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 testosterone, SHBG, and ferritin can solve the most complex cases, from mysterious fatigue and low libido to hormone induced psychosis. Nico shares powerful patient stories that show why mastering lab interpretation is essential for clinical confidence and exceptional results.

Ready to stop guessing and start mastering hormone optimization? Gain the confidence to handle any patient case by enrolling in The HRT Master Course. This is your path to becoming the go to expert your patients deserve. Sign up now: 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

Chapters:

0:00 - The Hidden Lab Marker Your Patients Aren't Getting 

1:15 - Why Most Doctors Get HRT Labs Wrong 

3:37 - Stop Wasting Money on These Useless Tests 

7:08 - The GOLD Standard For Hormone Lab Testing 

8:04 - Is "No-Lab" HRT A Dangerous Guessing Game? 

10:31 - How Objective Labs Create Unbelievable Patient Trust 

12:03 - The Single Most Important Testosterone Lab to Check 

12:56 - Patient Case: His Testosterone Was 900, But He Felt Terrible 

16:12 - SHOCKING Diagnosis: The Real Reason He Had Low T Symptoms 19:13 - The Counterintuitive Fix: Why He Needed MORE Testosterone 

24:39 - Patient Case: A Young Woman's Sudden, Terrifying Psychosis 

30:47 - The Surprising Lab Result That Solved The Mystery 

35:52 - A Miracle Cure? Her Psychosis Vanished in ONE Week 

39:34 - The #1 Red Flag You MUST Check In Your Female Patients 

42:16 - How to Become the "Go-To" HRT Expert in Your Area 

46:36 - Get My Personal Help With Your Toughest Cases