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The population base is narrow, restricting external validity. Clinical cohorts enrolled exclusively adult cancer patients—primarily lung, pancreatic, and glioblastoma subtypes (Somlyai 2025, Somlyai 2023, Boros 2021, Gyongyi 2013)—with no evidence in pediatric, pregnant, or elderly non-oncologic populations. Geographic and institutional diversity is also limited; the Hungarian research group behind Somlyai 2025 and Somlyai 2023 accounts for a substantial share of the clinical data, and independent replication outside this network is absent from the corpus. Preclinical animal studies used young-adult rodents (Halenova 2019, Basov 2019), whose metabolic and deuterium-turnover kinetics may not generalize to aged or metabolically compromised humans. The obesity-relevant rat model (Halenova 2019) demonstrated restored body-weight index and serotonin levels after 3 weeks of DDW at 10 ppm, yet no parallel human dietary-intervention trial exists to bridge this finding.

Evidence grade: exploratory

Contradiction status: none

Publication: d8263221-9f0a-41ec-95ec-4711d2e47db6

Provenance: Derivation Web chain

Citation Support

  • source_1 Somlyai 2025
  • source_2 Somlyai 2023
  • source_3 Boros 2021
  • source_4 Korchinsky 2024
  • source_5 Molnar 2021

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