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Mendelian Randomization: A Practical Guide to Causal Inference

From Study Design and Statistical Foundations to Advanced Methods, R Workflows, and Scientific Reporting

Mendelian Randomization: A Practical Guide to Causal Inference
This book is 100% completeLast updated on 2026-09-22

Go beyond running MR code. A practical, research-focused guide to Mendelian randomization covering causal assumptions, study design, R workflows, advanced MR methods, sensitivity analyses, interpretation, and scientific reporting—from research question to manuscript.

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About the Book

Go beyond running MR code. Learn how to design, diagnose, interpret, and report a Mendelian randomization study rigorously.

Mendelian Randomization: A Practical Guide to Causal Inference is a research-focused guide for graduate students, epidemiologists, biostatisticians, genetic epidemiologists, and researchers working with causal inference.

Rather than treating Mendelian randomization as a collection of statistical commands, this book follows the complete research process—from defining the causal question and understanding instrumental-variable assumptions to conducting analyses, diagnosing potential violations, interpreting results, and preparing a manuscript.

The book covers causal assumptions and DAGs, GWAS data and instrument selection, Wald ratio, 2SLS and IVW, weak instruments, one-sample and two-sample MR, MR-Egger, weighted median and weighted mode, heterogeneity and horizontal pleiotropy, MR-PRESSO, Steiger directionality, bidirectional MR, multivariable MR, collider and selection bias, sample overlap and winner’s curse, MR-TRYX, MR-RAPS, CAUSE, LCV, Bayesian MR, drug-target and cis-MR, colocalization, and omics MR.

Practical sections include TwoSampleMR workflows, harmonization and quality control, sensitivity analyses, reproducible R workflows, publication-quality tables and figures, worked examples, STROBE-MR reporting, manuscript preparation, reviewer responses, and a pre-submission checklist.

The emphasis throughout is not simply on obtaining a statistically significant MR estimate, but on understanding what the estimate represents, which assumptions support it, what can invalidate it, and how strongly the evidence can be interpreted.

2026 Graduate Researcher Edition · 127 pages · PDF + EPUB

Author: Su Hyun Lee, PhD
PhD in Public Health, Yonsei University
Genetic Epidemiology & Causal Inference

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Author

About the Author

Su Hyun Lee

Su Hyun Lee, PhD, is a public health researcher specializing in genetic epidemiology and causal inference. She earned her PhD in Public Health from Yonsei University and has research experience in genome-wide association studies (GWAS), Mendelian randomization, and epidemiologic methods.

Her work focuses on translating complex causal inference methods into rigorous and practical approaches for health research. She is particularly interested in the application of genetic data to causal questions in epidemiology and in helping researchers move from statistical methodology to reproducible, publication-ready analyses.

Mendelian Randomization: A Practical Guide to Causal Inference reflects this approach, bridging statistical foundations, study design, advanced MR methods, R-based workflows, interpretation, and scientific reporting.

Contents

Table of Contents

Table of Contents

Part I. Foundations of Mendelian Randomization

  • From Association to Causation
  • Instrumental Variable Assumptions
  • DAGs and Causal Thinking
  • Genetic Variants as Instruments
  • Wald Ratio, 2SLS, and IVW
  • Weak Instruments and Instrument Strength

Part II. Study Design and Data

  • One-Sample and Two-Sample MR
  • GWAS Data and Instrument Selection
  • LD Clumping and Harmonization
  • Causal Estimands and Identification
  • Sample Overlap, Winner's Curse, and Selection Bias

Part III. Sensitivity Analysis and Robust MR

  • MR-Egger Regression
  • Weighted Median and Weighted Mode
  • Heterogeneity and Horizontal Pleiotropy
  • MR-PRESSO
  • Leave-One-Out and Funnel Plot Diagnostics
  • Steiger Directionality and Bidirectional MR

Part IV. Advanced Mendelian Randomization

  • Multivariable MR
  • Collider Bias and Selection
  • MR-TRYX
  • MR-RAPS
  • CAUSE and LCV
  • Bayesian MR
  • Drug-Target and cis-MR
  • Colocalization
  • Omics MR

Part V. Practical Analysis in R

  • TwoSampleMR Workflow
  • Data Harmonization and Quality Control
  • Sensitivity Analyses
  • Reproducible R Workflows
  • Worked Examples
  • Publication-Quality Tables and Figures

Part VI. Interpretation and Scientific Reporting

  • Interpreting MR Estimates Beyond Statistical Significance
  • STROBE-MR Reporting
  • Writing Methods, Results, and Discussion
  • Responding to Reviewers
  • Critical Reading of MR Studies
  • Pre-Submission Checklist

Appendices

  • Glossary
  • Self-Test Questions
  • Exercises for Graduate Researchers
  • References

Complete 2026 Graduate Researcher Edition: 53 chapters + appendices.

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