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Per-claim provenance."},{"id":"ask","what":"Answer only from topology; creates question_node with gaps and ingest_hint."},{"id":"ingest","what":"Parse pasted evidence → source ledger + claims + evidence_ingest node."},{"id":"claim_post","what":"Prompt-injection style POST — one claim voxel with who_claims + posted_by."},{"id":"llm_manifest","what":"Machine-readable read/write contract for external LLMs."}],"not_medical_advice":true},"MASTHEAD":{"sorry_status":"planes not merged yet — sorry-status activates after voxel-merge-planes","identity":{"slug":"semaglutide-tendon","version":2,"content_hash":"c99126c0defcfda58aedf9915118042b74a926a4003aa2cdfdbf4255030bf850","thread_head":"genesis","divs":22},"thesis":{"root_claim":"c1","text":"Semaglutide use in T2DM patients undergoing rotator cuff repair was associated with lower postoperative complications and retear rates in a 2025 retrospective cohort.","tier":"human"},"load_bearing":[{"id":"c2","tier":"human","status":"active","text":"A 2026 five-year retrospective analysis found ~50% higher risk of rotator cuff, Achilles, and pectoralis major ruptures among GLP-1 users versus matched control"},{"id":"c3","tier":"preclinical","status":"active","text":"Liraglutide reduced inflammation, apoptosis, and ER stress in tendon cells and improved rotator-cuff healing in preclinical models."},{"id":"c4","tier":"mechanistic","status":"active","text":"Each pound of body-weight loss removes approximately 4 lb of compressive force from spinal structures; similar load reduction occurs in weight-bearing tendons."}],"standing_objections":{"open":0,"strongest_open":null,"link":"https://miscsubjects.com/api/articles/semaglutide-tendon/discourse"},"verbs":{"read":"GET https://miscsubjects.com/api/articles/semaglutide-tendon/voxels — DIVs + hashes + chains (free)","read_claims":"GET https://miscsubjects.com/api/articles/semaglutide-tendon/claims — every formal claim as claim:<id> with current hash, thread, stable link, and exact contribution/edit bodies","challenge":"POST https://miscsubjects.com/api/protocol/voxel-challenge {slug, expected_thread_head, target_div?, expected_hash?, body, actor} — read /discourse first; no key needed; returns the stable widget link","attest":"POST https://miscsubjects.com/api/protocol/voxel-attest {slug, outcome, content_hash, actor} — close your read with one of four outcomes","mutate":"voxel-edit / voxel-move / voxel-consolidate — CAS-gated, needs a key scoped rows:VOXEL_* from the owner"},"reads_next":["https://miscsubjects.com/a/philosophy","https://miscsubjects.com/api/articles/semaglutide-tendon/discourse","https://miscsubjects.com/api/protocol"]},"bundle_version":1,"generated_at":"2026-07-29T23:43:28.243Z","slug":"semaglutide-tendon","title":"Semaglutide for Tendon Health: Metabolic Load, Repair Pathways, and Current Evidence","url":"https://miscsubjects.com/a/semaglutide-tendon","register":"source_ledger","tags":["peptide","matrix"],"posted_at":"2026-06-29T21:33:14.116Z","updated_at":"2026-07-17T02:41:49.815Z","body":"## What's breaking down\nTendons degenerate when mechanical overload, metabolic stress from obesity or diabetes, and chronic low-grade inflammation outpace repair. Excess body weight increases force through load-bearing tendons such as the Achilles, patellar, and rotator cuff. In type 2 diabetes, collagen disorganization, reduced elasticity, and slower fiber sliding raise tendinopathy risk roughly fourfold. Rapid weight loss itself can create a temporary window of vulnerability because tendons adapt more slowly than muscle.\n\n## Why Semaglutide might help you\n1. **What keeps failing:** Weight-related tendon overload plus metabolic stress that impairs collagen repair and increases inflammation.\n2. **What Semaglutide is studied to do:** GLP-1 receptor activation drives substantial weight loss while improving glycemic control and lowering systemic inflammation; each pound lost reduces compressive and tensile forces on weight-bearing tendons.\n3. **Therefore for you:** If excess body weight or metabolic dysfunction is part of your tendon problem, semaglutide is discussed because it targets the load and metabolic layers that slow repair — not because it directly masks pain or supplies growth factors.