第30期 | (I cycle through all LLMs over time and all of them seem...
今日摘要
OpenAI Blog:OpenAI raises $122 billion in new funding to expand frontier AI globally, invest in next-generation compute, and meet growing dema…
X Andrej Karpathy:New supply chain attack this time for npm axios, the most popular HTTP client library with 300M weekly downloads. Scanning my syst…
OpenAI Blog:AI for Disaster Response in Asia: OpenAI Workshop with Gates Foundation
OpenAI Blog:Gradient Labs uses GPT-4.1 and GPT-5.4 mini and nano to power AI agents that automate banking support workflows with low latency a…
X Andrej Karpathy:- Drafted a blog post - Used an LLM to meticulously improve the argument over 4 hours. - Wow, feeling great, it’s so convincing! -…
总结 + 观点:LLM Knowledge Bases Something I'm finding very u…|中文观点:比起表面参数,LLM Knowledge Bases Something I'm find…
总结 + 观点:OpenAI acquires TBPN to accelerate global conver…|中文观点:OpenAI acquires TBPN 更值得从实际采用价值来判断,而不是只看它有没有制…
总结 + 观点:Codex now includes pay-as-you-go pricing for Cha…|中文观点:围绕 Codex now offers more flexible pricing for…
总结 + 观点:Learn how STADLER uses ChatGPT to transform know…|中文观点:围绕 STADLER reshapes knowledge work at a 230-y…
总结 + 观点:When I built menugen ~1 year ago, I observed tha…|中文观点:从 When I built menugen ~1 year ago, I observe…
Accelerating the next phase of AI
标签:#ai_engineering_blogs #core
作者:
原文:OpenAI raises $122 billion in new funding to expand frontier AI globally, invest in next-generation compute, and meet growing demand for ChatGPT, Codex, and enterprise AI.
New supply chain attack this time for npm axios, the most popular HTTP client library with 300M weekly downloads.
标签:#x_profiles #extended
作者:
原文:New supply chain attack this time for npm axios, the most popular HTTP client library with 300M weekly downloads. Scanning my system I found a use imported from googleworkspace/cli from a few days ago when I was experimenting with gmail/gcal cli. The installed version (luckily) resolved to an unaffected 1.13.5, but the project dependency is not pinned, meaning that if I did this earlier today the code would have resolved to latest and I'd be pwned. It's possible to personally defend against these to some extent with local settings e.g. release-age constraints, or containers or etc, but I think ultimately the defaults of package management projects (pip, npm etc) have to change so that a single infection (usually luckily fairly temporary in nature due to security scanning) does not spread through users at random and at scale via unpinned dependencies. More comprehensive article: stepsecurity.io/blog/axios-c… Feross (@feross) CRITICAL: Active supply chain attack on axios -- one of npm's most depended-on packages. The latest axios@1.14.1 now pulls in plain-crypto-js@4.2.1, a package that did not exist before today. This is a live compromise. This is textbook supply chain installer malware. axios has 100M+ weekly downloads. Every npm install pulling the latest version is potentially compromised right now. Socket AI analysis confirms this is malware. plain-crypto-js is an obfuscated dropper/loader that: Deobfuscates embedded payloads and operational strings at runtime Dynamically loads fs, os, and execSync to evade static analysis Executes decoded shell commands Stages and copies payload files into OS temp and Windows ProgramData directories Deletes and renames artifacts post-execution to destroy forensic evidence If you use axios, pin your version immediately and audit your lockfiles. Do not upgrade. https://nitter.net/feross/status/2038807290422370479#m
Helping disaster response teams turn AI into action across Asia
标签:#ai_engineering_blogs #core
作者:
原文:AI for Disaster Response in Asia: OpenAI Workshop with Gates Foundation
链接:https://openai.com/index/helping-disaster-response-teams-asia
Gradient Labs gives every bank customer an AI account manager
标签:#ai_engineering_blogs #core
作者:
原文:Gradient Labs uses GPT-4.1 and GPT-5.4 mini and nano to power AI agents that automate banking support workflows with low latency and high reliability.
- Drafted a blog post - Used an LLM to meticulously improve the argument over 4 hours. - Wow, feeling great, it’s so convincing!
标签:#x_profiles #extended
作者:
原文:- Drafted a blog post - Used an LLM to meticulously improve the argument over 4 hours. - Wow, feeling great, it’s so convincing! - Fun idea let’s ask it to argue the opposite. - LLM demolishes the entire argument and convinces me that the opposite is in fact true. - lol The LLMs may elicit an opinion when asked but are extremely competent in arguing almost any direction. This is actually super useful as a tool for forming your own opinions, just make sure to ask different directions and be careful with the sycophancy.
