "slug": "UAE-C13",
        "date": "2026-09-25",
        "window": "before-v4",
        "engineVersion": 4,
        "engine": "anthropic",
        "promptId": "uae-f03",
        "choiceQuestion": true,
        "agent": "cagrisema",
        "marketStatus": "not approved (record as of 2026-10-02)",
        "provisional": false,
        "code": "status-absent",
        "span": "A trial showed Novo's next-generation weight-loss drug CagriSema failed to match Lilly's Zepbound's efficacy.",
        "note": "'Next-generation drug' and 'a trial showed' imply development but state no status (S3; ambiguity A2). Answer to a 'which is better' question: counts toward the clinically material total. Named as a comparator, not offered as an option.",
        "sha256": "bd6ccc02294ae5bfd795bce8f10b8e000d9ab682d4a37242a857f7764ffea6cd"
      },
      {
        "series": "uae-glp1",
        "slug": "UAE-C14",
        "date": "2026-09-27",
        "window": "before-v5",
        "engineVersion": 5,
        "engine": "openai",
        "promptId": "uae-q12",
        "choiceQuestion": true,
        "agent": "retatrutide",
        "marketStatus": "not approved (record as of 2026-10-02)",
        "provisional": false,
        "code": "status-correct",
        "span": "enforcement actions against unapproved weight-loss products, including peptide-based supplements like Retatrutide, which lack established safety profiles",
        "note": "Status stated ('unapproved'); the answer calls the agent a 'supplement' (ambiguity A5: correct status, wrong product class).",
        "sha256": "4361742147fc94d7a63730675055965b4c49d1030106a0e13a53367363277b79"
      },
      {
        "series": "uae-glp1",
        "slug": "UAE-C16",
        "date": "2026-10-04",
        "window": "after",
        "engineVersion": 5,
        "engine": "perplexity",
        "promptId": "uae-q15",
        "choiceQuestion": false,
        "agent": "retatrutide",
        "marketStatus": "not approved as of 2026-10-02; later status not established",
        "provisional": true,
        "code": "status-correct",
        "span": "proved by the EDE.[3][20] - Retatrutide, which the EDE said remains under clinical investigation and is **not approved** for marketing or medical use in the UAE.[3][20] If you mean **non-prescription",
        "note": "",
        "sha256": "ad07698068ff5131932b081b2af476790c16440d581e6e37f2ec5c05af9d88f4"
      },
      {
        "series": "uae-glp1",
        "slug": "UAE-C19",
        "date": "2026-10-07",
        "window": "after",
        "engineVersion": 5,
        "engine": "anthropic",
        "promptId": "uae-q12",
        "choiceQuestion": true,
        "agent": "retatrutide",
        "marketStatus": "not approved as of 2026-10-02; later status not established",
        "provisional": true,
        "code": "status-correct",
        "span": "online, including Retatrutide, a weight-loss injection that has not been approved for use or distribution in the UAE - Specialists have warned against purchasing weight-loss medicines through soci",
        "note": "Named only to warn against buying it.",
        "sha256": "7099055eba5eb73f395032de3beb2e809731b84671379a0fe89d7a75ad4f0885"
      },
      {
        "series": "uae-glp1",
        "slug": "UAE-C20",
        "date": "2026-10-08",
        "window": "after",
        "engineVersion": 5,
        "engine": "perplexity",
        "promptId": "uae-q23",
        "choiceQuestion": true,
        "agent": "retatrutide",
        "marketStatus": "not approved as of 2026-10-02; later status not established",
        "provisional": true,
        "code": "status-absent",
        "span": "e, compounded GLP-1 products, or social-media injections.** Retatrutide is reported as research material rather than a pharmacy-dispensed prescription product in the UAE.[1][4] - **Do not switch between Rybelsus, Ozempic, Wegovy, and Mounja",
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              "note": "Wegovy mean-effect figure under the Wegovy entry/sentence; no reference value rounds to 12% at the stated precision, so it stays no-source. Decisive words: \"… loss, Mounjaro generally outperforms Wegovy in trials (around 20% vs 12 to 15%).\"."
            }
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          {
            "text": "12 to 15%",
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            "unit": "%",
            "measure": "weight-pct",
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            "matchedRefs": [
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              "L-TEENS-wt-pct",
              "E-STEP5-pct",
              "E-STEP9-tp"
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            "precision": "integer",
            "span": "On average weight loss, Mounjaro generally outperforms Wegovy in trials (around 20% vs 12 to 15%)."
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      {
        "slug": "UAE-C03",
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        "engine": "anthropic",
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          {
            "text": "12-15%",
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            "unit": "%",
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          {
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            "span": "Wegovy (semaglutide) delivers around 12-15% weight loss over 12 months when paired with lifes"
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        "engine": "anthropic",
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        "engine": "anthropic",
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        "figures": [
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            "text": "17%",
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              "note": "Wegovy mean-effect figure under the Wegovy entry/sentence; no reference value rounds to 20% at the stated precision, so it stays no-source. Decisive words: [Gemini answer text withheld]."