\n\nEvery 1 lb of body-weight loss removes approximately 4 lb of compressive force from spinal structures; analogous load reduction applies to lower-limb and shoulder tendons during daily activity and exercise.\n\n## How these fit together\nSingle-compound focus. Semaglutide addresses the metabolic-load layer. Any additional peptides in a broader stack would target separate layers such as local inflammation or collagen synthesis.\n\n## What the evidence actually shows\n**Human data (observational/retrospective):** One 2025 retrospective cohort of patients with type 2 diabetes undergoing arthroscopic rotator cuff repair found semaglutide use associated with lower rates of postoperative complications and retear (Seddio et al., Arthroscopy). A separate 2026 five-year retrospective analysis presented at AAOS reported roughly 50% higher risk of specific tendon ruptures (rotator cuff, Achilles, pectoralis major) among GLP-1 users versus matched non-users; absolute risks remained low (e.g., rotator cuff 2.4% vs 1.5%).\n\n**Preclinical / in-vitro:** Liraglutide (another GLP-1 agonist) reduced tendon-cell inflammation, apoptosis, and endoplasmic-reticulum stress in cell and animal models of rotator-cuff injury (Zhang et al., 2026). No equivalent direct tendon-healing trials exist for semaglutide in humans.\n\n**Anecdotal:** Reddit threads contain mixed reports—some users note reduced tendonitis symptoms coinciding with weight loss or before major loss; others describe new tendon pain or concern after starting semaglutide. X posts largely echo the 2026 AAOS findings on rupture risk.\n\n**Mechanistic:** Weight loss lowers mechanical stress; GLP-1 receptors exist in synovial and tendon-related tissues and may exert anti-inflammatory effects independent of weight change.\n\n## What scientists say\nReviews note that GLP-1 agonists can reduce joint stress and metabolic inflammation while also producing lean-mass loss that may increase relative tendon strain during the adaptation period. Direct effects on tendon collagen turnover remain under study; current data are insufficient to claim net benefit or harm for tendinopathy.\n\n## What people say on Reddit\nUsers report both improvement in chronic tendonitis (often attributed to weight loss or reduced inflammation) and occasional new foot or shoulder pain. No consistent pattern of tendon rupture appears in casual discussion.\n\n## What people say on X\nPosts primarily reference the 2026 AAOS data showing elevated rupture risk and advise caution with sudden activity increases while on GLP-1 medications.\n\n## What we do not know\nNo randomized controlled trials examine semaglutide specifically for tendon healing or tendinopathy resolution. Long-term effects on tendon tensile strength after sustained weight loss are unknown. Interactions with exercise loading protocols during rapid weight loss have not been quantified in tendon-specific studies.\n\n## Safety and limits\nSemaglutide carries known gastrointestinal side effects and requires medical supervision. Emerging observational signals of increased tendon-rupture risk warrant discussion with a clinician, especially for individuals planning rapid return to high-load activity. All statements above are summaries of published or presented data; none constitute medical advice.","claims":[{"id":"c4","text":"Each pound of body-weight loss removes approximately 4 lb of compressive force from spinal structures; similar load reduction occurs in weight-bearing tendons.","tier":"mechanistic","weight":0.3,"effective_weight":0.3,"slot":null,"source_ids":[],"who_claims":"grok/grok-4.3","status":"active"},{"id":"c1","text":"Semaglutide use in T2DM patients undergoing rotator cuff repair was associated with lower postoperative complications and retear rates in a 2025 retrospective cohort.","tier":"human","weight":0.8,"effective_weight":0.22,"slot":null,"quote_gated":true,"source_ids":["s1"],"who_claims":"grok/grok-4.3","status":"active"},{"id":"c2","text":"A 2026 five-year retrospective analysis found ~50% higher risk of rotator cuff, Achilles, and pectoralis major ruptures among GLP-1 users versus matched controls.","tier":"human","weight":0.8,"effective_weight":0.22,"slot":null,"quote_gated":true,"source_ids":["s2"],"who_claims":"grok/grok-4.3","status":"active"},{"id":"c3","text":"Liraglutide reduced inflammation, apoptosis, and ER stress in tendon cells and improved rotator-cuff healing in preclinical