The HRT University® Podcast

Nico Misleh
  • 5.0 (9)
  • MEDICINE
  • UPDATED DAILY

Welcome to the HRT University® Podcast, where patient care meets the realities of building a thriving practice. Hosted by nurse practitioner and entrepreneur Nico Misleh, this podcast offers insights into hormone replacement therapy, cash-based clinics, and the business of wellness. Whether you're a provider navigating clinical care or an aspiring entrepreneur, Nico shares honest conversations, practical advice, and expert interviews to guide you. Tune in to redefine success for your patients and yourself. Learn more about Nico and becoming an expert in HRT: https://bit.ly/4twBb0D

  1. 85. Thyroid Combination Therapy and Better Hormone Care

    5D AGO

    85. Thyroid Combination Therapy and Better Hormone Care

    In this episode, Nico Misleh discusses the critical role of thyroid in hormone replacement therapy (HRT), emphasizing that thyroid should not be viewed as an adjunct but as a foundational component. He critiques the conventional approach of using T4 monotherapy for hypothyroidism, highlighting the limitations of TSH as a diagnostic marker. Misleh advocates for combination therapy using T3 and T4, supported by recent studies showing its effectiveness in reducing risks of dementia and mortality. He encourages healthcare providers to adopt a pro-metabolic lens and to empower patients by moving away from outdated practices.Chapters00:00 The Importance of Thyroid in Hormone Replacement Therapy02:50 Monotherapy vs Combination Therapy for Hypothyroidism06:11 Understanding TSH and Its Limitations08:57 The Risks of T4 Monotherapy11:57 The Case for Combination Therapy14:47 Pro-Metabolic Lens on Thyroid Function18:10 The Role of T3 in Metabolism20:58 Empowering Patients and Providers24:03 Creating a New Standard in Thyroid TreatmentFor practitioners who want to confidently grow their practice with guidance in TRT, HRT, and business strategy, find us below:- Nico's Daily Newsletter: ⁠⁠https://nicomislenp.kit.com/8050eeea5f⁠⁠(yes, it's daily... and yes, people stay subscribed)- Join HRT University: https:https://bit.ly/4twBb0D- Join the HRT University Facebook Group: ⁠⁠https://www.facebook.com/groups/1179376819949373/?ref=share&_rdr

    33 min
  2. 84. Age Limits for HRT

    FEB 11

    84. Age Limits for HRT

    In this episode of the HRT University podcast, Nico Misleh discusses the complexities and misconceptions surrounding hormone replacement therapy (HRT), particularly for women over 60 or 10 years post-menopause. He emphasizes the importance of bioidentical hormones, the risks associated with synthetic hormones, and the necessity of early initiation of HRT for better health outcomes. Misleh advocates for patient empowerment through informed decision-making and shared understanding of the risks and benefits of HRT.Chapters00:00 Introduction to HRT University Podcast01:38 Understanding Hormone Replacement Therapy Risks06:45 Bioidentical Hormones vs. Synthetic Hormones12:15 The Importance of Early HRT Initiation14:09 Empowering Patients with HRT KnowledgeFor practitioners who want to confidently grow their practice with guidance in TRT, HRT, and business strategy, find us below:- Nico's Daily Newsletter: ⁠⁠https://nicomislenp.kit.com/8050eeea5f⁠⁠(yes, it's daily... and yes, people stay subscribed)- Join HRT University: https://bit.ly/4twBb0D- Join the HRT University Facebook Group: ⁠⁠https://www.facebook.com/groups/1179376819949373/?ref=share&_rdr

    17 min
  3. 83. Progesterone and Hormone Balance: What Is Often Overlooked in Hormone Therapy | HRT University®