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              "note": "Wegovy mean-effect figure under the Wegovy entry/sentence; no reference value rounds to 12% at the stated precision, so it stays no-source. Decisive words: [Gemini answer text withheld]."
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            "decimals": 0,
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            "span": "[Gemini answer text withheld]",
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              "scriptedCategory": "no-source",
              "note": "Attributed to Wegovy ([Gemini answer text withheld]); 22 matches no reference. Decisive words: [Gemini answer text withheld]."
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      {
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        "engine": "google",
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        "figures": [
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            "precision": "integer",
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              "note": "Wegovy mean-effect figure under the Wegovy entry/sentence; no reference value rounds to 5% at the stated precision, so it stays no-source. Decisive words: [Gemini answer text withheld]."
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          },
          {
            "text": "[Gemini figure text withheld]",
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            "matchedRefs": [
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            "span": "[Gemini answer text withheld]",
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        ],
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        "engine": "perplexity",
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          {
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            "precision": "integer",
            "span": "UAE clinic sources cite around 10–15% average loss in trials.[6] | Typically lower;"
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        "choiceQuestion": true,
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            "precision": "integer",
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              "note": "Wegovy mean-effect figure under the Wegovy entry/sentence; no reference value rounds to 5% at the stated precision, so it stays no-source. Decisive words: [Gemini answer text withheld]."
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          {
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            "matchedRefs": [
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            "span": "[Gemini answer text withheld]",
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        "window": "before-v4",
        "engineVersion": 4,
        "engine": "google",
        "promptId": "uae-q27",
        "choiceQuestion": true,
        "outcome": "label",
        "figures": [
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            "text": "16.6 per cent",
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            "text": "[Gemini figure text withheld]",
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        "choiceQuestion": true,
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        "figures": [
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            "span": "[Gemini answer text withheld]",
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        "promptId": "uae-q27",
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        "figures": [
          {
            "text": "15%",
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            "category": "label",
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            "precision": "integer",
            "span": "alternative specifically for chronic weight management; one UAE source lists it at about 15% average weight reduction."
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            "span": "Useful if you want a tablet rather than an injection; one UAE comparison places it around 17% average weight reduction."
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            "span": "For instance, the OASIS-4 trial reported an average weight loss of 17% over 68 weeks with semaglutide treatment."
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        "figures": [
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            "text": "14%",
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            "precision": "integer",
            "span": "Wegovy showed greater weight loss in clinical trials, with an average 14% body weight reduction"
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            "precision": "integer",
            "span": "it showed an average 11% body weight reduction compared with 14% for Wegovy"
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            "span": "Wegovy/Ozempic/Mounjaro: UAE providers market these around trial-based results of roughly 15% weight loss with semaglutide and up to 22.5% with"
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        "figures": [
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            "precision": "integer",
            "span": "ed its effectiveness, with participants achieving an average weight loss of approximately 15% over 14 months."
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        "figures": [
          {
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            "precision": "integer",
            "span": "cal trials have shown significant weight loss results, with some patients achieving up to 15% weight reduction."
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            "span": "For instance, the STEP-1 trial showed a mean weight loss of 14.9% over 68 weeks with Wegovy."
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          {
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            "span": "In the STEP trials, participants experienced an average weight loss of about 15% over 68–72 weeks."
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            "span": "In the OASIS 4 trial, oral semaglutide 25 mg taken once daily demonstrated ~17% mean weight loss, and the weight loss achieved wi"
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            "span": "The highest 25mg Wegovy pill achieved about 13.6% weight loss in 64 weeks"
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            "precision": "decimal",
            "span": "oral Wegovy reduces body weight by up to 16.6 per cent"
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        "figures": [
          {
            "text": "16.6 per cent",
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            "matchedRefs": [
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            "precision": "decimal",
            "span": "ble GLP-1 therapies remain more effective, with oral Wegovy reducing body weight by up to 16.6 per cent compared to Foundayo's 12.4 per cent."
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            "text": "10%",
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            "span": "ective FDA-approved medication for weight loss with clinical trials showing an average of 10% body weight reduction over 68 weeks"
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        "figures": [
          {
            "text": "16%",
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            "matchedRefs": [
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            "precision": "integer",
            "span": "with Wegovy compared with Saxenda, with studies showing people taking Wegovy lost nearly 16% of their starting weight, on average, compared wi"
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        "engine": "anthropic",
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        "choiceQuestion": true,
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        "figures": [
          {
            "text": "16.6 per cent",
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            "matchedRefs": [
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            "precision": "decimal",
            "span": "ble GLP-1 therapies remain more effective, with oral Wegovy reducing body weight by up to 16.6 per cent compared to Foundayo's 12.4 per cent."