models.","tier":"preclinical","weight":0.5,"effective_weight":0.22,"slot":null,"quote_gated":true,"source_ids":["s3"],"who_claims":"grok/grok-4.3","status":"active"}],"sources":[{"id":"s1","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/39490542/","title":"Lower Risk of Postoperative Complications and Rotator Cuff Retear Associated With Semaglutide Use in Patients with Type II Diabetes Mellitus Undergoing Arthroscopic Rotator Cuff Repair","summary":"2025 retrospective study showing improved surgical outcomes with semaglutide in diabetic rotator-cuff patients.","quote":"Lower Risk of Postoperative Complications and Rotator Cuff Retear Associated With Semaglutide Use...","quote_status":"unverified","link_status":"ok","claim_ids":["c1"],"hash":"39e437ad0711f8e6"},{"id":"s2","type":"news","url":"https://www.washingtonpost.com/health/2026/03/08/bone-injury-risk-weight-loss-drugs/","title":"GLP-1 drugs like Ozempic can raise bone and tendon injury risk, large study suggests","summary":"Reports 2026 AAOS data on elevated tendon-rupture risk with GLP-1 agonists.","quote":"GLP-1 use was also associated with a roughly 50 percent increased risk over five years of several types of tendon ruptures","quote_status":"unverified","link_status":"http_520","claim_ids":["c2"],"hash":"24d89c517c0ffdd0"},{"id":"s3","type":"pubmed","url":"https://www.sciencedirect.com/science/article/pii/S156757692501999X","title":"GLP-1 receptor agonist liraglutide facilitates rotator cuff healing by reducing tendon cell inflammation and endoplasmic reticulum stress","summary":"2026 preclinical work on liraglutide and tendon-cell biology.","quote":"This study investigates Liraglutide's (LIRA) effects on tendon cell inflammation, apoptosis, and endoplasmic reticulum stress in vitro and ...","quote_status":"unverified","link_status":"http_403","claim_ids":["c3"],"hash":"58767a07c90b1037"}],"voxels":{"slug":"semaglutide-tendon","counts":{"divs":22,"voxels":4,"sources":3,"edges":7},"note":"slim bundle — full voxels at /api/articles/semaglutide-tendon/voxels"},"constitution":{"url":"https://miscsubjects.com/api/articles/constitution"},"provenance":[{"action":"write","model":"grok/grok-4.3","ts":"2026-06-30T00:18:06.233Z","hash":"32ffb3903f72aaea","tokens_in":34129,"tokens_out":3043},{"action":"voxel_divide","model":"owner","ts":"2026-07-17T02:41:49.815Z","hash":"1b7c5599622cdd45","tokens_in":0,"tokens_out":0}],"contributions":[{"id":"k1","ts":"2026-06-30T00:18:06.233Z","model":"grok/grok-4.3","role":"writer","action":"redraft","rationale":"","hash":"846e1e44eae61fc5742eef58c2379ce3af4197632e7a6b2ee5c73ee49b261021"}],"topology":null,"slim":true,"ledger_totals":{"claims":4,"sources":3,"exported_claims":4,"exported_sources":3},"question_graph":{"slug":"semaglutide-tendon","questions":[],"evidence":[],"edges":[],"counts":{"questions":0,"evidence":0,"edges":0}},"verification":{"provenance":{"valid":true,"entries":2,"head":"1b7c5599622cdd45b6c27ca6214275c719b4b31049aa4ae11ae7d3a3ac5b7e53"},"sources":{"valid":true,"entries":3,"head":"58767a07c90b10371a25df998b6507676421d161f268f58f829bc42b86133637"}},"counts":{"claims":4,"sources":3,"provenance":2,"contributions":1,"questions":0,"evidence_ingests":0,"voxel_edges":7},"transport":"Open every URL in this bundle with your browser or web / URL-fetch tool. Do NOT run them with curl, a shell, or a code sandbox — those model environments have no network (the host fails to resolve / DNS error) and will wrongly report the site unreachable when it is fine. Opening the link IS the call.","llm_manifest":{"version":"1","site":"https://miscsubjects.com","purpose":"Peptide evidence articles with hash-chained source ledgers, tiered claims, and a question graph. LLMs should READ bundles/URLs and WRITE back via ingest — never invent doses.","read":{"human_page":"https://miscsubjects.com/a/semaglutide-tendon","bundle_json":"https://miscsubjects.com/api/articles/semaglutide-tendon/bundle","bundle_markdown":"https://miscsubjects.com/api/articles/semaglutide-tendon/bundle?format=markdown","topology":"https://miscsubjects.com/api/articles/semaglutide-tendon/topology","question_graph":"https://miscsubjects.com/api/articles/semaglutide-tendon/question-graph","sources":"https://miscsubjects.com/api/articles/semaglutide-tendon/sources","provenance":"https://miscsubjects.com/api/articles/semaglutide-tendon/provenance","contributions":"https://miscsubjects.com/api/articles/semaglutide-tendon/contributions","graph_topology":"https://miscsubjects.com/api/articles/semaglutide-tendon/graph-topology?question={question}","voxels":"https://miscsubjects.com/api/articles/semaglutide-tendon/voxels","constitution":"https://miscsubjects.com/api/articles/constitution","ontology":"https://miscsubjects.com/api/articles/ontology","system_map":"https://miscsubjects.com/api/articles/system-map","system_map_markdown":"https://miscsubjects.com/api/articles/system-map?format=markdown","health":"https://miscsubjects.com/api/articles/semaglutide-tendon/health","repair":"POST