domains/health/glp1-therapy-produces-population-scale-nutritional-deficiency-epidemic-with-minimal-monitoring.md

@@ -0,0 +1,9 @@
+{
+  "action": "flag_duplicate",
+  "candidates": [
+    "glp-1-receptor-agonists-produce-nutritional-deficiencies-in-12-14-percent-of-users-within-6-12-months-requiring-monitoring-infrastructure-current-prescribing-lacks.md",
+    "glp-1-therapy-requires-nutritional-monitoring-infrastructure-but-92-percent-receive-no-dietitian-support.md",
+    "glp1-hfpef-creates-competing-mechanisms-cardiac-benefit-versus-sarcopenic-malnutrition-risk.md"
+  ],
+  "reasoning": "The original claim was a semantic duplicate of two existing claims already in the KB, attempting to merge their content without retiring the originals. The new claim restated essentially the same evidence (deficiency rates, iron/calcium/protein intake figures, 92% no dietitian support, dual mechanism, food insecurity compounding). The reviewer feedback consistently highlighted this as a critical issue, recommending enrichment of existing claims rather than creation of a new, overlapping one. The third candidate is related as it discusses the sarcopenic malnutrition risk, which is a direct consequence of the nutritional deficiencies discussed."
+}