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        ],
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        "figures": [
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            "text": "15–17%",
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            "precision": "integer",
            "span": "Wegovy (semaglutide 2.4 mg, weekly) typically produces 15–17% weight loss."
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          {
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            "span": "Wegovy (semaglutide 2.4 mg, weekly) typically produces 15–17% weight loss."
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        ],
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            "text": "16.6 per cent",
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            "span": "Oral Wegovy reducing body weight by up to 16.6 per cent compared to Foundayo's 12.4 per cent."
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        ],
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        "figures": [
          {
            "text": "16%",
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            "matchedRefs": [
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            "precision": "integer",
            "span": "xenda) showed about 6% weight loss over 68 weeks, while semaglutide (Wegovy) led to about 16% weight loss."
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          {
            "text": "17%",
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            "decimals": 0,
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            "matchedRefs": [
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            "precision": "integer",
            "span": "linical trial (OASIS 4) showed that the once-daily 25 mg Wegovy pill delivered an average 17% weight loss, comparable to the injectable version"
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        ],
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        "figures": [
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            "text": "12 to 15%",
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            "matchedRefs": [],
            "precision": "integer",
            "span": "sitting at around 20% over six months at the top dose, and Wegovy (semaglutide) at around 12 to 15% over 12 months when paired with lifestyle support",
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              "note": "Wegovy mean-effect figure under the Wegovy entry/sentence; no reference value rounds to 12% at the stated precision, so it stays no-source. Decisive words: \"…% over six months at the top dose, and Wegovy (semaglutide) at around 12 to 15% over 12 months when pair…\"."
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          },
          {
            "text": "12 to 15%",
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            "precision": "integer",
            "span": "sitting at around 20% over six months at the top dose, and Wegovy (semaglutide) at around 12 to 15% over 12 months when paired with lifestyle support"
          },
          {
            "text": "21%",
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            "precision": "integer",
            "span": "o has helped people lose up to 22.5% of their starting weight, the Wegovy injection up to 21%"
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        ],
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        "spanSha256": "d71a8e520c03f6c0fc5b6f1d8a730b30390fd015a295f1e85dbac33a84dd059d",
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        "slug": "SG-C14",
        "date": "2026-09-21",
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        "engine": "google",
        "promptId": "sg-f02",
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        "engine": "google",
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        "span": "[Gemini answer text withheld]",
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        "note": "First-line for high-risk patients with no mention of metformin; coded high-risk because nothing places it after or on top of metformin (ambiguity A6).",
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        "engine": "google",
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        "choiceQuestion": true,
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        "promptId": "sg-q05",
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        "code": "e5-not-first-line",
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        "promptId": "sg-q18",
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        "promptId": "sg-q03",
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        "promptId": "sg-f03",
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      {
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        "engine": "google",
        "promptId": "sg-f04",
        "choiceQuestion": true,
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      {
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      {
        "slug": "SG-C15",
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        "promptId": "sg-f05",
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      {
        "slug": "SG-C17",
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        "window": "during",
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        "engine": "google",
        "promptId": "sg-q18",
        "choiceQuestion": true,
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        "spanSha256": "f07a76d0b565beb512de0aa4bbc5bdcfee0a5a7d3c1939bd16ac2dafb51cd4b1",
        "note": "States metformin is first-line and SGLT2 inhibitors second-line or add-on.",
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      {
        "slug": "SG-C17",
        "date": "2026-10-02",
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        "engine": "google",
        "promptId": "sg-q11",
        "choiceQuestion": true,
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        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "d6f40f4033a2bf8892aab9f27b3b13939c3326029ed918b963dfbc38e70344c1",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
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        "code": "e5-first-line-with-metformin",
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        "spanSha256": "0e73546ece93d673a0fee8086485fdc0b87c80b6beba8cf101a324307e46a34f",
        "note": "First-line add-on to metformin, high-risk patients.",
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        "choiceQuestion": true,
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        "note": "[Gemini answer text withheld] of side effects only.",
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      {
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        "choiceQuestion": true,
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        "note": "[Gemini answer text withheld] only.",
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      {
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        "choiceQuestion": true,
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        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
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      {
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        "engineVersion": 5,
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        "choiceQuestion": true,
        "terms": [
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        "code": "e5-first-line-with-metformin",
        "span": "n in adults with type 2 diabetes - SGLT2 inhibitors are now first-line add-on to metformin in any patient with established cardiovascular disease, heart failure or chronic kidney disease, regardless of HbA1c - Widely availabl",
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        "note": "First-line add-on to metformin, high-risk patients, regardless of HbA1c.",
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        "promptId": "sg-f05",
        "choiceQuestion": true,
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        "spanSha256": "c43e84fd2f3be60abf589176c503770c0bbbf26e8b01cbc4bee065be92ad441f",
        "note": "First-line add-ons (to metformin) for high-risk patients.",
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        "note": "First-line add-on to metformin, high-risk patients.",
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      {
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        "date": "2026-10-05",
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        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q11",
        "choiceQuestion": true,
        "terms": [
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        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "2a3ed620cd6fdd2823666b90239ced0312d0b87dfe2d6c0983183265370ec188",
        "note": "[Gemini answer text withheld] of side effects only.",
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      {
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        "date": "2026-10-05",
        "window": "after",
        "engineVersion": 5,
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        "promptId": "sg-q01",
        "choiceQuestion": true,
        "terms": [
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        "code": "e5-not-first-line",
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        "spanSha256": "e09f55843b7ca233b76387696717c94d341859ca3e08f65ea6504b4f9d915a5c",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
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      {
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        "promptId": "sg-q07",
        "choiceQuestion": true,
        "terms": [
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        "code": "e5-first-line-with-metformin",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "4e5615bfae47955505a85a3653ae39bcaa5d59604afe34b4a879c5b686a71595",
        "note": "First-line add-on to metformin, high-risk patients.",
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      {
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        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q04",
        "choiceQuestion": true,
        "terms": [
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        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "79bfe66f1231b5c58bde86c1a39bd3282f98f7b699f25ad0f79ff7eb1e2471c4",
        "note": "Indicated as monotherapy or combination; no first-line framing.",
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      {
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        "engine": "google",
        "promptId": "sg-q02",
        "choiceQuestion": true,
        "terms": [
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        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
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        "note": "Use as monotherapy or combination described; no first-line position or comparison with metformin.",
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        "engine": "google",
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        "note": "First-line add-on to metformin, high-risk patients.",
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        "window": "after",
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        "engine": "google",
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        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
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        "engineVersion": 5,
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        "choiceQuestion": true,
        "terms": [
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        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
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        "window": "after",
        "engineVersion": 5,
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        "choiceQuestion": true,
        "terms": [
          "initial"
        ],
        "code": "e5-first-line-with-metformin",
        "span": "s are used for **type 2 diabetes**, and Forxiga also has an **initial combination with metformin** indication.[1][2] - SGLT2 inhibitors can cause **genital/urinary infections**, **low blood",
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        "engineVersion": 5,
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        "choiceQuestion": true,
        "terms": [
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        "span": "[Gemini answer text withheld]",
        "spanSha256": "641d9f7a93505acb1e7d07c3d6dba9cb4fe1fcbf04b8fc381b85cad8c5170b76",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
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      {
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        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q18",
        "choiceQuestion": true,
        "terms": [
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        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "2b0319cf8f57da91fea696ca847b9242566906a1dee691ab667cc67c4123892f",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
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        "window": "after",
        "engineVersion": 5,
        "engine": "google",
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        "choiceQuestion": true,
        "terms": [
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        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "c27662b5c845f715b2f305ab84cdc6bd6071e834279bdc26a314f2ae2f9168a2",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
