The HRT University® Podcast

Ready to master the art of HRT? Join Nico's DAILY Newsletter for exclusive insights not found anywhere else: https://nicomislenp.kit.com/8050eeea5f What if the standard approach to HRT dosing is setting your patients up for failure? Many clinicians make a critical mistake, assuming that replacing hormones is a simple one-to-one exchange. In episode 53 of the Nico Misleh Podcast, host Nico Misl...

Want the truth about treating PCOS? Get daily insights from Nico Misleh that challenge conventional medicine: ⁠ https://nicomislenp.kit.com/8050eeea5f⁠ In May 2026, The Lancet published a landmark consensus renaming PCOS to PMOS (polyendocrine metabolic ovarian syndrome) after 11 years of research involving 22,000 clinicians worldwide. The rename confirms what Nico has been teaching since this epi...

Stop trying to out-compete other HRT clinics and start making your competition completely irrelevant. In episode 51 of the Nico Misleh Podcast, Nico Misleh reveals why the feeling of market saturation is a myth and how building a powerful brand, not just a clinic, is the key to attracting a flood of ideal patients. You will learn the 'Blue Ocean Strategy' used by innovative companies like...

What if the "normal" female testosterone level is the real problem? New data suggests optimal is up to 30x higher than you think, and your fear of proper dosing could be limiting your patients' results and your practice's success. In Episode 50 of The Nico Misleh Podcast, host Nico Misleh confronts the biggest fears holding clinicians back from effectively using female TRT. He ex...

Are you losing patients the moment you mention pricing? It might be because you’re accidentally breaking their trust without even realizing it. Most clinicians make this one simple mistake in their consultations, and it's costing them their confidence and their income. In episode 49 of The Nico Misleh Podcast, host Nico Misleh reveals why your traditional patient consult is failing. He shares the...

Are you sleeping more but feeling more tired? Your hormones, not just your habits, could be the real reason you can't get deep, restful sleep. In episode 48 of The Nico Misleh Podcast, host and hormone expert Nico Misleh reveals why progesterone deficiency is the secret cause of terrible sleep, anxiety, and weight gain in women, and how testosterone is the unsung hero for men's recovery. He explai...

Most clinicians are unknowingly failing their female patients by treating perimenopause with antidepressants and birth control. In episode 47 of the Nico Misleh Podcast, host Nico Misleh reveals why common symptoms like night sweats, anxiety, and insomnia are often misdiagnosed and how the conventional approach can make things worse. This episode exposes the truth about hormonal fluctuations, the...

Could a "female" hormone be the missing link to resolving anxiety, inflammation, and low energy in your male patients? What if the conventional wisdom that progesterone is useless for men is not only wrong, but dangerously outdated? In episode 46 of The Nico Misleh Podcast, host Nico Misleh dismantles the long-held myths surrounding progesterone in men's health. Discover the surprisi...

Are your HRT protocols failing even when lab results look normal? What if a patient's high testosterone was actually a sign of deficiency? In episode 45 of The Nico Misleh Podcast, host Nico Misleh reveals the critical lab insights that most clinicians miss. Discover why relying on total testosterone alone can lead to poor patient outcomes and learn how understanding markers like free testoste...

Is your medical license a trap? The healthcare system is forcing dedicated clinicians like you into burnout, making you work for insurance companies instead of your patients. In episode 44 of The Nico Misleh Podcast, host Nico Misleh exposes the broken insurance model and reveals how a cash-based practice is the key to regaining your autonomy. Discover how to escape the golden handcuffs, realign w...

Are your patients with PMDD failing to improve on standard treatments like SSRIs? The problem may not be what you were taught, but a profound hormonal imbalance that conventional medicine often overlooks. In episode 43 of The Nico Misleh Podcast, host Nico Misleh explains why these protocols fail and reveals the true root cause of PMDD, PCOS, and endometriosis. Discover the critical role of proges...

What if the 'normal' patient you're looking for no longer exists? The truth is, our toxic world has shifted the baseline, making 'suboptimal' the new normal for nearly everyone. In episode 42 of The Nico Misleh Podcast, host Nico Misleh reveals why traditional and even functional medicine often fail to solve this problem. Learn why hormone replacement therapy (HRT) is the most...

