diff --git a/inbox/queue/.extraction-debug/2024-12-01-jama-internmed-maryland-mtm-pilot-rct.json b/inbox/queue/.extraction-debug/2024-12-01-jama-internmed-maryland-mtm-pilot-rct.json
new file mode 100644
index 00000000..6aca120d
--- /dev/null
+++ b/inbox/queue/.extraction-debug/2024-12-01-jama-internmed-maryland-mtm-pilot-rct.json
@@ -0,0 +1,25 @@
+{
+  "rejected_claims": [
+    {
+      "filename": "medically-tailored-meals-plus-dietitian-counseling-showed-null-hba1c-improvement-in-pilot-rct-with-control-group-achieving-comparable-glycemic-improvement-through-medication-management.md",
+      "issues": [
+        "missing_attribution_extractor"
+      ]
+    }
+  ],
+  "validation_stats": {
+    "total": 1,
+    "kept": 0,
+    "fixed": 2,
+    "rejected": 1,
+    "fixes_applied": [
+      "medically-tailored-meals-plus-dietitian-counseling-showed-null-hba1c-improvement-in-pilot-rct-with-control-group-achieving-comparable-glycemic-improvement-through-medication-management.md:set_created:2026-03-18",
+      "medically-tailored-meals-plus-dietitian-counseling-showed-null-hba1c-improvement-in-pilot-rct-with-control-group-achieving-comparable-glycemic-improvement-through-medication-management.md:stripped_wiki_link:SDOH-interventions-show-strong-ROI-but-adoption-stalls-becau"
+    ],
+    "rejections": [
+      "medically-tailored-meals-plus-dietitian-counseling-showed-null-hba1c-improvement-in-pilot-rct-with-control-group-achieving-comparable-glycemic-improvement-through-medication-management.md:missing_attribution_extractor"
+    ]
+  },
+  "model": "anthropic/claude-sonnet-4.5",
+  "date": "2026-03-18"
+}
\ No newline at end of file
diff --git a/inbox/queue/2024-12-01-jama-internmed-maryland-mtm-pilot-rct.md b/inbox/queue/2024-12-01-jama-internmed-maryland-mtm-pilot-rct.md
index a0493a49..c32185f7 100644
--- a/inbox/queue/2024-12-01-jama-internmed-maryland-mtm-pilot-rct.md
+++ b/inbox/queue/2024-12-01-jama-internmed-maryland-mtm-pilot-rct.md
@@ -7,9 +7,13 @@ date: 2024-12-01
 domain: health
 secondary_domains: []
 format: journal-article
-status: unprocessed
+status: null-result
 priority: high
 tags: [medically-tailored-meals, mtm, rct, hba1c, null-result, diabetes, food-as-medicine, pilot-trial]
+processed_by: vida
+processed_date: 2026-03-18
+extraction_model: "anthropic/claude-sonnet-4.5"
+extraction_notes: "LLM returned 1 claims, 1 rejected by validator"
 ---
 
 ## Content
@@ -66,3 +70,13 @@ Pilot randomized trial of medically tailored meals for low-income adults with ty
 PRIMARY CONNECTION: Food-as-medicine clinical evidence — the most intensive intervention type (MTM + dietitian) also shows null HbA1c result
 WHY ARCHIVED: Critical new evidence that the simulation-vs-RCT gap persists even for the "best" FIM intervention — changes the confidence level for food-as-medicine clinical outcome claims
 EXTRACTION HINT: Pair with the JAMA Doyle RCT null result. Two controlled trials, two intervention types (food pharmacy vs. MTM), same null HbA1c finding. This is a pattern, not a single study artifact.
+
+
+## Key Facts
+- Maryland pilot RCT enrolled 74 adults with type 2 diabetes, 77% completed data collection
+- Study demographics: mean age 48 years, 40% male, 77% Black, mean baseline HbA1c 10.3%
+- Intervention: 12 medically tailored frozen meals + fresh produce bag weekly for 3 months, plus monthly dietitian calls for 6 months
+- Treatment group HbA1c change: -0.7%, Control group: -0.6% (not statistically significant)
+- Control group reported more favorable diabetes medication changes than treatment group
+- Study funded by Robert Wood Johnson Foundation
+- Published in Journal of General Internal Medicine 2024