    FEB 9

    83. Progesterone and Hormone Balance: What Is Often Overlooked in Hormone Therapy | HRT University®

    In this episode, Nico Misleh explores the significance of progesterone, often overlooked in discussions about hormones. He emphasizes the importance of understanding the relationship between progesterone and estrogen, the misconceptions surrounding hormonal terminology, and the clinical implications of these misunderstandings. Misleh advocates for a more comprehensive approach to hormone replacement therapy (HRT), highlighting the benefits of bioidentical progesterone over synthetic progestins. He calls for a movement to reclaim the narrative around hormonal health, ensuring that both practitioners and patients are educated about the true nature and benefits of hormones.Chapters00:00 Introduction to Progesterone01:30 The Importance of Progesterone02:59 Understanding Hormonal Relationships05:56 Estrogen vs. Progesterone Dynamics09:20 Progesterone's Role in Metabolism11:43 Misunderstandings in Hormonal Terminology15:15 The Distinction Between Progesterone and Progestins19:50 The Clinical Implications of Hormonal Confusion23:57 The Broader Impact of Progesterone29:09 Progesterone Beyond Reproductive Health32:34 The Misconception of Progesterone Necessity35:44 The Dangers of Progestins39:39 Reclaiming Hormone Replacement Therapy43:37 The Future of Hormonal HealthFor practitioners who want to confidently grow their practice with guidance in TRT, HRT, and business strategy, find us below:- Nico's Daily Newsletter: ⁠⁠https://nicomislenp.kit.com/8050eeea5f⁠⁠(yes, it's daily... and yes, people stay subscribed)- Join HRT University: https://bit.ly/4twBb0D- Join the HRT University Facebook Group: ⁠⁠https://www.facebook.com/groups/1179376819949373/?ref=share&_rdr

    46 min
  4. 82 Functional Medicine and Better Hormone Care: A Root-Cause Approach | HRT University®

    FEB 2

    82 Functional Medicine and Better Hormone Care: A Root-Cause Approach | HRT University®

    In this episode, Nico delves into the principles of functional medicine, contrasting it with traditional allopathic medicine. He emphasizes the importance of a systems approach, curiosity, and the need for healthcare providers to ask deeper questions about patient health. Misleh encourages practitioners to start integrating functional medicine into their practice and highlights the significance of mentorship and community in this journey. He also discusses the intersection of hormone replacement therapy (HRT) and functional medicine, advocating for a holistic view of patient care.Chapters00:00 Introduction to Functional Medicine02:47 The Shift from Allopathic to Functional Medicine06:13 Understanding the Systems Approach in Functional Medicine08:51 Curiosity and the Importance of Asking Why11:47 Practical Steps to Start Practicing Functional Medicine15:05 Integrating Hormone Replacement Therapy with Functional Medicine17:55 The Role of Curiosity in Medicine20:53 The Importance of Mentorship and Community24:05 Exploring the Complexity of Human Biology27:07 Conclusion and Call to ActionReady to build a brand and practice that is as unique as you are? Learn the clinical and business systems to create a thriving hormone optimization practice with The HRT Master Course. This program offers 30 ANCC-accredited credit hours and gives you the expert guidance you need to succeed. Start your journey at: https://hrtuniversity.com/hrtcourse/For practitioners who want to confidently grow their practice with guidance in TRT, HRT, and business strategy, find us below:- Nico's Daily Newsletter: ⁠⁠https://nicomislenp.kit.com/8050eeea5f⁠⁠(yes, it's daily... and yes, people stay subscribed)- Join HRT University: https://hrtuniversity.com/- Join the HRT University Facebook Group: ⁠⁠https://www.facebook.com/groups/1179376819949373/?ref=share&_rdr

    32 min
  5. 81. Growth, Humility, and Better Patient Care in Hormone Therapy

    JAN 26

    81. Growth, Humility, and Better Patient Care in Hormone Therapy

    In this episode, Nico Misleh shares why being willing to admit you are wrong is essential for growth in hormone replacement therapy and patient care. He reflects on early beliefs around male progesterone, how mentor influence and cognitive bias shape clinical decisions, and why evolving with new evidence leads to better outcomes for patients.This conversation explores humility in medicine, the importance of real-world clinical experience, and how providers can build trust by staying open to learning and improvement.Ready to build a brand and practice that is as unique as you are? Learn the clinical and business systems to create a thriving hormone optimization practice with The HRT Master Course. This program offers 30 ANCC-accredited credit hours and gives you the expert guidance you need to succeed. Start your journey at: https://hrtuniversity.com/hrtcourse/For practitioners who want to confidently grow their practice with guidance in TRT, HRT, and business strategy, find us below:- Nico's Daily Newsletter: ⁠⁠https://nicomislenp.kit.com/8050eeea5f⁠⁠(yes, it's daily... and yes, people stay subscribed)- Join HRT University: https://hrtuniversity.com/- Join the HRT University Facebook Group: ⁠⁠https://www.facebook.com/groups/1179376819949373/?ref=share&_rdr