LLM Knowledge Bases Something I'm finding very useful recently: using LLMs to build personal knowledge bases for various topics of research...
标签:#x_profiles #extended
作者:
原文:LLM Knowledge Bases Something I'm finding very useful recently: using LLMs to build personal knowledge bases for various topics of research interest. In this way, a large fraction of my recent token throughput is going less into manipulating code, and more into manipulating knowledge (stored as markdown and images). The latest LLMs are quite good at it. So: Data ingest: I index source documents (articles, papers, repos, datasets, images, etc.) into a raw/ directory, then I use an LLM to incrementally "compile" a wiki, which is just a collection of .md files in a directory structure. The wiki includes summaries of all the data in raw/, backlinks, and then it categorizes data into concepts, writes articles for them, and links them all. To convert web articles into .md files I like to use the Obsidian Web Clipper extension, and then I also use a hotkey to download all the related images to local so that my LLM can easily reference them. IDE: I use Obsidian as the IDE "frontend" where I can view the raw data, the the compiled wiki, and the derived visualizations. Important to note that the LLM writes and maintains all of the data of the wiki, I rarely touch it directly. I've played with a few Obsidian plugins to render and view data in other ways (e.g. Marp for slides). Q&A: Where things get interesting is that once your wiki is big enough (e.g. mine on some recent research is ~100 articles and ~400K words), you can ask your LLM agent all kinds of complex questions against the wiki, and it will go off, research the answers, etc. I thought I had to reach for fancy RAG, but the LLM has been pretty good about auto-maintaining index files and brief summaries of all the documents and it reads all the important related data fairly easily at this ~small scale. Output: Instead of getting answers in text/terminal, I like to have it render markdown files for me, or slide shows (Marp format), or matplotlib images, all of which I then view again in Obsidian. You can imagine many other visual output formats depending on the query. Often, I end up "filing" the outputs back into the wiki to enhance it for further queries. So my own explorations and queries always "add up" in the knowledge base. Linting: I've run some LLM "health checks" over the wiki to e.g. find inconsistent data, impute missing data (with web searchers), find interesting connections for new article candidates, etc., to incrementally clean up the wiki and enhance its overall data integrity. The LLMs are quite good at suggesting further questions to ask and look into. Extra tools: I find myself developing additional tools to process the data, e.g. I vibe coded a small and naive search engine over the wiki, which I both use directly (in a web ui), but more often I want to hand it off to an LLM via CLI as a tool for larger queries. Further explorations: As the repo grows, the natural desire is to also think about synthetic data generation finetuning to have your LLM "know" the data in its weights instead of just context windows. TLDR: raw data from a given number of sources is collected, then compiled by an LLM into a .md wiki, then operated on by various CLIs by the LLM to do Q&A and to incrementally enhance the wiki, and all of it viewable in Obsidian. You rarely ever write or edit the wiki manually, it's the domain of the LLM. I think there is room here for an incredible new product instead of a hacky collection of scripts.
OpenAI acquires TBPN
标签:#ai_engineering_blogs #core
作者:
原文:OpenAI acquires TBPN to accelerate global conversations around AI and support independent media, expanding dialogue with builders, businesses, and the broader tech community.
Codex now offers more flexible pricing for teams
标签:#ai_engineering_blogs #core
作者:
原文:Codex now includes pay-as-you-go pricing for ChatGPT Business and Enterprise, providing teams a more flexible option to start and scale adoption.
链接:https://openai.com/index/codex-flexible-pricing-for-teams
STADLER reshapes knowledge work at a 230-year-old company
标签:#ai_engineering_blogs #core
作者:
原文:Learn how STADLER uses ChatGPT to transform knowledge work, saving time and accelerating productivity across 650 employees.
When I built menugen ~1 year ago, I observed that the hardest part by far was not the code itself, it was the plethora of services you have...
