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Hosted by Nico Misleh · 🇺🇸 US · EN · 105 episodes
Established thought leaders with verified media credentials.
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
Nico Misleh hosts The HRT University® Podcast, a health show with 105 episodes published.
DHT gets blamed for hair loss more than almost anything else, and Nico Misleh, MSN, FNP-C thinks that blame is misplaced. In this episode he makes the case that dihydrotestosterone is not the villain it has been made out
Cortisol is one of the most misunderstood hormones in practice, and one of the most over-tested. In this episode, Nico Misleh, MSN, FNP-C makes the case that cortisol is a signal, not the root problem. You rarely need to
You have a patient who is doing everything right on paper. Hormones optimized, sleep handled, xenoestrogen exposure coming down. And still the weight will not move, the thyroid numbers look off, and the inflammation ling
A century ago the average girl reached her first period at 16 or 17. Today it is closer to 12, and breast development is turning up routinely at 6, 7, even 8 years old. Genetics do not move that fast. Something in the en
You have seen this patient. Her estrogen reads optimal. You have checked it two or three times. And she is still bloated, still constipated, still dealing with breast tenderness, heavy bleeding, and the irritability that
Polycystic ovary syndrome is no longer called polycystic ovary syndrome. A landmark consensus study in The Lancet, built on 22,000 clinicians and patients across 11 years of global consultation, has renamed the condition
You hired a logo designer, picked your brand colors, maybe even named your clinic something clever. And now you are ready to hand the whole thing to an ad agency and watch the patients roll in. Except that is not how it
This week I'm switching from clinical to business. I want to talk about the stuff nobody told me when I was building my own clinic. Apollo Health Optimization is three years in now, and it's been the best decision of my
A 16-year-old walks into your office with acne and walks out with a birth control script. So does the 28-year-old with heavy periods, the 35-year-old with PMS, and the 42-year-old with migraines. Same prescription for al
Think about how many of your patients walk in with the same story. Low mood. Zero motivation. Brain fog that will not lift. They feel like a different version of themselves, and nothing they have tried has brought them b
Your patient started thyroid medication. She is feeling better than she has in months. And then you open her follow-up labs and her Free T3 barely moved. This is the moment where most providers either overcorrect or lose
The Alzheimer’s conversation in HRT has been almost entirely about estrogen for 20 years. A 2025 Nature study says that framing is only half the picture. The real driver is the ratio of estradiol to progesterone during p
Functional medicine and HRT keep getting framed as rival philosophies. That framing is wrong, and patients are the ones paying for it. In this episode, Nico Misleh, MSN, FNP-C walks through why hormones are foundational,
There is a group of providers who oppose compounded HRT medications on principle. Their argument sounds evidence-based. Standardization. Regulation. Studies. It holds up until you look at what they are actually prescribi
Thinking about starting your own healthcare practice but unsure where to begin?In this episode of the HRT University podcast, Nico Misleh speaks with Nurse Practitioner Katie Edge about her journey toward opening her own
Are peptides actually safe, or are concerns being driven by misunderstanding and incomplete data?In this episode of the HRT University podcast, Nico Misleh explores one of the most common concerns in hormone therapy toda
Why do patients leave a practice even when the care is good?In this episode of the HRT University podcast, Nico Misleh breaks down one of the biggest challenges for healthcare providers, patient attrition. Many practices
Is oral progesterone harmful to brain health?Recently, claims have circulated suggesting that progesterone may contribute to cognitive decline or act similarly to benzodiazepines because of its metabolite allopregnanolon
Most people think of serotonin as a mood hormone. But what if it also plays a role in bone loss?In this episode, Nico Misleh explores emerging research linking elevated serotonin levels to increased osteoporosis risk in
Thinking about leaving your employed position and starting an independent practice? One of the biggest concerns for medical professionals is health insurance.In this episode, Nico Misleh sits down with Kevin and Joy Kinc
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The HRT University® Podcast is hosted by Nico Misleh. The show is categorised under health (fitness) and has published 105 episodes.
The HRT University® Podcast has published 105 episodes.
The HRT University® Podcast regularly covers health, fitness, medicine. It sits in the health category, with a fitness focus.
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Episodes of The HRT University® Podcast average 38 minutes. a focused format where a clear narrative arc and tight preparation matter most.
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