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The OpenAI client pinned `response_format: { type: "json_object" }` on every
call. The Coach tool loop's forced-final round runs with `tool_choice: "none"`
and expects plain prose, but JSON mode coerced the reply into a JSON object —
the user saw a JSON blob or an empty reply instead of the coach's answer.
Send `response_format` only when the caller opts in with `responseFormat: "json"`
and no tools are present, mirroring the Anthropic client's prefill gate. The
JSON-consuming callers that relied on the implicit mode (insight generate +
briefing retry, medication extraction, the connection-test probe) now pass the
flag explicitly; the prose Coach path and every tool round stay out of JSON
mode. Codex already omitted the flag and is unaffected.