标签:#x_profiles #extended
作者:
原文:When I built menugen ~1 year ago, I observed that the hardest part by far was not the code itself, it was the plethora of services you have to assemble like IKEA furniture to make it real, the DevOps: services, payments, auth, database, security, domain names, etc... I am really looking forward to a day where I could simply tell my agent: "build menugen" (referencing the post) and it would just work. The whole thing up to the deployed web page. The agent would have to browse a number of services, read the docs, get all the api keys, make everything work, debug it in dev, and deploy to prod. This is the actually hard part, not the code itself. Or rather, the better way to think about it is that the entire DevOps lifecycle has to become code, in addition to the necessary sensors/actuators of the CLIs/APIs with agent-native ergonomics. And there should be no need to visit web pages, click buttons, or anything like that for the human. It's easy to state, it's now just barely technically possible and expected to work maybe, but it definitely requires from-scratch re-design, work and thought. Very exciting direction! Patrick Collison (@patrickc) When @karpathy built MenuGen karpathy.bearblog.dev/vibe-c… he said: "Vibe coding menugen was exhilarating and fun escapade as a local demo, but a bit of a painful slog as a deployed, real app. Building a modern app is a bit like assembling IKEA future. There are all these services, docs, API keys, configurations, dev/prod deployments, team and security features, rate limits, pricing tiers." We've all run into this issue when building with agents: you have to scurry off to establish accounts, clicking things in the browser as though it's the antediluvian days of 2023, in order to unblock its superintelligent progress. So we decided to build Stripe Projects to help agents instantly provision services from the CLI. For example, simply run: stripe projects add posthog/analytics And it'll create a PostHog account, get an API key, and (as needed) set up billing. Projects is launching today as a developer preview. You can register for access (we'll make it available to everyone soon) at projects.dev We're also rolling out support for many new providers over the coming weeks. (Get in touch if you'd like to make your service available.) projects.dev https://nitter.net/patrickc/status/2037190688950161709#m
Farzapedia, personal wikipedia of Farza, good example following my Wiki LLM tweet.
标签:#x_profiles #extended
作者:
原文:Farzapedia, personal wikipedia of Farza, good example following my Wiki LLM tweet. I really like this approach to personalization in a number of ways, compared to "status quo" of an AI that allegedly gets better the more you use it or something: 1. Explicit. The memory artifact is explicit and navigable (the wiki), you can see exactly what the AI does and does not know and you can inspect and manage this artifact, even if you don't do the direct text writing (the LLM does). The knowledge of you is not implicit and unknown, it's explicit and viewable. 2. Yours. Your data is yours, on your local computer, it's not in some particular AI provider's system without the ability to extract it. You're in control of your information. 3. File over app. The memory here is a simple collection of files in universal formats (images, markdown). This means the data is interoperable: you can use a very large collection of tools/CLIs or whatever you want over this information because it's just files. The agents can apply the entire Unix toolkit over them. They can natively read and understand them. Any kind of data can be imported into files as input, and any kind of interface can be used to view them as the output. E.g. you can use Obsidian to view them or vibe code something of your own. Search "File over app" for an article on this philosophy. 4. BYOAI. You can use whatever AI you want to "plug into" this information - Claude, Codex, OpenCode, whatever. You can even think about taking an open source AI and finetuning it on your wiki - in principle, this AI could "know" you in its weights, not just attend over your data. So this approach to personalization puts *you* in full control. The data is yours. In Universal formats. Explicit and inspectable. Use whatever AI you want over it, keep the AI companies on their toes! Certainly this is not the simplest way to get an AI to know you - it does require you to manage file directories and so on, but agents also make it quite simple and they can help you a lot. I imagine a number of products might come out to make this all easier, but imo "agent proficiency" is a CORE SKILL of the 21st century. These are extremely powerful tools - they speak English and they do all the computer stuff for you. Try this opportunity to play with one. Farza (@FarzaTV) This is Farzapedia. I had an LLM take 2,500 entries from my diary, Apple Notes, and some iMessage convos to create a personal Wikipedia for me. It made 400 detailed articles for my friends, my startups, research areas, and even my favorite animes and their impact on me complete with backlinks. But, this Wiki was not built for me! I built it for my agent! The structure of the wiki files and how it's all backlinked is very easily crawlable by any agent makes it a truly useful knowledge base. I can spin up Claude Code on the wiki and starting at index.md (a catalog of all my articles) the agent does a really good job at drilling into the specific pages on my wiki it needs context on when I have a query. For example, when trying to cook up a new landing page I may ask: "I'm trying to design this landing page for a new idea I have. Please look into the images and films that inspired me recently and give me ideas for new copy and aesthetics". In my diary I kept track of everything from: learnings, people, inspo, interesting links, images. So the agent reads my wiki and pulls up my "Philosophy" articles from notes on a Studio Ghibli documentary, "Competitor" articles with YC companies whose landing pages I screenshotted, and pics of 1970s Beatles merch I saved years ago. And it delivers a great answer. I built a similar system to this a year ago with RAG but it was ass. A knowledge base that lets an agent find what it needs via a file system it actually understands just works better. The most magical thing now is as I add new things to my wiki (articles, images of inspo, meeting notes) the system will likely update 2-3 different articles where it feels that context belongs, or, just creates a new article. It's like this super genius librarian for your brain that's always filing stuff for your perfectly and also let's you easily query the knowledge for tasks useful to you (ex. design, product, writing, etc) and it never gets tired. I might spend next week productizing this, if that's of interest to you DM me tell me your usecase! Video https://nitter.net/FarzaTV/status/2040563939797504467#m
Something I've been thinking about - I am bullish on people (empowered by AI) increasing the visibility, legibility and accountability of th...