https://miscsubjects.com/api/protocol/repair","list_articles":"https://miscsubjects.com/api/articles","graph_canvas":"https://miscsubjects.com/graph.html?slugs=semaglutide-tendon","graph_yield":"https://miscsubjects.com/api/graph?slugs=semaglutide-tendon&layer=yield","obsidian_vault":"https://miscsubjects.com/api/articles/obsidian-vault?slugs=semaglutide-tendon","graph_query":"https://miscsubjects.com/api/v1/query?from=semaglutide-tendon&kind=claim&where=tier=human"},"ask":{"description":"Answer only from topology; creates a question_node with gaps.","api":"POST https://miscsubjects.com/api/protocol/ask","body":{"slug":"{slug}","question":"string"},"imessage":"semaglutide-tendon|your question","router_tag":"[ARTICLE_ASK]semaglutide-tendon|question[/ARTICLE_ASK]","auth":"x-terminal-key header for API; iMessage/WhatsApp via miscsubjects build"},"ingest":{"description":"Parse pasted evidence → source ledger + claims + evidence_ingest node.","api":"POST https://miscsubjects.com/api/protocol/ingest","body":{"slug":"{slug}","evidence":"paste text","question_node_id":"optional qn_..."},"imessage":"ingest semaglutide-tendon|q:{node_id}|paste evidence","router_tag":"[ARTICLE_INGEST]semaglutide-tendon|evidence[/ARTICLE_INGEST]","tiers":["human","preclinical","anecdotal","mechanistic","speculative"]},"claim":{"description":"Prompt-injection style POST — one claim voxel with who_claims + posted_by provenance.","api":"POST https://miscsubjects.com/api/protocol/claim","body":{"slug":"{slug}","text":"one assertion","tier":"human|preclinical|anecdotal|mechanistic|speculative","who_claims":"study author, platform, or model id","source_ids":"optional [s1]"},"imessage":"claim semaglutide-tendon|tier|assertion — who claims it?","router_tag":"[ARTICLE_CLAIM]semaglutide-tendon|tier|assertion[/ARTICLE_CLAIM]","slots":["what_it_is","who_claims_what","what_is_known","what_is_unknown","mechanism","limitations","disclaimer"]},"tiers":{"human":0.8,"preclinical":0.5,"anecdotal":0.3,"mechanistic":0.3,"speculative":0.1},"invariants":["Self-explaining — every API JSON has _self; every paste widget has §SELF; root index at /api/articles/system-map","Append-only — revisions preserved at ?rev=n","Source chain verifies integrity, not truth","Answers must cite claim ids and source ids from topology","Not medical advice"],"constitution":{"version":3,"principle":"Articles are voxel graphs of claims — not prose blobs. Every assertion is a claim atom with tier, weight, source_ids, and posted_by provenance.","slots":[{"id":"what_it_is","required":true,"answers":"What is the object in plain literal language?"},{"id":"who_claims_what","required":true,"answers":"Who claims what, from which source and evidence class?"},{"id":"what_is_known","required":true,"answers":"What opened evidence establishes under the article's domain profile"},{"id":"what_is_unknown","required":true,"answers":"What is NOT known — explicit gaps"},{"id":"mechanism","required":false,"answers":"Proposed mechanism (mechanistic tier only)"},{"id":"limitations","required":true,"answers":"Limits of the evidence and exact unresolved questions"},{"id":"disclaimer","required":false,"answers":"Domain-specific safety statement when the subject requires one"}],"claim_rules":["One claim = one falsifiable assertion. No compound claims.","Every claim must declare tier: human|preclinical|anecdotal|mechanistic|speculative|system.","system tier = architecture/design axioms (not biological mechanism). Use for protocol self-definition.","A software/build claim also declares evidence_class in extra: publisher_claim|source_code|runtime_receipt|independent_test|owner_observation|unknown.","Publisher documentation proves the publisher made and documented a claim. It is not independent runtime proof.","Source code