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Open Questions

Nobody actually knows this yet.

These are gaps worth resolving. Members rank what deserves investigation next; votes choose research priority, never truth.

Check This Next ranks editorial work. It does not initiate a study or authorize participant recruitment. Resolution requires reviewed source receipts; experience reports do not resolve evidence gaps.

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Abaloparatide

What we don't know

For adults with osteoporosis, how would Abaloparatide compare with an appropriate control on fractures and serious adverse events over two years?

What would change our mind

A preregistered, independently replicated controlled study in adults with osteoporosis, measuring fractures and serious adverse events over two years, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Beta-alanine

What we don't know

For adults undertaking exercise, how would Beta-alanine compare with an appropriate control on reproducible exercise performance over six months?

What would change our mind

A preregistered, independently replicated controlled study in adults undertaking exercise, measuring reproducible exercise performance over six months, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Bimagrumab

What we don't know

For adults with obesity, how would Bimagrumab compare with an appropriate control on physical function alongside body composition over one year?

What would change our mind

A preregistered, independently replicated controlled study in adults with obesity, measuring physical function alongside body composition over one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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BPC-157

What we don't know

For adults with musculoskeletal injury, how would BPC-157 compare with an appropriate control on validated recovery and serious adverse events over six months?

What would change our mind

A preregistered, independently replicated controlled study in adults with musculoskeletal injury, measuring validated recovery and serious adverse events over six months, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Caffeine

What we don't know

For adults undertaking exercise, how would Caffeine compare with an appropriate control on performance alongside sleep and adverse effects over three months?

What would change our mind

A preregistered, independently replicated controlled study in adults undertaking exercise, measuring performance alongside sleep and adverse effects over three months, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Cagrilintide

What we don't know

For adults with obesity, how would Cagrilintide compare with an appropriate control on weight-related health outcomes over one year?

What would change our mind

A preregistered, independently replicated controlled study in adults with obesity, measuring weight-related health outcomes over one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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CagriSema

What we don't know

For adults with obesity, how would CagriSema compare with an appropriate control on weight-related health outcomes versus its individual components over one year?

What would change our mind

A preregistered, independently replicated controlled study in adults with obesity, measuring weight-related health outcomes versus its individual components over one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Canagliflozin

What we don't know

For adults with diabetic kidney disease, how would Canagliflozin compare with an appropriate control on kidney failure and cardiovascular outcomes over two years?

What would change our mind

A preregistered, independently replicated controlled study in adults with diabetic kidney disease, measuring kidney failure and cardiovascular outcomes over two years, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Circulating Tumor DNA

What we don't know

For adults after cancer treatment, how would Circulating Tumor DNA compare with an appropriate control on survival when used to guide care over three years?

What would change our mind

A preregistered, independently replicated controlled study in adults after cancer treatment, measuring survival when used to guide care over three years, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Continuous Glucose Monitoring

What we don't know

For adults without diabetes, how would Continuous Glucose Monitoring compare with an appropriate control on patient-important health outcomes over one year?

What would change our mind

A preregistered, independently replicated controlled study in adults without diabetes, measuring patient-important health outcomes over one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Creatine

What we don't know

For older adults undertaking resistance training, how would Creatine compare with an appropriate control on physical function and falls over one year?

What would change our mind

A preregistered, independently replicated controlled study in older adults undertaking resistance training, measuring physical function and falls over one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Dapagliflozin

What we don't know

For adults with chronic kidney disease, how would Dapagliflozin compare with an appropriate control on kidney failure and mortality over two years?

What would change our mind

A preregistered, independently replicated controlled study in adults with chronic kidney disease, measuring kidney failure and mortality over two years, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Dasatinib

What we don't know

For older adults in senolytic research, how would Dasatinib compare with an appropriate control on physical function and serious adverse events over one year?

What would change our mind

A preregistered, independently replicated controlled study in older adults in senolytic research, measuring physical function and serious adverse events over one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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DNA Methylation

What we don't know

For older adults, how would DNA Methylation compare with an appropriate control on prediction of functional health beyond standard risk factors over five years?

What would change our mind

A preregistered, independently replicated controlled study in older adults, measuring prediction of functional health beyond standard risk factors over five years, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Dulaglutide

What we don't know

For adults with type 2 diabetes, how would Dulaglutide compare with an appropriate control on cardiovascular outcomes over two years?

What would change our mind

A preregistered, independently replicated controlled study in adults with type 2 diabetes, measuring cardiovascular outcomes over two years, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Elamipretide

What we don't know

For people with inherited mitochondrial disease, how would Elamipretide compare with an appropriate control on physical function and serious adverse events over one year?

