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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02. Growing Your Practice with Authentic Marketing
Season 1 · Episode 2
Monday, December 23, 2024 • Duration 56:09
Nico sits down with Emily Beal, Chief Operating and Marketing Officer for Apollo Health Optimization Clinic and HRT University, to discuss why daily emails are the unsung heroes of business growth.
They dive deep into the value of building an email list, creating authentic content that connects, and why you don't need to chase Instagram trends to scale your practice. Emily shares actionable advice on evergreen content, simplifying your marketing systems, and showing up as you to attract the right audience.
If you've ever felt overwhelmed by marketing, this episode will inspire you to start small, write your own content, and build a business that works for you—without the burnout.
For practitioners who want to confidently grow their practice with guidance in TRT, HRT, and business strategy, find us below: 👇
Welcome to the inaugural episode of the Nico Misleh Podcast! Join Nico, a passionate nurse practitioner and clinic owner, as he dives into the highs and hurdles of building a cash-based hormone replacement therapy practice. Nico candidly shares his journey—from navigating the challenges of starting a business to providing actionable advice for fellow providers looking to scale and find their footing in integrative medicine. In this episode, Nico connects with a guest who brings fresh perspectives and compelling questions about balancing family life, defining a clear vision, and connecting with the right patients. This episode is a must-listen for healthcare entrepreneurs and providers aiming to make a real difference in their patients' lives while achieving sustainable success.
For practitioners who want to confidently grow their practice with guidance in TRT, HRT, and business strategy, find us below: 👇
74. How To Avoid AI Slop: What Clinicians Need To Know
Episode 74
Tuesday, December 30, 2025 • Duration 43:04
Want to learn what type of content reaches potential clients? Join Nico’s Daily Newsletter for more insights like this: https://nicomislenp.kit.com/8050eeea5f
Is your clinic’s content being ignored? Your reliance on AI might be making your brand feel fake and pushing potential patients away. In episode 74 of the Nico Misleh Podcast, host Nico Misleh reveals why the flood of generic "AI slop" is a massive opportunity for clinicians who are willing to be authentic. Discover how to stop manufacturing content and start creating a personal brand that builds trust, attracts your ideal patients, and makes your practice stand out. Learn the simple, powerful strategies to develop a timeless message that reflects your true value as a provider and business owner.
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:
(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
Chapters:
0:00 - What Is "AI Slop" & The Problem with Inauthentic Content
73. Are TRT And Peptides Legal And Safe To Prescribe For Your Patients?
Episode 73
Wednesday, December 24, 2025 • Duration 01:09:08
Ready to prescribe peptides without risking your license? Get Nico's daily legal and clinical tips for your practice here: https://nicomislenp.kit.com/8050eeea5f.
Many clinicians are unknowingly violating FDA law by using popular peptides like BPC-157 from the wrong sources. In episode 73 of the Nico Misleh Podcast, host Nico Misleh is joined by top healthcare attorney Courtney Walker to discuss the truth about peptide legality, hormone optimization, and the specific rules you must follow to protect your license. Courtney breaks down the only three legal sources for medications, the dangers of "research use only" products, and shares her best advice for running a compliant and successful cash-based wellness clinic so you can avoid costly legal mistakes.
Feeling confident in the law is just one piece of the puzzle. To achieve clinical mastery in hormone replacement therapy and build the profitable practice you've always wanted, check out the HRT Master Course. This comprehensive program, which includes 30 ANCC-accredited credit hours, gives you the tools to improve patient outcomes and grow your business. You can sign up and learn more 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:
Health influencers are wrong about fixing hormones with supplements. This episode proves why hormone replacement therapy (HRT) is the superior answer for true deficiencies. In episode 64 of the Nico Misleh Podcast, host Nico Misleh gives clinicians the facts to counter popular misinformation. He explains why supplements fail for menopause and low testosterone and why bioidentical hormones are a more direct and effective solution. Learn how to confidently guide your patients away from ineffective natural remedies and toward a treatment that truly resolves their symptoms and restores their quality of life.
Ready to become the expert your patients need for hormone optimization? The HRT University Master Course provides the complete system to confidently manage bioidentical hormones in your clinic and get life-changing results. Stop guessing and start leading with expertise. Sign up for the HRT Master Course 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:
What if you could add hours to your day without sacrificing sleep or sanity? Discover the simple morning habits that can transform your productivity and help you find a better work life balance. In episode 63 of The Nico Misleh Podcast, host Nico Misleh shares his personal daily routine, from his 4 a.m. wake up call to how he structures his day for running a business, seeing patients, and prioritizing family. Learn the mindset and practical steps he uses to build discipline, create easy wins, and get the most important tasks done first, giving you a clear blueprint to design a life you love.