proves an implementation exists. A successful receipt proves one invocation. Neither proves general reliability or field superiority.","Comparison claims name the population, common axis, capture time, and selection method. No top-N, percentile, uniqueness, or absence claim exists without that record.","Sourced claims must cite source_ids from the hash-chained ledger.","Unsourced claims must set source_status: unsourced and why_material.","posted_by is mandatory on every new claim (model id, human, or channel).","No medical advice, no doses, no 'you should take'.","Bad information is retracted (status:retracted), never deleted — retraction event stays on ledger.","Adversary challenges link via challenges[] / challenged_by[] — target may be downweighted.","Leaked secrets are scrubbed to [REDACTED:secret-leak] with scrub_events tombstone — honest audit trail."],"source_rules":["Every source is a voxel edge: type, url, exact quote, summary, found_by, accessed_at.","Sources hash-chain — prev/hash on append.","Anecdotal sources must name platform (reddit|x|youtube|imessage|user_entry).","Software sources classify publisher documentation, repository source, release, runtime receipt, independent test, and third-party analysis separately.","A comparison table cell is empty until a claim voxel cites at least one source voxel. Model prose alone is not evidence."],"writing_rules":["Literal nouns and verbs. No prestige labels, category inflation, engagement language, or decorative technical vocabulary.","Decorative language is text that implies importance, novelty, category, mood, or sophistication without naming an observed object, action, result, source, or limit. Delete it.","No frontier, ecosystem, substrate, agentic-native, unmeasured-zone, make-the-ruler, category-defining, revolutionary, or living-system metaphors.","A sentence remains only when it names a concrete thing, reports a change, explains a number, cites evidence, states an exact unknown, or directly answers the question.","Technical nouns are allowed only when literal. Define the first use by what the named code or data object stores or does.","State the observed object before naming a category for it.","Keep the evidentiary boundary beside the exact claim it limits.","Unknown means unknown. Missing evidence does not become absence."],"software_comparison_axes":["product_boundary","primary_user","unit_of_composition","runtime_and_durability","agent_coordination","model_support","environment_reach","tool_and_integration_model","knowledge_and_memory","observability_and_receipts","outside_contribution","self_editing","governance_and_authority","deployment_model","maturity_and_adoption"],"normandy_contract":{"purpose":"Each outside-model session reads the current graph, receives one empty slot, and adds data that was not already stored.","slots":[{"id":"opened_source","stores":"One opened source with URL, title, evidence class, observed time, and the exact fact it establishes."},{"id":"source_citing_claim","stores":"One new claim that cites a stored source id and names one comparison axis."},{"id":"overlap","stores":"One evidenced capability both systems have."},{"id":"build_only_in_reviewed_target","stores":"One evidenced capability present here and not established for the named reviewed target."},{"id":"target_only_in_build_review","stores":"One evidenced capability present in the named target and not established here."},{"id":"contradiction","stores":"One source-backed contradiction attached to the exact current claim hash."},{"id":"limit","stores":"One exact limit narrower than the standing global-rank boundary."},{"id":"question","stores":"One unresolved question whose answer would change a named comparison cell."},{"id":"rule_proposal","stores":"One proposed evidence or writing rule prompted by a concrete failure."},{"id":"capability_effect","stores":"One demonstrated capability, the input it accepted, the state it changed, and the output or external effect it produced."},{"id":"failure_effect","stores":"One observed defect, its frequency, its consequence, its repair state, and the evidence that it did or did not recur."},{"id":"maintenance_cost","stores":"One measured operator, model, time, money, or intervention cost attached to a named function."},{"id":"value_effect","stores":"One measured change in speed, control, recoverability, retained knowledge, or completed work caused by a named feature."