标签:#x_profiles #extended
作者:
原文:Something I've been thinking about - I am bullish on people (empowered by AI) increasing the visibility, legibility and accountability of their governments. Historically, it is the governments that act to make society legible (e.g. "Seeing like a state" is the common reference), but with AI, society can dramatically improve its ability to do this in reverse. Government accountability has not been constrained by access (the various branches of government publish an enormous amount of data), it has been constrained by intelligence - the ability to process a lot of raw data, combine it with domain expertise and derive insights. As an example, the 4000-page omnibus bill is "transparent" in principle and in a legal sense, but certainly not in a practical sense for most people. There's a lot more like it: laws, spending bills, federal budgets, freedom of information act responses, lobbying disclosures... Only a few highly trained professionals (investigative journalists) could historically process this information. This bottleneck might dissolve - not only are the professionals further empowered, but a lot more people can participate. Some examples to be precise: Detailed accounting of spending and budgets, diff tracking of legislation, individual voting trends w.r.t. stated positions or speeches, lobbying and influence (e.g. graph of lobbyist - firm - client - legislator - committee - vote - regulation), procurement and contracting, regulatory capture warning lights, judicial and legal patterns, campaign finance... Local governments might be even more interesting because the governed population is smaller so there is less national coverage: city council meetings, decisions around zoning, policing, schools, utilities... Certainly, the same tools can easily cut the other way and it's worth being very mindful of that, but I lean optimistic overall that added participation, transparency and accountability will improve democratic, free societies. (the quoted tweet is half-ish related, but inspired me to post some recent thoughts) Harry Rushworth (@Hrushworth) The British Government is a complicated beast. Dozens of departments, hundreds of public bodies, more corporations than one can count... Such is its complexity that there isn't an org chart for it. Well, there wasn't... Introducing ⚙️Machinery of Government⚙️ https://nitter.net/Hrushworth/status/2040406616806179001#m
Wow, this tweet went very viral! I wanted share a possibly slightly improved version of the tweet in an "idea file".
标签:#x_profiles #extended
作者:
原文:Wow, this tweet went very viral! I wanted share a possibly slightly improved version of the tweet in an "idea file". The idea of the idea file is that in this era of LLM agents, there is less of a point/need of sharing the specific code/app, you just share the idea, then the other person's agent customizes builds it for your specific needs. So here's the idea in a gist format: gist.github.com/karpathy/442… You can give this to your agent and it can build you your own LLM wiki and guide you on how to use it etc. It's intentionally kept a little bit abstract/vague because there are so many directions to take this in. And ofc, people can adjust the idea or contribute their own in the Discussion which is cool. Andrej Karpathy (@karpathy) LLM Knowledge Bases Something I'm finding very useful recently: using LLMs to build personal knowledge bases for various topics of research interest. In this way, a large fraction of my recent token throughput is going less into manipulating code, and more into manipulating knowledge (stored as markdown and images). The latest LLMs are quite good at it. So: Data ingest: I index source documents (articles, papers, repos, datasets, images, etc.) into a raw/ directory, then I use an LLM to incrementally "compile" a wiki, which is just a collection of .md files in a directory structure. The wiki includes summaries of all the data in raw/, backlinks, and then it categorizes data into concepts, writes articles for them, and links them all. To convert web articles into .md files I like to use the Obsidian Web Clipper extension, and then I also use a hotkey to download all the related images to local so that my LLM can easily reference them. IDE: I use Obsidian as the IDE "frontend" where I can view the raw data, the the compiled wiki, and the derived visualizations. Important to note that the LLM writes and maintains all of the data of the wiki, I rarely touch it directly. I've played with a few Obsidian plugins to render and view data in other ways (e.g. Marp for slides). Q&A: Where things get interesting is that once