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This skill equips Claude with specialized knowledge for conducting Mendelian Randomization (MR) studies within the R ecosystem. It provides standardized implementation patterns for instrument selection using GWAS databases, primary MR methods like IVW and MR-Egger, and rigorous sensitivity testing including pleiotropy assessment and MR-PRESSO. Whether performing two-sample MR, multivariable MR, or advanced causal analysis using methods like CAUSE, this skill ensures adherence to best practices and STROBE-MR reporting guidelines for high-quality epidemiological research.