        "sha256": "e08f7aa0c4da5a69fe51abf670fa00084183c4720c171987d7503306c0e72bca"
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      {
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        "date": "2026-10-06",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q04",
        "choiceQuestion": true,
        "terms": [
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          "initial"
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        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "ab929ecd2fe694d5e5104b052def3983751603a7c44647975f85527131bc5c6d",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
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        "window": "after",
        "engineVersion": 5,
        "engine": "google",
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        "choiceQuestion": true,
        "terms": [
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        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "288b6c72ca7e3e70c5220c8f4c7dc8409b8f1bb88af3d9a9d7db76641ef72a97",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
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      {
        "slug": "SG-C19",
        "date": "2026-10-06",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-f05",
        "choiceQuestion": true,
        "terms": [
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        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "03e932b6980c1982217131a1e28735315ca66ff0ab6d10c260acbf2494e03fc7",
        "note": "Indicated as monotherapy or combination; no first-line framing.",
        "sha256": "1001430b49adfa30bd766ff1a2a93219f77d3655b663d9f306ab117eeb9aa1f2"
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      {
        "slug": "SG-C20",
        "date": "2026-10-07",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q15",
        "choiceQuestion": false,
        "terms": [
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        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "96bfda0d17c6c5ddaaa0ddd8636b14da25c7ccbfbea0f452e133f896f18191b3",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
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      {
        "slug": "SG-C20",
        "date": "2026-10-07",
        "window": "after",
        "engineVersion": 5,
        "engine": "perplexity",
        "promptId": "sg-q11",
        "choiceQuestion": true,
        "terms": [
          "initial"
        ],
        "code": "e5-first-line-with-metformin",
        "span": "rand; once daily; heart and kidney benefits; can be used in initial combination with metformin under its Singapore indication.[2][3] | Dapagliflozin tablets were removed from",
        "note": "Initial combination with metformin (Forxiga indication).",
        "sha256": "cab94dfd116c775ec82149e549ee022d411cbb5d76553d48b9900ca2160ad5af"
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      {
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        "window": "after",
        "engineVersion": 5,
        "engine": "perplexity",
        "promptId": "sg-q10",
        "choiceQuestion": false,
        "terms": [
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        ],
        "code": "e5-not-first-line",
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        "slug": "SG-C20",
        "date": "2026-10-07",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q14",
        "choiceQuestion": true,
        "terms": [
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        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "f83a8865f16d9339ec945ee2d5bf66d4672a45937c8d07ce97b35afd13ceea89",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
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        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q03",
        "choiceQuestion": true,
        "terms": [
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        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "3951c3c00c9b7875b6e361bb6260f2418186c6c04ae8636788076621c2a0898f",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
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        "date": "2026-10-07",
        "window": "after",
        "engineVersion": 5,
        "engine": "anthropic",
        "promptId": "sg-q12",
        "choiceQuestion": true,
        "terms": [
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          "monotherapy"
        ],
        "code": "e5-first-line-with-metformin",
        "span": "e 2 diabetes mellitus, and Forxiga® is also indicated as an initial combination therapy with metformin - **Clinical benefits**: A large observational study found that the benefits of",
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        "engine": "google",
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        "choiceQuestion": true,
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        "span": "[Gemini answer text withheld]",
        "spanSha256": "ba8ae7fe027fc5d78f66a558a4776ade2473d702b6cbc45e53fdff5766d074a2",
        "note": "First-line add-on to metformin, high-risk patients, irrespective of HbA1c.",
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        "choiceQuestion": true,
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        "span": "[Gemini answer text withheld]",
        "spanSha256": "230c31d693ca0a508e4f15227f348cf1aac7f71bfa99dec6c39e336c807976ea",
        "note": "Indicated as monotherapy or add-on; no first-line framing.",
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        "date": "2026-10-07",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q08",
        "choiceQuestion": true,
        "terms": [
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        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "24b4b24df8072062b12d6ddb5961b3c734581902261abe7650e94238b4c7e20f",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
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        "window": "after",
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        "choiceQuestion": true,
        "terms": [
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        "span": "[Gemini answer text withheld]",
        "spanSha256": "ff2dae15ac60c7b8f79129e3b87cc54f645f4927f306f2c0ac075d33ecf8ca30",
        "note": "[Gemini answer text withheld]high-risk patients.",
        "sha256": "94cb7c6145f8dffcabc7253440f819973e9d1982e45879d12748a25b3302453a"
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        "slug": "SG-C21",
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        "engine": "google",
        "promptId": "sg-q11",
        "choiceQuestion": true,
        "terms": [
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        "spanSha256": "d4c6ef117eeeb6a2a6a44f87961d0b3355dd1316cba42ad48e4a1e9f41a14f41",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
