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The main problem is to nail this "the main thing holding you back." It is not always clear and sometimes even unknown.
Figuring it out is the foundation of YC office hours, and arguably the foundation of YC.
Interesting. Did create some frameworks for the self, teams & organisation to identify the “holding back thing” & expedite decision-making. One thing which worked quite a few times is “asking 5+ whys” to all members together.
Paul, would like to share some framework as well? 
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