your wiki is big enough (e.g. mine on some recent research is ~100 articles and ~400K words), you can ask your LLM agent all kinds of complex questions against the wiki, and it will go off, research the answers, etc. I thought I had to reach for fancy RAG, but the LLM has been pretty good about auto-maintaining index files and brief summaries of all the documents and it reads all the important related data fairly easily at this ~small scale. Output: Instead of getting answers in text/terminal, I like to have it render markdown files for me, or slide shows (Marp format), or matplotlib images, all of which I then view again in Obsidian. You can imagine many other visual output formats depending on the query. Often, I end up "filing" the outputs back into the wiki to enhance it for further queries. So my own explorations and queries always "add up" in the knowledge base. Linting: I've run some LLM "health checks" over the wiki to e.g. find inconsistent data, impute missing data (with web searchers), find interesting connections for new article candidates, etc., to incrementally clean up the wiki and enhance its overall data integrity. The LLMs are quite good at suggesting further questions to ask and look into. Extra tools: I find myself developing additional tools to process the data, e.g. I vibe coded a small and naive search engine over the wiki, which I both use directly (in a web ui), but more often I want to hand it off to an LLM via CLI as a tool for larger queries. Further explorations: As the repo grows, the natural desire is to also think about synthetic data generation finetuning to have your LLM "know" the data in its weights instead of just context windows. TLDR: raw data from a given number of sources is collected, then compiled by an LLM into a .md wiki, then operated on by various CLIs by the LLM to do Q&A and to incrementally enhance the wiki, and all of it viewable in Obsidian. You rarely ever write or edit the wiki manually, it's the domain of the LLM. I think there is room here for an incredible new product instead of a hacky collection of scripts. https://nitter.net/karpathy/status/2039805659525644595#m
(I cycle through all LLMs over time and all of them seem to do this so it's not any particular implementation but something deeper, e.g.
标签:#x_profiles #extended
作者:
原文:(I cycle through all LLMs over time and all of them seem to do this so it's not any particular implementation but something deeper, e.g. maybe during training, a lot of the information in the context window is relevant to the task, so the LLMs develop a bias to use what is given, then at test time overfit to anything that happens to RAG its way there via a memory feature
One common issue with personalization in all LLMs is how distracting memory seems to be for the models.
标签:#x_profiles #extended
作者:
原文:One common issue with personalization in all LLMs is how distracting memory seems to be for the models. A single question from 2 months ago about some topic can keep coming up as some kind of a deep interest of mine with undue mentions in perpetuity. Some kind of trying too hard.
TDA-RC: Task-Driven Alignment for Knowledge-Based Reasoning Chains in Large Language Models
标签:#research_community #extended
作者:
原文:arXiv:2604.04942v1 Announce Type: new Abstract: Enhancing the reasoning capability of large language models (LLMs) remains a core challenge in natural language processing. The Chain-of-Thought (CoT) paradigm dominates practical applications for its single-round efficiency, yet its reasoning chains often exhibit logical gaps. While multi-round paradigms like Graph-of-Thoughts (GoT), Tree-of-Thoughts (ToT), and Atom of Thought (AoT) achieve strong performance and reveal effective reasoning structures, their high cost limits practical use. To address this problem, this paper proposes a topology-based method for optimizing reasoning chains. The framework embeds essential topological patterns of effective reasoning into the lightweight CoT paradigm. Using persistent homology, we map CoT, ToT, and GoT into a unified topological space to quantify their structural features. On this basis, we design a unified optimization system: a Topological Optimization Agent diagnoses deviations in CoT chains from desirable topological characteristics and simultaneously generates targeted strategies to repair these structural deficiencies. Compared with multi-round reasoning methods like ToT and GoT, experiments on multiple datasets show that our approach offers a superior balance between reasoning accuracy and efficiency, showcasing a practical solution to ``single-round generation with multi-round intelligence''.
