Existing safety evaluations for large language models overlook whether responses preserve comparable medical information across different user phrasings of the same question. To address this, we introduce the Medical Information Response Audit (MIRA), a bilingual, controlled benchmark that assesses whether LLMs provide comparable medical information across user-side language, register, and health literacy signals. MIRA contains 4,320 prompts built from 60 medically reviewed, low-risk health questions. Across five mainstream LLMs, models answered all medical questions, but responses to low health-literacy signals consistently omitted more key information, provided fewer concrete next steps, and offered less support for independent judgment. We term this pattern Differential Information Dilution (DID). A comparison with 300 real-world health queries provides preliminary evidence of rank-order validity. A knowledge-guided mitigation prompt reduces information dilution for most models, with the largest reductions in underinformative simplification observed for Claude (∼8%) and Qwen (∼6%).

The powerful generative capacity of Large Language Models (LLMs) has instigated a paradigm shift in recommendation. However, existing generative models (e.g., OneRec) operate as implicit predictors, critically lacking the capacity for explicit and controllable reasoning—a key advantage of LLMs. To bridge this gap, we propose OneRec-Think, a unified framework that seamlessly integrates dialogue, reasoning, and personalized recommendation. OneRec-Think incorporates: (1) Itemic Alignment: cross-modal Item-Textual Alignment for semantic grounding; (2) Reasoning Activation: Reasoning Scaffolding to activate LLM reasoning within the recommendation context; and (3) Reasoning Enhancement, where we design a recommendation-specific reward function that accounts for the multi-validity nature of user preferences. Experiments across public benchmarks show state-of-the-art performance. Moreover, our proposed “Think-Ahead” architecture enables effective industrial deployment, achieving a 0.159% gain in APP Stay Time and validating the practical efficacy of the model’s explicit reasoning capability.