A model predicts binding to a chosen target and a set of measurable properties. It does not predict what the molecule will do in a living body.
What the model treats as fixed
To make a prediction at all, the model holds most of biology constant. It assumes a single target structure, a single molecule, and an environment matching its training conditions. Those assumptions are not flaws in the model — they are the reason it can compute anything. The consequence is that the prediction is only as good as the assumptions, and a real body violates most of them.
What a high score means
A high score means the molecule looks promising against the target under the model's assumptions. It is a filter for deciding what to test next, not a verdict on whether the molecule will work as a medicine.