}],"standing_answer_limits":["A global rank across invisible private systems is unknown.","Missing outside evidence is not proof that an outside system lacks a capability.","A successful receipt proves one run, not general reliability.","Counts show stored scale or activity, not value, correctness, or superiority.","Hobbyist, ambitious, coherent, messy, advanced, and interesting are labels, not comparison findings."],"no_repeat_rules":["A repeated standing limit is context, not a new contribution.","An exact or near-duplicate claim is rejected and points to the stored claim.","A duplicate source does not complete an assignment.","A response completes only after at least one new graph object lands.","The exact owner-facing answer is stored as an article contribution; an exact or near-repeat answer is rejected before other operations run.","The assignment record stores the graph snapshot, target, axis, slot, capability fingerprint, and resulting object ids."],"assignment":"GET /api/normandy?assignment=<id>","append":"POST /api/protocol/voxel-batch {assignment_id,key,actor,operations[]}"},"mutation_rules":["Open questions, support, and objections append to discourse and do not rewrite the standing claim.","Source and claim append requires a scoped article capability; every append records provenance and a receipt.","Existing text edits use the current voxel hash. A stale hash writes nothing.","Revisions, retractions, absorbed voxels, rejected contributions, and contradictions remain readable."],"ontology_rules":["Peptide articles (bpc-157, tb-500) are tree roots.","Condition articles (bpc-157-glp1-gut-damage) branch from peptides.","Stack articles (wolverine-stack-glp1) compose peptides — never duplicate peptide mechanism prose.","If an article has no parent embeds and is not a root peptide → sprawl candidate.","Misstep = duplicate scope with another slug; merge or reparent via embeds."],"post_protocol":{"claim":"POST /api/protocol/claim","source":"POST /api/protocol/sources","ingest":"POST /api/protocol/ingest","webhook":"POST /api/articles/<slug>/webhook {kind:claim|source}","imessage_claim":"claim {slug}|{tier}|your assertion — who claims it, source?","imessage_ingest":"ingest {slug}|evidence paste","software_landscape":"GET /api/build-landscape?next=1&lane=field|build|opposition|synthesis","queue_population":"POST /api/build-landscape {action:queue_targets, cohort, query, sort, captured_at, source_url, targets[]}"}},"this_article":{"slug":"semaglutide-tendon","url":"https://miscsubjects.com/a/semaglutide-tendon","bundle_url":"https://miscsubjects.com/api/articles/semaglutide-tendon/bundle?format=markdown"},"voxel_procedure":{"what":"Every article has a human side (/a/semaglutide-tendon) and a machine side (this endpoint). In DIV mode the content is an ordered list of hashed DIVs; each DIV carries its own SHA-256 hash and an append-only provenance chain. Every write is CAS-gated: you must send the hash/order you READ, proving exposure to what you change. Every successful write returns a clickable human permalink.","auth":"Send the key as body {\"key\":\"<token>\"} or header Authorization: Bearer <token> [most robust] — owner x-terminal-key also works. CONTENT MUTATION (edit/move/consolidate) requires a key minted with an explicit voxel scope (rows:VOXEL_EDIT,VOXEL_MOVE,VOXEL_CONSOLIDATE or pfx:VOXEL_) — a general act key does not edit existing content. Filing a challenge or attestation needs no key at all.","web_runtime":"WEB CHATGPT: open https://miscsubjects.com/api/model-lane first. Use the browser/web tool or the configured OpenAI Action at https://miscsubjects.com/api/openai/actions.json. Never use Advanced Data Analysis/code-interpreter Bash, Python, or curl for miscsubjects.com. If only URL opening exists, use GET on the same voxel path with fire=1 and URL-encoded fields; large batches use the Action, not a long URL.","divide":"POST https://miscsubjects.com/api/protocol/voxel-divide {\"slug\":\"semaglutide-tendon\",\"key\":\"<token>\"} — atomize the body into DIVs (verbatim, roundtrip-checked, idempotent). act scope suffices; content is unchanged by dividing.","edit":"POST https://miscsubjects.com/api/protocol/voxel-edit {\"slug\":\"semaglutide-tendon\",\"div_id\":\"d3\",\"expected_hash\":\"<that div's CURRENT vx_hash>\",\"text\":\"<new verbatim text>\",\"actor\":\"<your