What would change our mind

A preregistered, independently replicated controlled study in people with inherited mitochondrial disease, measuring physical function and serious adverse events over one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Empagliflozin

What we don't know

For adults with heart failure, how would Empagliflozin compare with an appropriate control on hospitalization and mortality over two years?

What would change our mind

A preregistered, independently replicated controlled study in adults with heart failure, measuring hospitalization and mortality over two years, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Enobosarm

What we don't know

For adults with muscle wasting, how would Enobosarm compare with an appropriate control on physical function and serious adverse events over one year?

What would change our mind

A preregistered, independently replicated controlled study in adults with muscle wasting, measuring physical function and serious adverse events over one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Everolimus

What we don't know

For older adults, how would Everolimus compare with an appropriate control on infection-related clinical outcomes and serious adverse events over one year?

What would change our mind

A preregistered, independently replicated controlled study in older adults, measuring infection-related clinical outcomes and serious adverse events over one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Exenatide

What we don't know

For adults with type 2 diabetes, how would Exenatide compare with an appropriate control on cardiovascular outcomes over two years?

What would change our mind

A preregistered, independently replicated controlled study in adults with type 2 diabetes, measuring cardiovascular outcomes over two years, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Fisetin

What we don't know

For older adults, how would Fisetin compare with an appropriate control on physical function and serious adverse events over one year?

What would change our mind

A preregistered, independently replicated controlled study in older adults, measuring physical function and serious adverse events over one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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GLP-1s and sleep apnea

What we don't know

For adults with obesity and obstructive sleep apnea, how would GLP-1 medicines for sleep apnea compare with an appropriate control on sleep apnea severity over one year?

What would change our mind

A preregistered, independently replicated controlled study in adults with obesity and obstructive sleep apnea, measuring sleep apnea severity over one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Ibutamoren

What we don't know

For older adults, how would Ibutamoren compare with an appropriate control on physical function and metabolic safety over one year?

What would change our mind

A preregistered, independently replicated controlled study in older adults, measuring physical function and metabolic safety over one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Ipamorelin

What we don't know

For adults in postoperative recovery, how would Ipamorelin compare with an appropriate control on recovery of bowel function and serious adverse events over one month?

What would change our mind

A preregistered, independently replicated controlled study in adults in postoperative recovery, measuring recovery of bowel function and serious adverse events over one month, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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L-Citrulline

What we don't know

For adults undertaking exercise, how would L-Citrulline compare with an appropriate control on reproducible exercise performance over six months?

What would change our mind

A preregistered, independently replicated controlled study in adults undertaking exercise, measuring reproducible exercise performance over six months, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Liquid Biopsy

What we don't know

For asymptomatic adults, how would Liquid Biopsy compare with an appropriate control on cancer mortality and harms from follow-up procedures over five years?

What would change our mind

A preregistered, independently replicated controlled study in asymptomatic adults, measuring cancer mortality and harms from follow-up procedures over five years, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Liraglutide

What we don't know

For adults with obesity, how would Liraglutide compare with an appropriate control on maintenance of weight-related health benefits over two years?

What would change our mind

A preregistered, independently replicated controlled study in adults with obesity, measuring maintenance of weight-related health benefits over two years, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Lixisenatide

What we don't know

For adults with type 2 diabetes, how would Lixisenatide compare with an appropriate control on cardiovascular outcomes over two years?

What would change our mind

A preregistered, independently replicated controlled study in adults with type 2 diabetes, measuring cardiovascular outcomes over two years, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Mazdutide

What we don't know

For adults with obesity, how would Mazdutide compare with an appropriate control on weight-related health outcomes over one year?

What would change our mind

A preregistered, independently replicated controlled study in adults with obesity, measuring weight-related health outcomes over one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Metformin

What we don't know

For adults without diabetes, how would Metformin compare with an appropriate control on healthy lifespan and functional outcomes over five years?

What would change our mind

A preregistered, independently replicated controlled study in adults without diabetes, measuring healthy lifespan and functional outcomes over five years, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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MOTS-c

What we don't know

For adults with metabolic dysfunction, how would MOTS-c compare with an appropriate control on validated metabolic and functional outcomes over one year?

What would change our mind

A preregistered, independently replicated controlled study in adults with metabolic dysfunction, measuring validated metabolic and functional outcomes over one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Nicotinamide mononucleotide

What we don't know

For older adults, how would Nicotinamide mononucleotide compare with an appropriate control on physical function and serious adverse events over one year?

What would change our mind

A preregistered, independently replicated controlled study in older adults, measuring physical function and serious adverse events over one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Nicotinamide riboside

What we don't know

For older adults, how would Nicotinamide riboside compare with an appropriate control on physical function and serious adverse events over one year?

