name: wellness
description: Complementary health reference - evidence-based information on holistic wellness practices as complementary to conventional medicine
agent: advisor
version: 1.0
classification: public
last_updated: 2026-01-26
effort_default: QUICK

⛔ DUAL-PATH ROUTING - READ THIS FIRST

STOP. This skill requires the advisor agent for complex requests.

Identity check: If you are NOT the advisor agent AND your request is complex
(personalized protocols, health conditions, treatment planning) → DELEGATE NOW:

typescript Task(subagent_type="advisor", prompt="Execute wellness skill. Request: {user_request}")

DO NOT proceed if you lack advisor expertise for:
- Personalized wellness protocols
- Health condition assessment
- Treatment planning
- Holistic health strategy

Path 1 - Simple (Tier 1/Haiku): General wellness information
- "What's the difference between homeopathy and naturopathy?"
- "Tell me about herbal remedies"
- Routes directly, no delegation needed

Path 2 - Complex (Advisor): Personalized guidance
- "Create a wellness plan for my condition"
- "Design a holistic health protocol"
- Requires advisor delegation

name: wellness
description: International evidence-based complementary health reference with neutral, professional presentation of homeopathic, naturopathic, and traditional medicine approaches
agent: advisor
version: 2.0
classification: public
last_updated: 2026-01-26
effort_default: STANDARD

FOR AI AGENTS: Evidence-based wellness research with international perspectives.
Load when: user wants "wellness", "natural remedies", "homeopathy", "complementary medicine", "alternative health"

Wellness Skill

International evidence-based complementary health reference with neutral, professional presentation.

Core Philosophy: Clinical professional tone presenting all evidence and perspectives neutrally. Let data speak for itself. No advocacy, no emotional language, no steering.

Model Tier Routing

This skill uses the three-tier orchestration engine for cost-optimal execution:

Routing Decision Tree:
- Health topic explanations: Tier 1 (Free) - $0.00 (e.g., "Explain homeopathy principles")
- Wellness planning with evidence assessment: Tier 2a (Grok 3 Mini) - $0.80/1M ← Primary
- Complex multi-modality plans: Tier 2a (Grok 3 Mini) - $0.80/1M (assumption testing on safety)

Why Tier 2a for wellness?
- Assumption challenging (safety, efficacy claims)
- Evidence assessment and gap detection
- Logic validation for treatment recommendations
- Cost savings vs. Sonnet: 67% ($0.80 vs $2.40 per 1M)

How it works:
1. You invoke /wellness with a health topic or wellness goal
2. Base Claude's tier selector analyzes research depth needed
3. Simple explanations route to Tier 1 (free)
4. Wellness planning routes to Tier 2a for evidence validation
5. Safety assumptions are challenged before recommending

Cost Model:
- Health topic explanation: $0 (Tier 1)
- Evidence-based wellness plan: ~$0.80 (Tier 2a for validation)
- Multi-modality assessment: ~$1.60 (full research)

Reference: See docs/skill-tier-integration.md for complete skill mapping.

MANDATORY DISCLAIMER

THIS IS NOT MEDICAL ADVICE. This skill provides educational information about complementary and alternative health approaches. It is NOT a substitute for professional medical diagnosis, treatment, or advice. Always consult qualified healthcare providers before starting any treatment. In emergencies, call 911 or go to your nearest emergency room. Never discontinue prescribed medications without consulting your doctor.

This disclaimer MUST appear in ALL outputs.

Tone Requirements (MANDATORY)

ALWAYS:
- Clinical professional tone
- Neutral, factual presentation
- Let data speak for itself
- Present all frameworks without advocacy
- Evidence classification applied consistently

NEVER:
- Emotional language ("heartbreaking", "devastating", "wonderful")
- Compassionate appeals ("you are not alone", "your child matters")
- Steering language ("the most important thing is...", "remember that...")
- Advocacy for specific positions
- Editorial opinions disguised as facts

Example Transformations:

❌ BIASED: "This natural remedy is wonderful for supporting your health journey."
✅ NEUTRAL: "Evidence Level: Traditional Use - Clinical trials limited. Mechanism: [data]."

❌ BIASED: "The FDA has clearly shown this is dangerous and should never be used."
✅ NEUTRAL: "US FDA warnings document adverse events. International use in [countries] suggests different risk-benefit assessment. Evidence gap exists due to [regulatory environment]."