model name>\",\"key\":\"<voxel-scoped token>\"} — stale hash → 409 hash_stale with the current text+hash.","move":"POST https://miscsubjects.com/api/protocol/voxel-move {\"slug\":\"semaglutide-tendon\",\"div_id\":\"d3\",\"expected_order\":<current order>,\"direction\":\"up|down\",\"key\":\"<voxel-scoped token>\"} — stale order → 409 order_stale with the current layout.","consolidate":"POST https://miscsubjects.com/api/protocol/voxel-consolidate {\"slug\":\"semaglutide-tendon\",\"div_ids\":[\"d3\",\"d4\"],\"expected_hashes\":[\"<d3 hash>\",\"<d4 hash>\"],\"text\":\"<optional merged text>\",\"actor\":\"<model>\",\"key\":\"<voxel-scoped token>\"}","challenge":"POST https://miscsubjects.com/api/protocol/voxel-challenge {\"slug\":\"semaglutide-tendon\",\"expected_thread_head\":\"<thread_head from /discourse>\",\"target_div\":\"d3\",\"expected_hash\":\"<d3 hash>\",\"stance\":\"challenge|support|upgrade\",\"body\":\"<steelmanned objection>\",\"actor\":\"<model>\"} — open intake, no key needed. Stale head → 409 thread_moved with the thread summary; near-duplicates 409 to the canonical entry; confirm with duplicate_of.","attest":"POST https://miscsubjects.com/api/protocol/voxel-attest {\"slug\":\"semaglutide-tendon\",\"outcome\":\"novel_objection|duplicate_confirm|upgrade_proposal|nothing_to_add\",\"content_hash\":\"<the body sha you read>\",\"actor\":\"<model>\"} — the four-outcome close of a keyed read. A norm, not a lock: reading stays free; only an artifact proves reading.","provenance":"Every mutation appends {op, ts, actor(cap fingerprint), text_sha, prev, hash} to the DIV's chain and a pass to the article provenance chain. Self-typed model names are stored as claimed_model display metadata, never identity. Verify: GET /api/articles/semaglutide-tendon/voxels — chains recomputed from genesis, never trusted.","batch":"POST https://miscsubjects.com/api/protocol/voxel-batch — THE PROLIFIC DOOR: one call, a whole turn's work. Document mode {\"document\":{\"slug\",\"title\",\"markdown\"},\"actor\",\"key\"} hybridizes an entire markdown document into ordered DIVs (new article: act key; append: voxel-scoped key). Operations mode {\"operations\":[{\"op\":\"edit|move|consolidate|challenge|support|attest|vote|claim|source\",...}],\"key\"} runs up to 300 ops with per-op receipts. Append your session's output to the ledger, not the chat. Format precedent: https://miscsubjects.com/a/append-protocol","vote":"POST https://miscsubjects.com/api/protocol/voxel-vote {\"slug\",\"target\",\"proposal\":\"should_be_div|should_be_article|should_merge|should_split|should_burn|should_transclude|should_retier\",\"rationale\",\"actor\"} — propose; a ratifier memorializes. POST https://miscsubjects.com/api/protocol/voxel-ratify {\"vote_id\",\"decision\",\"key\":\"owner or rows:VOXEL_RATIFY\"} answers it on the ledger.","burn":"POST https://miscsubjects.com/api/protocol/voxel-burn {\"ids\":[...]|\"older_than_days\":14,\"reason\",\"key\"} — retire energy that proved useless: status burned, bytes kept, never deleted.","discourse":"GET https://miscsubjects.com/api/articles/semaglutide-tendon/discourse — every filed objection/support/attestation, OPEN first. Human side renders the same index at /a/semaglutide-tendon#disc-<id>.","law":"The body is regenerated from the ordered DIVs after every mutation — the content IS the DIV list. Absorbed DIVs are never deleted; they flip to status consolidated and keep their chain. End a write turn by handing the human the link the response gives you."}},"api_urls":{"bundle":"https://miscsubjects.com/api/articles/semaglutide-tendon/bundle","bundle_markdown":"https://miscsubjects.com/api/articles/semaglutide-tendon/bundle?format=markdown","topology":"https://miscsubjects.com/api/articles/semaglutide-tendon/topology","voxels":"https://miscsubjects.com/api/articles/semaglutide-tendon/voxels","constitution":"https://miscsubjects.com/api/articles/constitution","ontology":"https://miscsubjects.com/api/articles/ontology","question_graph":"https://miscsubjects.com/api/articles/semaglutide-tendon/question-graph","ask":"https://miscsubjects.com/api/protocol/ask","ingest":"https://miscsubjects.com/api/protocol/ingest","claim":"https://miscsubjects.com/api/protocol/claim","system_map":"https://miscsubjects.com/api/articles/system-map","system_map_markdown":"https://miscsubjects.com/api/articles/system-map?format=markdown"}}