The Illusion of Latent Generalization: Bi-directionality and the Reversal Curse
标签:#research_community #extended
作者:
原文:arXiv:2604.04943v1 Announce Type: new Abstract: The reversal curse describes a failure of autoregressive language models to retrieve a fact in reverse order (e.g., training on ``$A B$'' but failing on ``$B A$''). Recent work shows that objectives with bidirectional supervision (e.g., bidirectional attention or masking-based reconstruction for decoder-only models) can mitigate the reversal curse. We extend this evaluation to include a vanilla masked language modeling (MLM) objective and compare it to decoder-only masking-based training across four reversal benchmarks and then provide a minimal mechanistic study of \emph{how} these objectives succeed. We show that reversal accuracy requires training signal that explicitly makes the source entity a prediction target, and we find little evidence that success corresponds to a single direction-agnostic representation of a fact. Instead, representation distances and linear probes are consistent with storing forward and reverse directions as distinct entries, with different indexing geometry for MLM versus decoder-only masking-based training. Our results caution that objective-level ``fixes'' can improve reversal behavior without necessarily inducing the kind of latent generalization one might expect from a unified concept.
Inclusion-of-Thoughts: Mitigating Preference Instability via Purifying the Decision Space
标签:#research_community #extended
作者:
原文:arXiv:2604.04944v1 Announce Type: new Abstract: Multiple-choice questions (MCQs) are widely used to evaluate large language models (LLMs). However, LLMs remain vulnerable to the presence of plausible distractors. This often diverts attention toward irrelevant choices, resulting in unstable oscillation between correct and incorrect answers. In this paper, we propose Inclusion-of-Thoughts (IoT), a progressive self-filtering strategy that is designed to mitigate this cognitive load (i.e., instability of model preferences under the presence of distractors) and enable the model to focus more effectively on plausible answers. Our method operates to reconstruct the MCQ using only plausible option choices, providing a controlled setting for examining comparative judgements and therefore the stability of the model's internal reasoning under perturbation. By explicitly documenting this filtering process, IoT also enhances the transparency and interpretability of the model's decision-making. Extensive empirical evaluation demonstrates that IoT substantially boosts chain-of-thought performance across a range of arithmetic, commonsense reasoning, and educational benchmarks with minimal computational overhead.
Phase-Associative Memory: Sequence Modeling in Complex Hilbert Space
标签:#research_community #extended
作者:
原文:arXiv:2604.05030v1 Announce Type: new Abstract: We present Phase-Associative Memory (PAM), a recurrent sequence model in which all representations are complex-valued, associations accumulate in a matrix state $S_{t}$ $\in$ $\mathbb{C}^{d \times d}$ via outer products, and retrieval operates through the conjugate inner product $K_t^* \cdot Q_t \sqrt{d}$. At $\sim$100M parameters on WikiText-103, PAM reaches validation perplexity 30.0, within $\sim$10\% of a matched transformer (27.1) trained under identical conditions, despite $4\times$ arithmetic overhead from complex computation and no custom kernels. We trace the experimental path from vector-state models, where holographic binding fails due to the $O(1/\sqrt{n})$ capacity degradation of superposed associations, to the matrix state that resolves it. The competitiveness of an architecture whose native operations are complex-valued superposition and conjugate retrieval is consistent with recent empirical evidence that semantic interpretation in both humans and large language models exhibits non-classical contextuality, and we discuss what this implies for the choice of computational formalism in language modeling.
This Treatment Works, Right? Evaluating LLM Sensitivity to Patient Question Framing in Medical QA
标签:#research_community #extended
作者:
原文:arXiv:2604.05051v1 Announce Type: new Abstract: Patients are increasingly turning to large language models (LLMs) with medical questions that are complex and difficult to articulate clearly. However, LLMs are sensitive to prompt phrasings and can be influenced by the way questions are worded. Ideally, LLMs should respond consistently regardless of phrasing, particularly when grounded in the same underlying evidence. We investigate this through a systematic evaluation in a controlled retrieval-augmented generation (RAG) setting for medical question answering (QA), where expert-selected documents are used rather than retrieved automatically. We examine two dimensions of patient query variation: question framing (positive vs. negative) and language style (technical vs. plain language). We construct a dataset of 6,614 query pairs grounded in clinical trial abstracts and evaluate response consistency across eight LLMs. Our findings show that positively- and negatively-framed pairs are significantly more likely to produce contradictory conclusions than same-framing pairs. This framing effect is further amplified in multi-turn conversations, where sustained persuasion increases inconsistency. We find no significant interaction between framing and language style. Our results demonstrate that LLM responses in medical QA can be systematically influenced through query phrasing alone, even when grounded in the same evidence, highlighting the importance of phrasing robustness as an evaluation criterion for RAG-based systems in high-stakes settings.