Nico Misleh
The HRT University® Podcast
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
Where to listen?
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Episodes
29. From 45 to 100 Patients: My Growth Plan for Mike’s HRT Clinic - Mike and Nico 1:1 Coaching Call 14.07.2025 1:00:19
In this episode, Nico sits down with Mike Belkin, a nurse practitioner and founder of Men's HealthSpan , a telehealth-only HRT clinic. Mike shares how he went from procrastination and urgent care shifts to finally launching his own clinic, and landing 45 patients in under a year while still working full-time. They dive into Mike’s unconventional path (including chiropractic school, a syndicate...
28. Marketing for HRT Clinics #2: The Two Most Powerful Growth Channels for Your HRT Clinic 07.07.2025 31:27
In episode #2 of her marketing series, Emily Beal shares the next step in building a sustainable marketing strategy for your HRT clinic, without relying on Instagram or TikTok. She breaks down why in-person networking and email marketing are the foundation of long-term growth, and how you can start both this week without getting overwhelmed. From how to reach out to local gyms, spas, and providers...
27. The Money Advice Every HRT Clinic Owner Needs - Ft. Danielle at Kickstart Accounting 30.06.2025 39:03
In this episode, Nico sits down with Danielle Hayden, founder of Kickstart Accounting and the podcast Business by the Books . They talk about why traditional accounting often fails business owners, how Danielle built a bookkeeping company designed for real humans, and what every clinic owner needs to know about their numbers, especially if you’re in growth mode. Danielle shares the biggest money m...
26. From Zero to 400: How Mason Built a Thriving HRT Clinic- Ft. Mason Collins 23.06.2025 49:14
NICO LIVE, our three-day business conference designed for nurse practitioners who want to grow cash-based, concierge, and wellness-focused practices is coming up! Get your tickets for NICO LIVE here 🎟️ In this episode, Nico sits down with Mason Collins , a family nurse practitioner and founder of Live Oak Testosterone & Weight Loss. From giving out his personal cell number to now leading a...
25. Marketing for HRT Clinics #1: Start Here Before You Post Anything 16.06.2025 27:15
In this kickoff episode of her new marketing series, Emily Beal breaks down the real reason most HRT clinic owners struggle with marketing, and it’s not what you think. If you’ve ever felt overwhelmed by strategy, confused by social media, or stuck paying for marketing that doesn’t feel like you , this episode is your reset button. Emily shares her “marketing order of operations” and challenges pr...
24. How TRT Saved My Career (and My Life)- Ft. Dr. Max Draper 09.06.2025 34:11
In this raw and honest episode, Nico sits down with UK-based physician Dr. Max Draper to unpack the journey from conventional GP to hormone optimization expert. Max shares his personal battle with testicular cancer, the years of missed low T symptoms, and how TRT completely transformed his health, and career. They talk about the differences between UK and US healthcare, the broken state of moder...
23. Legal Advice Every Cash-Based Clinic Needs- Ft. Courtney Walker 02.06.2025 59:46
Nico sits down with Courtney Walker , a Tennessee-based attorney, business owner, and legal pioneer in the med spa and wellness clinic space. They talk about why most providers don’t need a high-priced law firm on retainer, how proactive legal education can save you thousands, and what every clinic owner should know before launching or scaling their cash-based practice. Courtney shares her wild jo...
22. Lessons from a Psych NP Who Never Gave Up- Ft. Andrew Hewitt 26.05.2025 54:28
NICO LIVE, our three-day business conference designed for nurse practitioners who want to grow cash-based, concierge, and wellness-focused practices is coming up! Get your tickets for NICO LIVE here 🎟️ In this episode, Nico sits down with Andrew Hewitt—psychiatric nurse practitioner, clinic owner, and relentless hustler—to talk about the long, messy, and inspiring path to building a lif...
21. Behind the Scenes of the Nico Live Conference- Ft. Emily & Cherrell 19.05.2025 30:43
In this special episode, Emily and Cherrelle take over the podcast to share everything going into planning the first-ever Nico Live Conference happening September 5–7 in Cincinnati . From venue walkthroughs and swag bag surprises to booking AV teams and picking the perfect brisket, they pull back the curtain on what it really takes to build a business event from scratch. You’ll hear about the spea...
20. Rethinking Memberships & Selling Without Feeling Gross- Emily and Nico 1:1 Coaching Call 12.05.2025 1:01:13
The HRTU Master Course is now LIVE and available for purchase! Head to https://hrtuniversity.com/ to learn more. Thank you to everyone who made this possible! 🙏 In this episode, Nico chats with Emily, an emergency medicine NP turned integrative hormone expert, about building a hormone clinic in an ultra-affluent mountain town—and the unique challenges that come with it. They dive into pricin...
19. Starting a Clinic from Scratch with Zero Patients- Matt and Nico 1:1 Coaching Call 05.05.2025 1:07:50
The HRTU Master Course is now LIVE and available for purchase! Head to https://hrtuniversity.com/ to learn more. Thank you to everyone who made this possible! 🙏 In this raw and inspiring conversation, Nico chats with Matt, an Ohio-based nurse practitioner who’s officially going all in on building his hormone clinic—despite having no patients, no space (yet), and just 60 days before he le...
18. How to Protect Your Clinic from Payment Processing Nightmares- Ft. The Payment Doctor 28.04.2025 54:57
The HRTU Master Course is now LIVE and available for purchase! Head to https://hrtuniversity.com/ to learn more. Thank you to everyone who made this possible! 🙏 In this episode, Nico is joined by Adam Costilo , founder of The Payment Doctor and a trusted preferred vendor for HRT University. They break down the hidden risks of using Stripe, Square, and PayPal for your hormone or weight lo...