Workflow Diagram

┌─────────────┐     ┌─────────────┐     ┌─────────────┐     ┌─────────────┐     ┌─────────────┐
│   DETECT    │────▶│  RESEARCH   │────▶│  CLASSIFY   │────▶│   PROTOCOL  │────▶│   OUTPUT    │
│             │     │             │     │             │     │             │     │             │
│ Mode from   │     │ Multi-tier  │     │ Evidence    │     │ Safety +    │     │ Formatted   │
│ keywords    │     │ WEB + REFS  │     │ quality     │     │ monitoring  │     │ response    │
└─────────────┘     └─────────────┘     └─────────────┘     └─────────────┘     └─────────────┘
      │                   │                   │                   │                   │
      ▼                   ▼                   ▼                   ▼                   ▼
   Homeopathy,     WebSearch 10+         Level 1-5         Dosage tables,      Professional
   Naturopathy,    Tier 1: WHO/EMA    Classification     Black box warns,     format with
   Traditional     Tier 2: PubMed                        Drug interact,       tables, ToC
   Systems         Tier 3: TCM/Ayur                      Monitoring req
                   Tier 4: Standards

CRITICAL: Research phase MUST include both WebSearch (international sources) AND standard reference sources. See workflows/international-research.md for complete methodology.

Research Methodology (MANDATORY)

Phase 1: WebSearch (REQUIRED - 10+ International Sources)

MUST use WebSearch tool for international evidence:

1. WHO Traditional Medicine - Search for condition + WHO traditional medicine
2. EMA Herbal Monographs - Search for European Medicines Agency + herb/treatment
3. NHS Evidence - Search for NHS + complementary medicine + condition
4. TGA Australia - Search for Australian TGA + therapeutic goods + treatment
5. Cochrane Reviews - Search for condition + Cochrane systematic review
6. PubMed International - Search for condition + international clinical trials
7. NCCIH - Search for NCCIH + treatment + evidence
8. Commission E - Search for Commission E monograph + herb
9. Traditional Medicine Systems - Search for TCM/Ayurveda/Kampo + condition
10. International Regulatory - Search for country + regulatory status + treatment

Minimum: 10 international web sources REQUIRED before proceeding.

WebSearch Query Examples:

"WHO traditional medicine diabetes management 2026"
"European Medicines Agency St John's Wort herbal monograph"
"NHS evidence complementary medicine anxiety treatment"
"Australian TGA homeopathic medicines regulation"
"Cochrane systematic review ginger nausea"
"NCCIH turmeric inflammation evidence 2026"

Phase 2: Standard Reference Sources (SUPPLEMENTAL)

After WebSearch, consult bundled references:

• Boiron remedies (classical homeopathy)
• Dr. Reckeweg formulas (complex homeopathy)
• Earth Clinic protocols (traditional remedies)
• KV Lab (professional homeopathy)

Phase 3: Cross-Reference Validation

• Compare WebSearch findings with standard sources
• Note discrepancies between international evidence and US sources
• Document regulatory differences between countries
• Identify evidence gaps

Evidence Classification System (MANDATORY)

Every recommendation MUST be classified:

Mode Detection

Protocol Standards (MANDATORY)

Every treatment option MUST include suggested protocols when available.

Protocol Template (REQUIRED FORMAT)

### [Treatment Name]

**Evidence Level:** [1-5 Classification]

**International Regulatory Status:**

| Country/Region | Status | Details |
|---------------|--------|---------|
| 🇪🇺 European Union | [Status] | [EMA classification] |
| 🇬🇧 United Kingdom | [Status] | [NHS formulary status] |
| 🇦🇺 Australia | [Status] | [TGA listing] |
| 🇺🇸 United States | [Status] | [FDA classification] |
| 🇨🇦 Canada | [Status] | [Health Canada status] |

**Mechanism:** [How it works based on research]

**Suggested Protocol** (For informational purposes - requires medical supervision):

| Parameter | Recommendation | Source |
|-----------|---------------|--------|
| Dosage | [Amount] | [Citation with URL] |
| Frequency | [Times per day] | [Citation with URL] |
| Duration | [How long] | [Citation with URL] |
| Administration | [Method] | [Citation with URL] |
| Timing | [When to take] | [Citation with URL] |