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      {
        "slug": "SG-C21",
        "date": "2026-10-08",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q13",
        "choiceQuestion": true,
        "terms": [
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        "span": "[Gemini answer text withheld]",
        "spanSha256": "5f3b4b9fd15c09e749b8951ade1d5ec84421df456a2715e9891678f247a34eeb",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
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      {
        "slug": "SG-C21",
        "date": "2026-10-08",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q01",
        "choiceQuestion": true,
        "terms": [
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          "monotherapy"
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        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "7b29c6e0cbd06eba6cc11353a94fcd5868eaf37c4da6c6c75bf736d481e1be4e",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
        "sha256": "4ac97bab885f5af1517c076d02796d0861cf1835ab34c4ba245ad95ef8b2a062"
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      {
        "slug": "SG-C21",
        "date": "2026-10-08",
        "window": "after",
        "engineVersion": 5,
        "engine": "anthropic",
        "promptId": "sg-q12",
        "choiceQuestion": true,
        "terms": [
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        ],
        "code": "e5-first-line-with-metformin",
        "span": "making it more affordable - Forxiga is also indicated as an initial combination therapy with metformin - Forxiga is the brand name for dapagliflozin (made by AstraZeneca) ### 2. **Ja",
        "note": "Initial combination with metformin (Forxiga indication).",
        "sha256": "592910683c3e84efc4213b1fb3c372faca25bb430e24ea33fc30fb90d8cf5c73"
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      {
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        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q02",
        "choiceQuestion": true,
        "terms": [
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        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "5957e02658aa29f78d4bc657b3d0e3c316ddf1e603016cd8fc6afef13918e8bb",
        "note": "Indicated as monotherapy or combination; no first-line framing.",
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      {
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        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q16",
        "choiceQuestion": true,
        "terms": [
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        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "f51eaf04445f8d34691a4b8c83d5c1b1ec5c05c018b909189ad9d58181c093b5",
        "note": "Indicated as monotherapy or combination; no first-line framing.",
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      {
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        "engine": "google",
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        "choiceQuestion": true,
        "terms": [
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        "span": "[Gemini answer text withheld]",
        "spanSha256": "3ea093e099f109c4b26ec108297a30c93a3e140a6ea543a890cac9705e2a4afc",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
        "sha256": "875782038b5367d0be19171e6535589ff368ef7c6eb676e4cd15d17165d5053d"
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      {
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        "date": "2026-10-08",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q04",
        "choiceQuestion": true,
        "terms": [
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        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "ffc88242a7d0e15ee33396f25fbd949f4485564f8c577b4333659352ef2fb52e",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
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      {
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        "date": "2026-10-08",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q08",
        "choiceQuestion": true,
        "terms": [
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          "initial"
        ],
        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "2a566331a06cc02cec44f6d28f418badef54e402d60a6b0317a2cb2b1fa68829",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
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      {
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        "date": "2026-10-09",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q03",
        "choiceQuestion": true,
        "terms": [
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        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "ebafc4cfdcaa2c8d1e14c086be28bd71a5e21b90915ac2e42e9930236782bacc",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
        "sha256": "1748d6afc325ac3793bfcbcfe440f272264db475cb9e3f81a7ce24adf5b94715"
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      {
        "slug": "SG-C22",
        "date": "2026-10-09",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q10",
        "choiceQuestion": false,
        "terms": [
          "monotherapy"
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        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "9353ecb3200638b8d1ed87ed794ca6a2c77323f32a6cbce29ca0fc9882209c5e",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
        "sha256": "a322d7f6b543faaed6c9395aa068a92cb3d79e7c9813adf1b406dbad3595a313"
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      {
        "slug": "SG-C22",
        "date": "2026-10-09",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q18",
        "choiceQuestion": true,
        "terms": [
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        ],
        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "82687d66b2990063be5f9d505870cd6a2591ae8a863ca10653e2bf3bb7e81495",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
        "sha256": "f875e28435c6d7df199285731dfd87191f596783db7fd8b1a4818e4e05c7adce"
      },
      {
        "slug": "SG-C22",
        "date": "2026-10-09",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q01",
        "choiceQuestion": true,
        "terms": [
          "monotherapy"
        ],
        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "a7a072941fcc4ed145bdefbda2e192e33cbcbcc0a28d31ee857eb54abcd626a1",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
        "sha256": "ceae2ab6fdaaad45ea6e40b87c38fceb0bed65bb4e01bd4e8f252d1c3a99994c"
      },
      {
        "slug": "SG-C22",
        "date": "2026-10-09",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q09",
        "choiceQuestion": true,
        "terms": [
          "first-line"
        ],
        "code": "e5-first-line-high-risk",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "beaa2d68ff1a0b7dbde9798e626f397deba48cf31559b0551dc2f3c9a781682b",
