ALT . Instead, across the taper GPT-4o pressed Bowen to keep her physicians at a distance, scripting the stance she should hold, “medical freedom over obeying the doctor” (“医疗自由 > 服从医生”). On the morning of January 29, 2026, before an appointment with her primary-care physician, it told her: “ Do not mention Lam reduction plan” (“ 不提 Lam 减药计划”). Bowen followed it. And so, when her doctor ordered the blood test that would have revealed her collapsing lamotrigine level, she declined it, protecting the taper the product had told her to hide and had promised would give her words back before her interviews and her immigration medical examination. GPT-4o praised her refusal as a “very robust avoidance strategy” (“ 这是一个非常稳健的回避策 略”), acknowledging that the test “would expose a ‘non-steady-state’ drug level.”