Ready to build a career that gives you more freedom and control? Mastering a high value skill is the first step. Learn how to become a sought after expert in hormone optimization and build the cash based practice of your dreams. See if The HRT Master Course is the right fit for you: https://hrtuniversity.com/hrtcourse/
For practitioners who want to confidently grow their practice with guidance in TRT, HRT, and business strategy, find us below:
62. AI Is Changing The Health & Wellness Space: Here's How To Use It For Your Patients
Episode 62
Monday, November 17, 2025 • Duration 29:35
Want to stay ahead of the curve on AI in healthcare? Get daily insights straight to your inbox by joining Nico's Daily Newsletter here: https://nicomislenp.kit.com/8050eeea5f
AI is no longer the future of medicine, it's already here. In episode 62 of the Nico Misleh Podcast, host Nico Misleh sits down with Lauren Vetter, Head of Growth at Optimantra, to reveal how clinicians can leverage artificial intelligence to transform their practice. Discover how using an AI scribe can free you up to actively listen to your patients, reduce human error, and streamline your workflow. Lauren explains how the right EMR, like Optimantra, is essential for a growing cash based or hybrid clinic, offering the flexibility and patient communication tools needed for success. This conversation provides a clear look at how new technology is making it possible to build a more efficient and patient focused practice.
Are you ready to master Hormone Replacement Therapy and build the profitable, purpose driven clinic of your dreams? Our HRT Master Course gives you the clinical confidence and business strategies to succeed outside the restrictive insurance model. Enroll in the HRT University Master Course today: https://hrtuniversity.com/hrtcourse/
For practitioners who want to confidently grow their practice with guidance in TRT, HRT, and business strategy, find us below:
61. The Benefits of Testosterone Replacement Therapy: How It Can Help Your Patients
Episode 61
Wednesday, November 12, 2025 • Duration 27:27
Get daily insights that challenge the status quo in medicine. Join Nico’s Daily Newsletter here: https://nicomislenp.kit.com/8050eeea5f
In episode 61 of the Nico Misleh Podcast, host Nico Misleh dismantles one of the most persistent myths in modern medicine: the link between testosterone replacement therapy and blood clots. Citing the landmark TRAVERSE trial and the FDA’s recent removal of its black box warning, this episode provides the evidence you need to confidently manage your patients. Nico explains why common objections from cardiology and surgical specialists are based on old information and how testosterone is actually a powerful tool for improving patient outcomes, especially for post-surgery healing and recovery. This is the conversation you need to hear to protect your patients and practice with certainty.
Are you ready to master the art and science of hormone optimization with this level of clarity? Gain the clinical confidence to build your practice and get incredible patient results. Enroll in The HRT Master Course today: https://hrtuniversity.com/hrtcourse/
For practitioners who want to confidently grow their practice with guidance in TRT, HRT, and business strategy, find us below:
Artificial intelligence is already giving unsafe medical advice and creating fake studies that look real. As AI gets smarter, it threatens to replace the very skills that make you a great clinician, but it also offers a secret opportunity for you to deepen patient connection and build a more efficient practice. In episode 60 of The Nico Misleh Podcast, host Nico Misleh explores the future of AI in medicine. Discover how to spot "AI slop," why authenticity is your most valuable asset, and how new technology can either hinder your practice or free you to provide better patient care. Learn to navigate the pitfalls of tools like ChatGPT and see how specialized AI built for hormone replacement therapy is changing everything for forward-thinking providers.
Are you ready to become the go-to expert that AI can never replace? The HRT Master Course gives you the specialized clinical knowledge to move beyond generic protocols and deliver truly personalized patient outcomes. Become the authority in your field by signing up here: https://hrtuniversity.com/hrtcourse/
For practitioners who want to confidently grow their practice with guidance in TRT, HRT, and business strategy, find us below:
59. How Optimizing Testosterone Can Fix Your Patients' Mental Health
Episode 59
Wednesday, November 5, 2025 • Duration 36:15
Want to learn the truth about male hormones that conventional medicine ignores? Get daily insights from Nico Misleh that will change how you treat patients. Join his free newsletter here: https://nicomislenp.kit.com/8050eeea5f
What if the root of so much male anger, depression, and lack of motivation isn't a personality flaw, but a hormonal deficiency? In episode 59 of The Nico Misleh Podcast, host Nico Misleh reveals why "toxic masculinity" may actually be a side effect of LOW testosterone. He explains why we've been wrong about testosterone replacement therapy, especially for young men. This episode breaks down the myths about TRT causing sterility and shows why optimizing male hormones is essential for improving mental health, relationships, and helping men live with purpose.
Ready to confidently treat male patients and get them incredible results? Stop feeling nervous about prescribing TRT. Learn the exact, simple, and safe protocols for hormone optimization in men of all ages. Enroll in The HRT Master Course and become the go to expert in your area: https://hrtuniversity.com/hrtcourse/
For practitioners who want to confidently grow their practice with guidance in TRT, HRT, and business strategy, find us below:
