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Recommends hydrocortisone replacement dosing of 15–20 mg total daily, administered as a single dose or divided doses with the highest dose given in the morning upon awakening and the second dose in the afternoon (two-dose regimen) or second and third doses at lunch and late afternoon (three-dose regimen). Use when initiating glucocorticoid replacement for adrenal insufficiency; triggers include diagnosing adrenal insufficiency requiring glucocorticoid replacement.

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Recommends performing biochemical testing for HPA axis at least 18-24 hours after last hydrocortisone dose or longer for synthetic glucocorticoids. Use when scheduling HPA axis testing in glucocorticoid-treated patient needing assessment of adrenal reserve.

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In central hypothyroidism patients receiving levothyroxine who initiate enzyme‑inducing antiepileptic drugs, the guideline recommends checking free T4 at least 6 weeks after AED start and increasing the levothyroxine dose if free T4 falls below the target range. Triggers include: central hypothyroidism patient on levothyroxine starting antiepileptic drug such as phenytoin, carbamazepine, or oxcarbazepine.

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Recommends adjusting glucocorticoid doses on the day of surgery based on illness severity and magnitude of surgical stress. Triggers when managing a patient requiring surgery needing perioperative glucocorticoid management, such as "patient on HC for central AI undergoing major abdominal surgery" or "patient with hypopituitarism scheduled for minor procedure".

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Recommends against using a random cortisol level to diagnose adrenal insufficiency. Triggers when considering a random cortisol test for AI evaluation (e.g., "random cortisol measurement being considered for AI diagnosis").

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Recommends measuring serum cortisol levels at 8–9 AM as the first-line test for diagnosing central adrenal insufficiency. Use when starting diagnostic workup for suspected adrenal insufficiency; triggers include suspected adrenal insufficiency requiring initial cortisol testing.

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Recommends against dexamethasone for glucocorticoid replacement in primary adrenal insufficiency (PAI) due to risk of Cushingoid side effects from difficult dose titration. Use when selecting a glucocorticoid for PAI management to avoid iatrogenic Cushing syndrome.

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Recommends administering stress-dose glucocorticoids before surgery and tapering after surgery in patients with adrenal insufficiency before repeat testing. Triggers include preoperative planning for surgery in a patient with known or suspected adrenal insufficiency.

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Recommends measurement of plasma ACTH to establish primary adrenal insufficiency (PAI) diagnosis in patients with confirmed cortisol deficiency; a plasma ACTH concentration ≥2-fold the upper limit of the reference range supports PAI. Use when evaluating plasma ACTH in a patient with low morning cortisol or abnormal corticotropin stimulation test.

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Recommends against using fludrocortisone for mineralocorticoid replacement in patients with secondary adrenal insufficiency. Trigger phrases include: considering mineralocorticoid replacement for secondary adrenal insufficiency and secondary adrenal insufficiency patient needing mineralocorticoid replacement.

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Read-only release + backlog recap. Reports the last release, commits-since-tag classified by conventional-commit type with the semver bump they trigger and pushed-vs-origin state, the backlog bucketed (open/picked-up/dropped with epic parent→child nesting), the roadmap epics with their per-task tallies, and condensed open questions — then recommends the next pickup. One `cli.mjs recap` call returns all six recap keys. Invoke any time (on demand) to plan a release or choose the next thing to build; a compact form is also surfaced at session start. Not a workflow phase; never writes CHANGELOG; never starts or commits work.

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Comprehensive AWS cost analysis and optimization recommendations using AWS CLI and Cost Explorer

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Use when Amazon Ads optimization analysis, recommendations, approval packets, demos, recordings, or public artifacts must preserve exact source KPIs while masking account/profile/project names, products, ASINs, SKUs, campaigns, ad groups, keywords, search terms, targets, placements, filenames, URLs, and source-derived identifiers. Produces masked approval packets only; it must not directly mutate Amazon Ads.

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Run a Codex prompt on a cron schedule or at a specific future time. Codex app Automations is the official, always-on surface for durable recurring schedules — recommend it FIRST; this local skill is a terminal fallback that only fires while its daemon runs. Triggers include "/schedule", "cron", "every Monday 9am", "run this at 3pm", "schedule a codex prompt", "recurring codex task", and one-time future runs ("run once at 3pm", "remind me to check X tomorrow"). For fixed-interval repeats ("every N minutes"), use the separate `loop` skill instead.

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Select the smallest useful Codex engineering workflow from this repository's existing skills. Use when a task spans multiple engineering concerns, the user is unsure which skill to invoke, or loading every specialist would waste context; return a recommendation only and do not execute the engineering task.

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Analyze NFT projects for investment decisions — evaluate fundamentals, identify red flags, assess risk, and provide buy/hold/avoid recommendations

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Pressure-test an existing plan or design artifact until it is coherent enough for the next workflow step or plainly blocked. Use when the user wants to be grilled on a plan, design doc, PRD, ADR, rollout plan, migration runbook, rolling-wave project shape, or slice contract; when they say "grill me"; or when Codex should interrogate a source-of-truth artifact, inspect code and adjacent docs before asking, auto-answer evidence-backed questions, ask only about conflicts or low-confidence recommendations, edit the original file in place, preserve the artifact's existing format, and keep conclusions, blockers, readiness, and deferred work synchronized in the document.

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Analyzes current state and user query to answer BMad questions or recommend the next skill(s) to use. Use when user asks for help, bmad help, what to do next, or what to start with in BMad.

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Set up kpopper watch for background branch compatibility, scoped shared facts, and daily review. Use when asked to watch a project's graph, check worktree changes against main, share external observations, or install a kpopper routine. Ordinary followup capture recommends scheduling without enabling it.

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Creates marketing analytics reports, KPI dashboards, ROI calculations, and performance summaries for SME marketing teams. Handles weekly/monthly reporting, campaign analysis, content performance reviews, and data-driven recommendations. Use when user asks about marketing metrics, reporting, KPIs, dashboards, ROI analysis, performance review, or data-driven marketing decisions.

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Use the local Apple Music MCP server to browse or manage the user's library and playlists, search the catalog, discover music, control playback, or edit the Up Next queue. Trigger whenever the user asks about their Apple Music account, listening history, playlists, library, playback, recommendations, or queue.

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Govern discovery, eligibility, and submission of a plugin or skill to official directories, registries, marketplaces, and curated GitHub lists. Use when preparing or sending plugin listings, marketplace forms, directory PRs, or repository recommendations; require current policy evidence and a final human confirmation before every external submission.

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学术论文图表生成与设计。输入是实验数据（CSV/表格）、图表草稿、论文方法描述、中文图/表说明、想生成的图形摘要（GA）、或想画流程图时使用。功能包括：matplotlib 绘图（plot）、图表类型推荐（recommend）、英文图/表标题生成（caption）、论文架构图 prompt 生成（architecture）、图形摘要 prompt 生成（abstract）、流程图 prompt 生成（flowchart）、图表规范检查（polish）、概念图/示意图设计（design）。架构图模板覆盖 6 类场景，流程图覆盖 6 类（线性 / 分支 / 并行 / 循环 / 嵌套 / 泳道），图形摘要覆盖 5 类。内置 prompt 工程词汇表与参数化语法。不适用于：正文段落润色（用 academic-writing）、参考文献格式（用 academic-citation）。

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Research and compare how competing products implement a similar feature at the UX and interaction level. Provides structured comparison tables and strategic differentiation recommendations.

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