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yoyolll's post in Harsh Medicine Bug was marked as the answer
This person has detailed how to trigger this bug and a way to avoid it:
https://forums.obsidian.net/topic/98409-resolving-the-harsh-medicine-quest-is-partly-bugged/
Can't close out the quest without picking another ending, however. So if it took you a while to realize it was bugged, it's probably not an option to reload.