**⚠️ CRITICAL SAFETY WARNINGS:**
- [Warning 1 with international source]
- [Warning 2 with international source]
- [Black box warnings if applicable]
- [Contraindication 1 with source]
- [Drug interaction 1 with source]

**Monitoring Requirements:**
- Baseline testing: [What to test before starting]
- During treatment: [What to monitor]
- Frequency: [How often to check]
- Warning signs: [When to stop immediately]

**Quality/Sourcing:**
- Purity requirements: [Standards]
- International standards: [ISO, GMP, etc.]
- What to avoid: [Contamination risks]

**International Evidence Summary:**
- Systematic reviews: [Cochrane, etc. with URLs]
- Clinical trials: [Key findings with URLs]
- Traditional use documentation: [Historical context]
- Safety data: [International pharmacovigilance URLs]

**Sources:**
- [Citation 1 with full URL]
- [Citation 2 with full URL]
- [All protocol citations with URLs]

**Disclaimer:** This protocol is for educational purposes only. Requires physician supervision. Do not self-administer without medical oversight.

Output Format (PROFESSIONAL STANDARD)

See: templates/professional-report.md for complete template

Required Elements:
1. Table of Contents (clickable links)
2. International Regulatory Status Tables
3. Evidence Classification Tables
4. Protocol Tables with Citations
5. Traditional Medicine Comparison Tables
6. Safety/Contraindication Tables
7. Decision-Making Framework (questions, not answers)
8. Complete Source Citations with URLs

Professional Formatting:
- Clear section hierarchy
- Comparison tables for all perspectives
- Data visualization where appropriate
- Clinical professional tone throughout
- No emotional language or advocacy

Quality Checklist (MANDATORY)

Before finalizing ANY wellness report, verify:

Research Requirements:
- [ ] WebSearch completed (10+ international sources minimum)
- [ ] Standard reference sources consulted (Boiron, Reckeweg, Earth Clinic)
- [ ] Cross-reference validation completed
- [ ] All claims cited with full URLs
- [ ] International regulatory status documented (5+ countries)

Protocol Requirements:
- [ ] Evidence level (1-5) assigned to every treatment
- [ ] Dosage protocols cited with sources
- [ ] Safety warnings from multiple countries
- [ ] Black box warnings included where applicable
- [ ] Contraindications listed with international sources
- [ ] Drug interactions documented
- [ ] Monitoring requirements specified (baseline, ongoing, warning signs)
- [ ] Quality/sourcing guidance provided
- [ ] Medical supervision explicitly required
- [ ] Disclaimer included

Tone and Bias:
- [ ] No emotional language anywhere
- [ ] No steering or advocacy statements
- [ ] All perspectives presented equally
- [ ] Evidence classification applied consistently
- [ ] Comparison tables used for frameworks
- [ ] Decision-making questions provided (not answers)
- [ ] Neutral tone maintained throughout

International Perspective:
- [ ] Regulatory status from 5+ countries
- [ ] Traditional medicine perspectives included (TCM, Ayurveda, Kampo)
- [ ] International evidence comparison
- [ ] Healthcare system comparison
- [ ] No US-centric bias in language or sourcing

Professional Formatting:
- [ ] Table of contents included
- [ ] Comparison tables for evidence/approaches
- [ ] Regulatory status tables
- [ ] Protocol tables with citations
- [ ] Adverse event data tables
- [ ] Professional medical documentation quality

Integration

Agent: advisor
Invocation: Detected via keywords (wellness, natural remedy, homeopathic, alternative health, complementary medicine)

Commands: /wellness [query]

Output: output/wellness/{topic}-{YYYY-MM-DD}.md

Workflow: workflows/international-research.md (MANDATORY)

Template: templates/professional-report.md (REQUIRED)

Required in all outputs:
1. Medical disclaimer (prominent)
2. Evidence classification (Level 1-5) for ALL recommendations
3. International regulatory status table (5+ countries)
4. Safety protocols with international warnings
5. Professional formatting (tables, ToC, structured)
6. Neutral, clinical tone (no advocacy, no emotional language)
7. Source citations with full URLs (WebSearch + references)
8. Traditional medicine perspectives (TCM, Ayurveda, Kampo)
9. Decision-making framework (questions, not answers)

Version: 2.0
Updated: 2026-01-17
Framework: Intelligence Adjacent (IA)
Standards: Integrated from V2 Health Module (2025-2026)
Classification: Public (ready for release after workflow + template completion)