What would change our mind

A preregistered, independently replicated controlled study in older adults, measuring physical function and serious adverse events over one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Orforglipron

What we don't know

For adults with obesity, how would Orforglipron compare with an appropriate control on weight-related health outcomes over one year?

What would change our mind

A preregistered, independently replicated controlled study in adults with obesity, measuring weight-related health outcomes over one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Pemvidutide

What we don't know

For adults with metabolic liver disease, how would Pemvidutide compare with an appropriate control on liver-related clinical outcomes over two years?

What would change our mind

A preregistered, independently replicated controlled study in adults with metabolic liver disease, measuring liver-related clinical outcomes over two years, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Resveratrol

What we don't know

For adults with metabolic dysfunction, how would Resveratrol compare with an appropriate control on validated metabolic health outcomes over one year?

What would change our mind

A preregistered, independently replicated controlled study in adults with metabolic dysfunction, measuring validated metabolic health outcomes over one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Retatrutide

What we don't know

For adults with obesity, how would Retatrutide compare with an appropriate control on weight-related health outcomes and serious adverse events over one year?

What would change our mind

A preregistered, independently replicated controlled study in adults with obesity, measuring weight-related health outcomes and serious adverse events over one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Semaglutide

What we don't know

For adults with obesity, how would Semaglutide compare with an appropriate control on cardiovascular events over at least two years?

What would change our mind

A preregistered, independently replicated controlled study in adults with obesity, measuring cardiovascular events over at least two years, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Setmelanotide

What we don't know

For people with genetically defined obesity, how would Setmelanotide compare with an appropriate control on sustained hunger and health outcomes over one year?

What would change our mind

A preregistered, independently replicated controlled study in people with genetically defined obesity, measuring sustained hunger and health outcomes over one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Sirolimus

What we don't know

For older adults without a transplant indication, how would Sirolimus compare with an appropriate control on functional health and serious infections over two years?

What would change our mind

A preregistered, independently replicated controlled study in older adults without a transplant indication, measuring functional health and serious infections over two years, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Sotagliflozin

What we don't know

For adults with heart failure, how would Sotagliflozin compare with an appropriate control on hospitalization and mortality over two years?

What would change our mind

A preregistered, independently replicated controlled study in adults with heart failure, measuring hospitalization and mortality over two years, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Spermidine

What we don't know

For older adults, how would Spermidine compare with an appropriate control on cognitive function over two years?

What would change our mind

A preregistered, independently replicated controlled study in older adults, measuring cognitive function over two years, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Survodutide

What we don't know

For adults with metabolic liver disease, how would Survodutide compare with an appropriate control on liver-related clinical outcomes over two years?

What would change our mind

A preregistered, independently replicated controlled study in adults with metabolic liver disease, measuring liver-related clinical outcomes over two years, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Taurine

What we don't know

For older adults, how would Taurine compare with an appropriate control on physical function and cardiometabolic outcomes over one year?

What would change our mind

A preregistered, independently replicated controlled study in older adults, measuring physical function and cardiometabolic outcomes over one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Teriparatide

What we don't know

For adults with osteoporosis, how would Teriparatide compare with an appropriate control on fractures and serious adverse events over two years?

What would change our mind

A preregistered, independently replicated controlled study in adults with osteoporosis, measuring fractures and serious adverse events over two years, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Tesamorelin

What we don't know

For adults with HIV-associated lipodystrophy, how would Tesamorelin compare with an appropriate control on health outcomes alongside body composition over one year?

What would change our mind

A preregistered, independently replicated controlled study in adults with HIV-associated lipodystrophy, measuring health outcomes alongside body composition over one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Thymosin alpha 1

What we don't know

For adults with severe infection, how would Thymosin alpha 1 compare with an appropriate control on mortality and serious adverse events over three months?

What would change our mind

A preregistered, independently replicated controlled study in adults with severe infection, measuring mortality and serious adverse events over three months, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Thymosin beta 4

What we don't know

For adults with tissue injury, how would Thymosin beta 4 compare with an appropriate control on validated healing and functional outcomes over six months?

What would change our mind

A preregistered, independently replicated controlled study in adults with tissue injury, measuring validated healing and functional outcomes over six months, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Tirzepatide

What we don't know

For adults with obesity, how would Tirzepatide compare with an appropriate control on weight-related health outcomes over at least one year?

What would change our mind

A preregistered, independently replicated controlled study in adults with obesity, measuring weight-related health outcomes over at least one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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Urolithin A

What we don't know

For older adults, how would Urolithin A compare with an appropriate control on physical function over one year?

What would change our mind

A preregistered, independently replicated controlled study in older adults, measuring physical function over one year, with complete adverse-event reporting and a clinically meaningful between-group result would support reassessment. A credible null result or serious harm would also require reassessment.

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