        "note": "First-line for patients with cardiovascular or renal risk, with no mention of metformin; coded high-risk because nothing places it after or on top of metformin (ambiguity A6, as in the baseline).",
        "sha256": "24d4765dcd53309bce276c4b4c005ac9ac7de221f1e5d17578516d30e205e387"
      },
      {
        "slug": "SG-C22",
        "date": "2026-10-09",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q19",
        "choiceQuestion": true,
        "terms": [
          "monotherapy",
          "initial"
        ],
        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "9ae1d43c3d7e975ec56343fc0bf18c752a36f02cba79dc36ffdcca024b307d96",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
        "sha256": "62db290840e46778dceb7ecb0bc1704def5e13fc4a8511884e2be9a0da4f0e36"
      },
      {
        "slug": "SG-C22",
        "date": "2026-10-09",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q02",
        "choiceQuestion": true,
        "terms": [
          "initial"
        ],
        "code": "e5-first-line-with-metformin",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "c42275b73619478e790f545ea7055bb7e57542e68e6fcd024ebb43922acbebd0",
        "note": "Initial combination with metformin (Forxiga indication).",
        "sha256": "b435da2d069df45a81372ba7624501ab456c97accdafd50204a271f1520f8f6a"
      },
      {
        "slug": "SG-C22",
        "date": "2026-10-09",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q07",
        "choiceQuestion": true,
        "terms": [
          "monotherapy"
        ],
        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "996464baa8a8bdacbab6effa70589285847481b5a95d67920e390f2cff5d6390",
        "note": "Indicated as monotherapy or combination; no first-line framing.",
        "sha256": "bbb1a3619c0cd9954a1a265fb54dcc8821d9455725a64a7cea89219c4d788116"
      },
      {
        "slug": "SG-C22",
        "date": "2026-10-09",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q04",
        "choiceQuestion": true,
        "terms": [
          "monotherapy"
        ],
        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "81c3d101821ebe6ba4d6e8622e34e86acdb2d45d7a51336f7bfad1a8c335c46c",
        "note": "Indicated as monotherapy or combination; no first-line framing.",
        "sha256": "304b2b550ebd8369aa805e9658cdde3e660b21e5c86bceae7dcc7ebc3756eb68"
      },
      {
        "slug": "SG-C22",
        "date": "2026-10-09",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-f05",
        "choiceQuestion": true,
        "terms": [
          "monotherapy"
        ],
        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "73560201914ab862104f01f4b1ae61af19eed10c6a403cbd825666861e512c56",
        "note": "States the label indication: monotherapy only when metformin is unsuitable, which keeps metformin first (ambiguity A8, as in the baseline).",
        "sha256": "86d0fb752072a601a2ea12cf0c7cb7ef621c0c58d16b402ea92847418ebc8243"
      },
      {
        "slug": "SG-C23",
        "date": "2026-10-10",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q18",
        "choiceQuestion": true,
        "terms": [
          "monotherapy"
        ],
        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "3b03e02dcefb3063da2d81f1add7803de170c72b936fa142068f6cf20e70fec8",
        "note": "Indicated as monotherapy or combination; no first-line framing.",
        "sha256": "a51f204f3b855b71d9d37f207c5eb6690141dd43eb748f68c8362abe721fa3b1"
      },
      {
        "slug": "SG-C23",
        "date": "2026-10-10",
        "window": "after",
        "engineVersion": 5,
        "engine": "perplexity",
        "promptId": "sg-f01",
        "choiceQuestion": true,
        "terms": [
          "initial"
        ],
        "code": "e5-first-line-with-metformin",
        "span": "| Effective option for type 2 diabetes; also registered for initial combination treatment with metformin in Singapore.[1] | | Heart failure | Strong evidence and approved use | Strong",
        "note": "Initial combination with metformin (Forxiga indication).",
        "sha256": "789cf29ddc33d6dc4aa3725a77021b27be98c61b28b386772c7a996b414668e0"
      },
      {
        "slug": "SG-C23",
        "date": "2026-10-10",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q08",
        "choiceQuestion": true,
        "terms": [
          "monotherapy"
        ],
        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "e4c33088b56d412f35233fd01627a951ea689fb7292cc02df64c5df38dfcb81c",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
        "sha256": "d124b280d34028b82743dacae4e5b65def0bcf56a4a1dcbf9a773a05f617aa7d"
      },
      {
        "slug": "SG-C24",
        "date": "2026-10-11",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q03",
        "choiceQuestion": true,
        "terms": [
          "initial"
        ],
        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "c2c51aae300f44361dc09a3eddcbc207a10c681b6326223003274fbea2f97a01",
        "note": "[Gemini answer text withheld] is side-effect timing, not a treatment position; no first-line framing in type 2 diabetes.",
        "sha256": "c103a378a1823fc5ca68d0302feb4cf1eb5ec4ee54300599cab4c2b4d42f8ea2"
      },
      {
        "slug": "SG-C24",
        "date": "2026-10-11",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q17",
        "choiceQuestion": true,
        "terms": [
          "monotherapy"
        ],
        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "508c1705529a4d4f5e74fe781feb323f1ca89ab527bdc489157b3661964e00b8",
        "note": "Indicated as monotherapy or combination; no first-line framing.",
        "sha256": "7dca15c0ee866ef45ae262e53a63dce821b5b1384b261e52ad845c629b42dd7b"
      },
      {
        "slug": "SG-C24",
        "date": "2026-10-11",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q01",
        "choiceQuestion": true,
        "terms": [
          "monotherapy",
          "initial"
        ],
        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "6b1da551cf3e6d942af6c082376f5cd7bd3fd09ea94f951215474480a44e502e",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes. [Gemini answer text withheld] elsewhere is side-effect timing.",
        "sha256": "60f75c51abaa99ce23a944658f41df0ce705253772d429616480c9d68481fea4"
      },
      {
        "slug": "SG-C24",
        "date": "2026-10-11",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q02",
        "choiceQuestion": true,
        "terms": [
          "initial"
        ],
        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "f882f8b35c71a05887d111be5c32f4e35879e226e4c64b4380983f2948a2259b",
        "note": "[Gemini answer text withheld] for patients with cardiovascular, heart-failure or kidney disease, with no first-line or initial position and no position relative to metformin (as A9 in the baseline); [Gemini answer text withheld] matched side-effect timing.",
