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    When I became a coach six years ago, I had a dream that took me a while to admit to—even to myself. What I really wanted to do was to combine the two great passions of my life—coaching and working with horses—but I had no idea what that might look like. As I br
    According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product
    avely shared my fledgling dream with others, people began to point me to other people who had the same dream. I started exploring and discovered that the field of Equine Guided Education is a lively and growing one, where there’s plenty of space for the coachin
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    g process to be incorporated.

    You might be surprised to learn that coaching with horses provides a depth and immediacy that brings new information, even about business development. Synchronicity happens in the domain of energy—energy from our thoughts, our emo
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    tions, our body, our spirit. Horses, unencumbered by language, read and reflect this energy, providing unbiased feedback. How does coaching with horses work, you ask? To give you an example of how this process works, I want to share my experience of doing my co
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    aching process with horses around my own business questions.

    Here’s what happened…

    Background: I am deeply committed to bringing Equine Guided Coaching and Education to the world, but unsure of how, exactly, to grow my business. So the question now is “What’s
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    next?”

    Equine Guided Coaching Process: One warm, sunny October day when I had a few extra minutes at the barn, I went out into the pasture where the six horses I work with were grazing. As I stood in the middle of the pasture, I posed the question—to myself a
    ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc
    nd so to the horses—“What is next for my business, for this business with horses?”

    Very quickly a horse named Digby came up to me. Digby is a thoroughbred horse who takes his rider over those 4- and 5-foot jumps you see in the Olympics. His athleticism and per
    easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi
    formance are not small potatoes. I said, “Hi Digby, why are YOU here?” As I looked at him, the thought occurred to me (openness to the synchronicity of thoughts is key to this work with horses) that he is large, the second largest horse in the pasture. I said,
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    “Well, you are big. Am I supposed to play BIG with this business?” Just as I finished that thought, Colin came up. Colin is a Clydesdale-quarter horse cross and is the biggest horse in the pasture, with big feet, bones and a tall, strong stature. As I looked at
    and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ
    Colin and petted his nose, it came to me that I’m supposed to play REALLY big. Gulp! I immediately noticed the fear that came up for me around this. Then I thought: “What does ‘playing big’ mean for me? How would it look in my business?” As I accepted that thi
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    was the message they came to tell me, both horses turned and went back to grazing, leaving me alone to let this idea settle in, confirming that I’d understood what they’d had to say.

    Now these messages from the horses come quickly, and the full implication do
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    esn’t always sink in immediately. What happened in the hour after my time with Digby and Colin started to clarify what “playing big” actually meant. My business partner and I had invited our insurance representative to the pasture to experience a sample equine-
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    guided coaching session since she had expressed interest in what we were doing. As is typical, she experienced deep and profound shifts in her thinking about the actions she could take in her life. She became aware of important new options that had simply never
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    occurred to her before. For example, normally a type A personality, she had never thought of the possibility of a more relaxed lifestyle. She saw that she could use space and openness to see what is next for her rather than more busy-ness. As we talked about i
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    t over lunch afterwards, our agent expressed such enthusiasm about our work and strongly urged us to incorporate our business to fully professionalize our work. And she asked if she could invite people she knows in the horse world to a workshop so that they cou
    t?

    As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
    ld also experience the power of this process!

    Synchronously, once I offered my question about how to direct my business to the process of equine-guided coaching, I not only received an inner direction to consider building my business to be really big, but also
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    began to discover what that might entail, actually taking a first step to begin to grow it. Coaching with horses this way grounds the process so that we step out of our minds and invite all of ourselves—body, mind, and spirit—to engage with our intentions and
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    clarified direction. The response is almost always startling and exciting, filled with the lively energy of newness. In these few months since Digby and Colin made the message known to me, we have conducted a workshop with eight influential friends of our insur
    .

    As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
    ance representative, incorporated a new business called Wisdom Horse Coaching, which will serve as an umbrella for all of our work with horses, and have presented a demonstration of our work at the first annual Equine-Guided Education Association conference hel
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    d in California to 70 people from all over the USA and seven other countries in the world who are doing this work with horses.

    For more equine coaching information go to www.WisdomHorseCoaching.com


    tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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