Methodology

The hard part of this product is the rubric, so we publish it. Every grade, gap, hype position, and safety call on the site is produced by the rules below — and is reachable from the claim it produced.

Cite this methodology: 10.5281/zenodo.21364236 (concept DOI, resolves to the latest version) · current version 10.5281/zenodo.21364237 (v1.0.0, immutable) · source repository.

Anchored to established standards

We don't invent a grading system from scratch — we anchor to the frameworks a Cochrane methodologist, a journal editor, and a quality rater already recognize, and state exactly where we deviate and why.

LayerAnchored toWhat we publish
Certainty of evidenceGRADE (used by Cochrane, WHO, NICE)Our four certainty levels map to GRADE's high/moderate/low/very-low.
Risk of biasRoB 2 (RCTs), ROBINS-I (non-randomised)Which tool per study design; who applies it.
Evidence synthesis reportingPRISMA (EQUATOR Network)Search dates, databases, strings, inclusion/exclusion, study flow.
Effect interpretationMinimal clinically important difference (MCID) where establishedOur clinicalMeaning field's rules; explicit "no established threshold" where none exists.
Corrections & retractionsCOPE (Committee on Publication Ethics)Our corrections policy.
DisclosureICMJE disclosure formatReviewer COI forms (see independence).

Where we deviate, and why

We invite critique of this rubric, named and published unedited — see methodology critique.

Evidence grades

Grades describe the strength of the evidence, on an A–D scale:

grade AStrong, consistent evidence (e.g. multiple good RCTs / meta-analysis).
grade BModerate evidence; generally supportive with some limits.
grade CWeak or early evidence; small or lower-quality studies.
grade DVery weak; little to rely on.

Certainty is shown separately from the grade — a claim can be a confident read of weak evidence, or a tentative read of a larger literature. We never collapse the two.

Re-review cadence (the SLA table)

Freshness is not just reacting to news; it's a stated, kept cadence. Every evidence surface carries a next-review promise, visible on the page. The table below is what we hold ourselves to.

SurfaceScheduled re-reviewAlso triggered by
Grade A/B pairsevery 12 monthsnew RCT or meta-analysis on the pair
Grade C/D pairsevery 6 monthsnew RCT or meta-analysis on the pair
Interaction pages (severity ≥ moderate)every 6 monthssafety signal, FDA/EMA communication
Interaction pages (none/low)every 12 monthssame
Hype pagesattention monthly, stage quarterlyvirality spikes in the L4 pipeline
Methodologyannual, versioned

Internal targets: ≥ 95% of pages within SLA at any time · median trigger→publish latency ≤ 14 days · ≤ 72 h for safety upgrades (see the safety fast-path in the freshness spec).

Corrections policy

We never silently edit. A correction is a first-class event — new date, visible label, and a permanent/changes/ URL. The first real correction we publish will do more for trust than any badge on the pricing page.

Claim states (including the honest absences)

We do not fabricate to fill a gap. When we don't know, the answer says so explicitly rather than inventing a claim.

The belief-vs-evidence gap

For every popular belief we compute its distance from the evidence as a direction and an ordinal magnitude — never a fake decimal.

Magnitude (negligible · modest · large · extreme) combines the grade-distance, a penalty when the evidence state is unflattering to the assertion, and a penalty when the claim is marketing or mechanistic speculation. Direction is high-confidence; magnitude is coarse and honest about being coarse. A belief never inherits the evidence's grade.

Hype-cycle position

Position is derived from two trajectories — attention momentum and the evidence-grade trajectory — not assigned by feel. Possible positions: emerging → surging → evidence-catching-up → settled → declining → debunked. A position only moves when the condition holds across windows or a shock forces re-evaluation, and debunked requires a confirming evidence decline, not merely falling attention.

Safety severity

Safety always comes first in the answer. Interactions are tiered:

contraindicatedShould not be combined — the recommendation is blocked.
seriousPotentially significant harm — promoted, clinician-routed.
moderateMeaningful caution — promoted; clinician if you're on a medication.
uncertainPlausible risk, thin evidence — we widen caution rather than stay silent.
minorLow-stakes practical note (e.g. spacing).

People say · Law permits · Evidence shows

We keep three things visibly separate and never let one masquerade as another:

So a product can legally say “supports a healthy immune system” even where the evidence for, say, preventing colds is a null-result. We surface the legal claim and the evidence, side by side, rather than repeating the label as fact.

Sources & authority

Every graded claim carries its sources with the signals that establish authority — authors, venue, year, peer-review status, institution — published in machine-readable form (schema.org) so answer engines can judge and attribute them.

How a claim is verified (and how you can check)

New evidence enters through a guardrailed pipeline, not a content form. Automation may propose a claim, but it publishes only after passing every gate below — and each published claim carries a public, tamper-evident receipt you can open.

Neutrality, review & governance