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    I get many e-mails and letters from people who want a program to get into shape. Many of these people have no prior experience into the world of weigh
    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
    t training or exercise in general. Many of those people are your typical disgruntled fad dieters who have failed and want something that works. These
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    people are intimidated of going into a large Gym to workout in. Others may join the large gym but don’t know what to do with all the fancy equipment.
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.


    Let me be the first to tell that you are carrying all the equipment you will need to get your shape up and fitness program going. What kind of exerci
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    se equipment am I talking about? I am talking about your own body. You heard me correctly. All you need to get started on the road to getting into tip
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    top shape are body weight exercises also known as calisthenics. When I tell people this they are taken by surprise by the simplicity. When I talk abo
    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
    ut body weight exercises, I am not talking about those silly little exercises you see on those late night infomercials that sell videos. I am talking
    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
    bout exercises described in my new course Muscle Conditioning. The exercises I go into in my course and videos are very tough and will actually burn l
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    oads of fat and build hard lean muscle. Many people are used to getting complex answers to their fitness questions when they are starting out. That is
    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
    exactly what many savvy marketers want so that they can sell you many fancy products, which leads me into a story.

    The other day I was talking to my
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    next door neighbor and he said to me, "Man, I am out of shape. I need to start working out. I need to join a Gym." He asked me what type of gym he sh
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    ould join? I said to him "What do you mean?" He said "I really do not know. I do not have the money for a Gym membership. What do you suggest?" I said
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    to him “You do not need to join a gym or purchase expensive equipment. There is alot you can do with just your body weight”. He very was Surprised. H
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    e goes on “Like what? The only thing that comes to my mind is push-ups". "Funny" I said, "Have you ever heard of Hindu Squats, Sumo Squats, Hindu Push
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    ups, Dive bomber push-ups, body rowing, chin-ups and handstand push-ups? There are many more you know." "You just need some direction and you can hav
    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
    e a complete routine where you can develop your body all through calisthenics."

    Here is a sample routine I gave him from my Muscle Conditioning Cours
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    e:

    I had him do the Push-up Gauntlet, which consist of

    1) Dive Bomber Push-ups 20 reps

    2) Hindu Push-ups 20 Reps

    3) Standard Push-ups 20 reps

    4)
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    Static Hand stands for 30 seconds

    5) Hindu Squats 50 reps

    6) Sumo Squats 50 reps

    7) Chin-ups 10-20 reps

    8) Lying leg raises 20 reps

    I told him th
    .

    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
    at this routine should help him develop functional strength and build up his body. He was very appreciative and went at the routine the following mo
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    rning. You see there are no excuses for not exercising and following a good fitness program. You have all the equipment you need; your own body weight


    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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