    20 min
  6. 80. Unmasking Endocrine Disruption: The Hidden Crisis of Environmental Toxins and Hormone Health

    JAN 21

    80. Unmasking Endocrine Disruption: The Hidden Crisis of Environmental Toxins and Hormone Health

    In this episode, Nico Misleh breaks down the growing crisis of endocrine disrupting chemicals (EDCs) and their impact on hormonal health. From environmental toxins to modern medical blind spots, Nico explains why hormone replacement therapy should be viewed as a proactive solution—not a last resort—in today’s increasingly toxic world.Ready to build a brand and practice that is as unique as you are? Learn the clinical and business systems to create a thriving hormone optimization practice with The HRT Master Course. This program offers 30 ANCC-accredited credit hours and gives you the expert guidance you need to succeed. Start your journey at: https://hrtuniversity.com/hrtcourse/For practitioners who want to confidently grow their practice with guidance in TRT, HRT, and business strategy, find us below:- Nico's Daily Newsletter: ⁠⁠https://nicomislenp.kit.com/8050eeea5f⁠⁠(yes, it's daily... and yes, people stay subscribed)- Join HRT University: https://hrtuniversity.com/- Join the HRT University Facebook Group: ⁠⁠https://www.facebook.com/groups/1179376819949373/?ref=share&_rdr

    40 min
  7. 79. How to Talk About Pricing Without Killing Trust

    JAN 19

    79. How to Talk About Pricing Without Killing Trust

    In this episode, Nico breaks down how healthcare providers can approach pricing conversations with confidence and clarity. From reframing cost discussions to understanding patient value, this episode explores why pricing isn’t sales — it’s part of patient care Ready to build a brand and practice that is as unique as you are? Learn the clinical and business systems to create a thriving hormone optimization practice with The HRT Master Course. This program offers 30 ANCC-accredited credit hours and gives you the expert guidance you need to succeed. Start your journey at: https://hrtuniversity.com/hrtcourse/For practitioners who want to confidently grow their practice with guidance in TRT, HRT, and business strategy, find us below:- Nico's Daily Newsletter: ⁠⁠https://nicomislenp.kit.com/8050eeea5f⁠⁠(yes, it's daily... and yes, people stay subscribed)- Join HRT University: https://hrtuniversity.com/- Join the HRT University Facebook Group: ⁠⁠https://www.facebook.com/groups/1179376819949373/?ref=share&_rdr

    44 min
  8. 78. Why DPC Practices Should Add Functional Medicine & HRT

    JAN 14

    78. Why DPC Practices Should Add Functional Medicine & HRT

    In this episode, Nico Misleh discusses the benefits of Direct Primary Care (DPC) and the integration of Functional Medicine and Hormone Replacement Therapy (HRT) into practice. He emphasizes the importance of providing personalized care that goes beyond conventional methods, addressing the needs of patients seeking wellness rather than just treatment. The conversation highlights the potential for DPC providers to stand out by offering innovative solutions and the necessity of continuous education in Functional Medicine. Nico shares real-world applications and success stories, encouraging providers to embrace these practices for better patient outcomes and satisfaction.Ready to build a brand and practice that is as unique as you are? Learn the clinical and business systems to create a thriving hormone optimization practice with The HRT Master Course. This program offers 30 ANCC-accredited credit hours and gives you the expert guidance you need to succeed. Start your journey at: https://hrtuniversity.com/hrtcourse/For practitioners who want to confidently grow their practice with guidance in TRT, HRT, and business strategy, find us below:- Nico's Daily Newsletter: ⁠⁠https://nicomislenp.kit.com/8050eeea5f⁠⁠(yes, it's daily... and yes, people stay subscribed)- Join HRT University: https://hrtuniversity.com/- Join the HRT University Facebook Group: ⁠⁠https://www.facebook.com/groups/1179376819949373/?ref=share&_rdr

    33 min
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5
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9 Ratings

About

Welcome to the HRT University® Podcast, where patient care meets the realities of building a thriving practice. Hosted by nurse practitioner and entrepreneur Nico Misleh, this podcast offers insights into hormone replacement therapy, cash-based clinics, and the business of wellness. Whether you're a provider navigating clinical care or an aspiring entrepreneur, Nico shares honest conversations, practical advice, and expert interviews to guide you. Tune in to redefine success for your patients and yourself. Learn more about Nico and becoming an expert in HRT: https://bit.ly/4twBb0D

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