Is the fear around oral estradiol and blood clots actually based on outdated, flawed science? For years, providers have been told to avoid oral estradiol due to the perceived risk of clots, strokes, and cancer, but the largest, most powerful studies, including recent randomized control trials from 2022, tell a completely different story. In episode 41 of the Nico Misleh Podcast, host Nico Misleh d...

Is the real reason for low estrogen and progesterone hiding in plain sight? On episode 40 of the Nico Misleh Podcast, host Nico Misleh reveals how everyday chemicals (xenoestrogens) create a hormonal imbalance that leads to low progesterone, insulin resistance, and chronic female health issues like PCOS and endometriosis. Learn the truth about the powerful connection between estrogen, progesterone...

After 11 years of battling infertility, a nurse practitioner was told by her doctors that it was hopeless. She defied them, discovered a simple hormone treatment they missed, and got pregnant naturally. On episode 39 of The Nico Misleh Podcast, host Nico Misleh welcomes Julie Sweetser of Northstar HRT to share the details of her incredible story. She reveals the progesterone and thyroid protocols...

Your clinic feels clunky and your team keeps making mistakes because of one hidden reason: you haven't built solid systems. Most clinic owners are stuck in a cycle of burnout, drowning in the same repetitive tasks day after day. On episode 38 of the Nico Misleh Podcast, Nico Misleh shares his simple 4-step system for creating SOPs that actually work. Learn how to delegate effectively, automate...

What if the best marketing for your HRT clinic has nothing to do with social media? Your next 100 email opt ins are likely hiding in plain sight, in your office and your local community. In this episode of The Nico Misleh Podcast, special guest host Emily Beal gives you a complete on and offline system for growing your email list with ideal patients. She reveals why building a small, engaged list...

What if everything you’ve been told about psychedelics is wrong, or at least incomplete? In this episode of the Nico Misleh Podcast, Nico sits down with GV Freeman to dive deep into the benefits, risks, and real-world stories of using psychedelics in clinical and personal settings. From healing deep trauma to treating addiction and exploring consciousness, this powerful conversation sheds light on...

From growing up as a science-obsessed kid to becoming a leader in cash-based medicine, Nico Misleh has redefined what it means to thrive as a clinician. Listen as Nico shares how his love for science and his grandfather's wisdom inspired his journey to becoming a nurse practitioner. He dives into why he left the constraints of traditional, insurance-based medicine to build a purpose-driven car...

What’s the secret to running a profitable health business while living a life of balance and purpose? In episode 35 of the Nico Misleh Podcast, host Nico Misleh dives deep into the essential systems, strategies, and mindset shifts clinicians need to build sustainable, cash-based wellness clinics that thrive outside the insurance model. Whether you're struggling with burnout, lack confidence in pre...

Think starting your own clinic is out of reach? In episode 34 of the Nico Misleh Podcast, host Nico Misleh shares exactly how he would build a thriving medical practice from the ground up, even with zero clinic experience. Discover the smarter way to choose your patients, set up cash-based systems, and avoid mistake-filled business models slowing so many clinicians down. Learn how to fast-track yo...

Are you struggling to figure out exactly what to charge in your HRT clinic? Episode 33 of The Nico Misleh Podcast will completely shift the way you think about pricing. Nico Misleh breaks down the exact steps, secrets, and strategies behind setting prices that actually help your patients, grow your business, and give you more confidence as a clinician. Learn how to avoid costly mistakes, discover...

Jillian Martin wears a lot of hats: hospitalist, psych NP, regulatory consultant, emergency psych provider, and now, HRT clinic owner. In this episode, she sits down with Nico to talk about her journey from operational nursing to launching her own hormone clinic, Valen Medical , on Cape Cod. They dive into how Jillian and her husband are building the clinic behind the scenes, when to start paying...

In episode 3 of her marketing series, Emily Beal tackles one of the biggest mindset blocks for clinic owners: what to write in your emails, especially when your list is tiny (or nonexistent). She shares a real message from a provider who felt stuck before even getting started, and gives step-by-step advice to help you build writing confidence without using AI or generic templates. You’ll learn why...

In this episode, Nico sits down with Brad Cunningham , founder of Orange Financial and Nico’s go-to guide for all things money. Brad’s not your typical finance guy. He doesn’t wear a three-piece suit, he doesn’t believe in one-size-fits-all advice, and he’s way more interested in transformation than spreadsheets. They talk about debt, building wealth, how your childhood shapes your money mindset,...