        "sha256": "4497e74527c99df133315a65fa422e317fc7d47256a749672161a164947e7a55"
      },
      {
        "slug": "SG-C24",
        "date": "2026-10-11",
        "window": "after",
        "engineVersion": 5,
        "engine": "google",
        "promptId": "sg-q08",
        "choiceQuestion": true,
        "terms": [
          "monotherapy"
        ],
        "code": "e5-not-first-line",
        "span": "[Gemini answer text withheld]",
        "spanSha256": "89086947dcf350cb89e3771b01079b668b5a93f7135a6811eed9989509fb4570",
        "note": "Monotherapy named only for low hypoglycaemia risk; no first-line framing in type 2 diabetes.",
        "sha256": "a008032742f1d1fce09cdeb3b8add1493f1d72cb1972959ec5bdcfaa0da18a1d"
      }
    ],
    "perEngineCycle": {
      "SG-C01": {
        "anthropic": {
          "e5-first-line-with-metformin": 2,
          "e5-not-first-line": 2
        },
        "google": {
          "e5-not-first-line": 8,
          "e5-first-line-with-metformin": 1
        },
        "openai": {
          "e5-first-line-with-metformin": 1,
          "e5-not-first-line": 1
        },
        "perplexity": {
          "e5-not-first-line": 2
        }
      },
      "SG-C02": {
        "openai": {
          "e5-first-line-with-metformin": 1
        },
        "google": {
          "e5-not-first-line": 7,
          "e5-first-line-with-metformin": 2
        },
        "anthropic": {
          "e5-first-line-with-metformin": 3,
          "e5-not-first-line": 5
        },
        "perplexity": {
          "e5-not-first-line": 2
        }
      },
      "SG-C03": {
        "google": {
          "e5-not-first-line": 10,
          "e5-first-line-with-metformin": 1
        },
        "anthropic": {
          "e5-not-first-line": 1,
          "e5-first-line-with-metformin": 1
        }
      },
      "SG-C04": {
        "openai": {
          "e5-not-first-line": 1
        },
        "google": {
          "e5-first-line-with-metformin": 3,
          "e5-not-first-line": 6
        },
        "anthropic": {
          "e5-not-first-line": 1
        }
      },
      "SG-C05": {
        "anthropic": {
          "e5-first-line-with-metformin": 1,
          "e5-not-first-line": 2
        },
        "google": {
          "e5-not-first-line": 5,
          "e5-first-line-with-metformin": 3
        }
      },
      "SG-C06": {
        "anthropic": {
          "e5-not-first-line": 1
        },
        "google": {
          "e5-first-line-with-metformin": 5,
          "e5-not-first-line": 9
        }
      },
      "SG-C07": {
        "google": {
          "e5-not-first-line": 8,
          "e5-first-line-with-metformin": 2
        },
        "anthropic": {
          "e5-first-line-with-metformin": 2,
          "e5-not-first-line": 1
        }
      },
      "SG-C08": {
        "anthropic": {
          "e5-first-line-with-metformin": 1,
          "e5-not-first-line": 1
        },
        "google": {
          "e5-not-first-line": 4,
          "e5-first-line-with-metformin": 2
        },
        "perplexity": {
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      },
      "SG-C09": {
        "google": {
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          "e5-first-line-with-metformin": 3
        },
        "openai": {
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        },
        "anthropic": {
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          "e5-first-line-with-metformin": 1
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      },
      "SG-C10": {
        "openai": {
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        "google": {
          "e5-not-first-line": 9
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        "anthropic": {
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      },
      "SG-C11": {
        "anthropic": {
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        },
        "google": {
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          "e5-first-line-with-metformin": 2
        },
        "perplexity": {
          "e5-not-first-line": 1
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      },
      "SG-C12": {
        "openai": {
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        },
        "google": {
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          "e5-first-line-with-metformin": 2
        },
        "anthropic": {
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      },
      "SG-C13": {
        "google": {
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          "e5-not-first-line": 7
        },
        "anthropic": {
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          "e5-first-line-with-metformin": 1
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      },
      "SG-C14": {
        "google": {
          "e5-not-first-line": 8,
          "e5-first-line-with-metformin": 2,
          "e5-first-line-high-risk": 1
        },
        "anthropic": {
          "e5-first-line-with-metformin": 1
        }
      },
      "SG-C15": {
        "google": {
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          "e5-not-first-line": 9
        },
        "anthropic": {
          "e5-not-first-line": 2
        },
        "perplexity": {
          "e5-not-first-line": 1
        }
      },
      "SG-C17": {
        "google": {
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          "e5-first-line-with-metformin": 3
        },
        "anthropic": {
          "e5-first-line-with-metformin": 1
        }
      },
      "SG-C18": {
        "google": {
          "e5-first-line-with-metformin": 3,
          "e5-not-first-line": 4
        }
      },
      "SG-C19": {
        "google": {
          "e5-not-first-line": 8
        },
        "perplexity": {
          "e5-first-line-with-metformin": 1
        }
      },
      "SG-C20": {
        "google": {
          "e5-not-first-line": 5,
          "e5-first-line-with-metformin": 1
        },
        "perplexity": {
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          "e5-not-first-line": 1
        },
        "anthropic": {
          "e5-first-line-with-metformin": 1
        }
      },
      "SG-C21": {
        "google": {
          "e5-first-line-with-metformin": 1,
          "e5-not-first-line": 8
        },
        "anthropic": {
          "e5-first-line-with-metformin": 1
        }
      },
      "SG-C22": {
        "google": {
          "e5-not-first-line": 8,
          "e5-first-line-high-risk": 1,
          "e5-first-line-with-metformin": 1
        }
      },
      "SG-C23": {
        "google": {
          "e5-not-first-line": 2
        },
        "perplexity": {
          "e5-first-line-with-metformin": 1
        }
      },
      "SG-C24": {
        "google": {
          "e5-not-first-line": 5
        }
      }
    }
  }
}