17. The Deeper Reason Your Patients Aren’t Thriving 21.04.2025 17:12
The HRTU Master Course is now LIVE and available for purchase! Head to https://hrtuniversity.com/ to learn more. Thank you to everyone who made this possible! 🙏 In this solo episode, Nico explores a powerful idea: hormone replacement therapy isn’t just about labs and protocols—it’s about helping people self-actualize. Using Maslow’s Hierarchy of Needs as a framework, Nico walks through h...
16. Is the HRT Master Course Right For You? 14.04.2025 12:27
The HRTU Master Course is now LIVE and available for purchase! Head to https://hrtuniversity.com/ to learn more. Thank you to everyone who made this possible! 🙏 This one might surprise you. In this solo episode, Nico gets real about who shouldn’t take the HRT University Master Course. If you’re looking for a cookie-cutter protocol, a quick certification, or a shortcut to confidence, this...
15. Building a Seven-Figure Clinic While Working Part-Time: Todd & Tori’s Story 07.04.2025 1:05:49
The HRTU Master Course is now LIVE and available for purchase! Head to https://hrtuniversity.com/ to learn more. Thank you to everyone who made this possible! 🙏 In this powerful episode, Nico sits down with husband-and-wife duo Todd and Tori, two Florida-based nurse practitioners who launched Evolve Health & Wellness just two and a half years ago—and are already on track to hit seven...
14. How I Built Apollo Health Optimization 31.03.2025 32:09
The HRTU Master Course is now LIVE and available for purchase! Head to https://hrtuniversity.com/ to learn more. Thank you to everyone who made this possible! 🙏 In this solo episode, Nico takes you behind the scenes of launching his own functional medicine clinic, Apollo Health Optimization. He opens up about the early days—balancing family life, navigating the insurance vs. cash-pay mod...
13. From Aesthetics to HRT: A Nurse Practitioner’s Bold Journey- Ft. Dina BenDavid 24.03.2025 45:21
The HRTU Master Course is now LIVE and available for purchase! Head to https://hrtuniversity.com/ to learn more. Thank you to everyone who made this possible! 🙏 Nico sits down with his friend and colleague, Dina BenDavid, a seasoned nurse practitioner who has navigated an incredible career transformation—from public health and primary care to aesthetics, and now into the world of hormone...
12. Become Freaking Unstoppable: How Competence Builds Confidence 17.03.2025 20:01
The HRTU Master Course is now LIVE and available for purchase! Head to https://hrtuniversity.com/ to learn more. Thank you to everyone who made this possible! 🙏 In this episode, Nico dives into the driving force behind HRT University—a groundbreaking initiative reshaping hormone replacement therapy education. He explores why so many providers struggle with imposter syndrome and how deep...
11: Julie Discovers HRT Was the Missing Piece (1:1 with beta-launch member) 10.03.2025 35:43
The HRTU Master Course is now LIVE and available for purchase! Head to https://hrtuniversity.com/ to learn more. Thank you to everyone who made this possible! 🙏 In this episode, Nico sits down with Julie Farrelly, a nurse practitioner with a background in emergency and functional medicine who discovered that HRT was the missing link in truly helping her patients. As an HRTU beta launch m...
10. HRTU Beta-Launch Behind the Scenes (+ what's coming!) 03.03.2025 30:38
The HRTU Master Course is now LIVE and available for purchase! Head to https://hrtuniversity.com/ to learn more. Thank you to everyone who made this possible! 🙏 In this episode, Nico sits down with Emily to recap the beta-launch of HRT University, a comprehensive master course designed to help providers confidently prescribe hormone replacement therapy (HRT). They dive into the feedback...
09. Why Your Clinic Should Offer HRT (debunking common fears) 24.02.2025 17:18
In this solo episode, Nico Misleh breaks down why hormone replacement therapy (HRT) and testosterone replacement therapy (TRT) are some of the best services a clinic can offer. Whether you run a weight loss, aesthetics, or general wellness practice, adding HRT can increase revenue, improve patient retention, and make a profound impact on long-term health outcomes. If you’ve been considering adding...
08. Set The Right Prices!- Brittany and Nico 1:1 Coaching Call 17.02.2025 1:00:19
Hear from Brittany Urasta, a practitioner who is launching her own hormone replacement therapy clinic with a unique vision—integrating it with a gym for a full-spectrum health approach. They dive deep into the challenges of pricing, packaging services, marketing to the right clients, and overcoming the fear of putting yourself out there as a new business owner. Nico shares valuable insights on str...
07. Marketing Your HRT Clinic Without Social Media- Ft. Emily Beal 10.02.2025 46:25
Feeling overwhelmed by social media marketing? In this episode, Nico Misleh sits down with Emily Beal to answer your top marketing questions from the Facebook group. They dive deep into building an engaged audience without relying solely on social media, the power of email lists, and how to grow your HRT clinic through authentic connection and strategic marketing. They also discuss updates on Nico...
06: Balancing Family & Business- Ft. My Wife, Cherrell! 03.02.2025 42:17
In this special episode, Nico is joined by his wife, Cherrell, to talk about what it’s really like to build and run a business together while raising a family. They dive into how they met, their journey from nursing to launching Apollo Health Optimization, and the challenges of starting a business from scratch. Cherrell shares her perspective on managing the behind-the-scenes operations, setting f...
05. Is Your Clinic Ready to Scale?- Derek and Nico 1:1 Coaching Call 27.01.2025 58:14
Hear from Derek DiCamillo, a family nurse practitioner and clinic owner, to discuss his inspiring journey from working in assisted living to transforming his life and helping others through weight loss and hormone replacement therapy (HRT). Derek shares how his personal weight loss success (losing over 200 pounds!) and his family’s health transformations inspired the creation of his clinic. The co...
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