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 powerful guide for modern clinicians to move patients beyond 'suboptimal' and truly restore their health and vitality.

Are you ready to become the expert for today's patient? The HRT Master Course is the definitive guide for clinicians to confidently use hormone therapy to create profound patient transformations and build the practice they've always wanted. Enroll today 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:

- 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 #1 Reason Hormones Are A Mess 

1:20 - My BIG Problem With Functional Medicine 

2:08 - The DANGEROUS Promise of "Root Cause" Medicine 

3:05 - Greedy Mentors & Unethical Practices I Saw 

4:47 - Patients with Baskets Full of Useless Supplements 

5:52 - Finding The Perfect Balance For Patient Success 

7:51 - Back to Basics: What ACTUALLY Moves The Needle 

9:00 - The Hidden Superpower of Cash-Based Clinics 

10:25 - Connecting The Dots For Your Patients 

12:35 - Why You CANNOT Always Find The "Root Cause" 

14:07 - Your Patients Live in a Toxic Soup 

15:15 - Why Diet & Exercise Is NOT Enough Anymore 

16:58 - Are You Prescribing INAPPROPRIATE Therapy? 

19:11 - The Simple Solution Nobody Is Talking About 

20:36 - "Natural" Does NOT Always Mean Better 

21:50 - The "Silver Bullet" For Patient Problems 

23:25 - Why ALL Your Patients Have Messed Up Hormones 

25:21 - The REAL Reason I Created HRT University 

26:45 - How TRT Transformed An Entire Police Department 

29:10 - HRT: The "Gateway Drug" To True Health 

30:00 - Her Expert Doctor Husband Couldn't Get Her Help 

32:16 - Burnt Out? My Advice For Functional Medicine Providers 

33:23 - A Message for Clinicians in Aesthetics 

35:00 - The ONE Thing Every Single Patient Needs 

35:53 - FREE Resources To Help You Master HRT 

37:07 - Ready To Become An HRT Expert? Here's How

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 dismantles this common medical myth, revealing how oral estradiol is not only safe but offers significant benefits for bone health, heart disease, and lipid profiles that transdermal options simply don't provide. Learn the truth about first pass metabolism and why it's a feature, not a bug, for helping your patients achieve incredible outcomes.

Ready to confidently prescribe HRT based on the latest evidence, not fear? Join the HRT University Master Course and gain the clinical mastery to build the profitable, purpose-driven practice you and 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 #1 Myth About Estrogen 

1:01 Why Your Colleagues Are Scared of This 

1:54 The Flawed Study Everyone Believes 

3:17 Proof: 10 Years of Research Says THIS 

4:48 A Brand New Study from 2022 

6:53 The Missing Piece of The Puzzle 

8:52 Why Oral Is Better Than Patches 

10:36 The "Problem" Is Actually a Feature 

11:59 How to Stop Fearing HRT 

12:39 The Question Every Great Provider Asks 

14:22 Get Patients Amazing Results (And Get Paid) 

15:35 My Gift To You (FREE Resources)

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, and cortisol, and why understanding this is the key to effective female hormone replacement therapy.

Ready to apply these principles and become a master in hormone optimization? The HRT Master Course gives you the complete system to confidently treat complex female hormone issues. Plus, you’ll get exclusive access to Pearl, our new AI clinical tool designed to support your decision making. Transform your practice and get the expert training you need 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:

- 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 Why Female Hormones Are No Joke 

0:40 The New Advanced Female Course Is Here 

1:57 WARNING for New Hormone Providers 

3:31 The Hidden Chemicals Wrecking Your Hormones 

5:02 The Surprising Power of Estrogen 

5:55 The Hormone That CALMS Everything Down 

7:34 Why Are Young Women So Sick? 

9:51 The REAL Root Cause of Insulin Resistance 

10:41 The Secret to Treating "Untreatable" Female Issues 

11:40 A Revolutionary New Way to Treat PCOS & Endo 

12:24 Stop "Chemically Castrating" Women 

13:25 The Simple Fix for Female Hormone Havoc 

14:17 Become the #1 Hormone Expert in Your Town 

15:13 Why YOU Are the Future of Medicine 

16:02 Do This ONE Thing Before the New Course 

17:15 Every Topic Covered in the Advanced Course 

18:02 Get on the Insider List NOW

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 that conventional medicine overlooks for fertility, her journey of starting a successful cash based hormone clinic from scratch, and her strategies for balancing business with a growing family. This episode is a powerful guide for any clinician who feels frustrated with the limits of standard healthcare and wants to deliver true healing for their patients.

If you are a clinician ready to master hormone replacement therapy and provide your patients with life changing results, sign up for the HRT University Master Course today. Learn the protocols and business strategies to build a successful and fulfilling practice at: https://hrtuniversity.com/hrtcourse/

Find Julie's HRT Clinic Here: https://northstarhrt.com/

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 How She Got Pregnant After 11 Years of Trying 

1:20 Meet Julie: The Nurse Who Healed Herself 

3:02 Why Doctors Couldn't Help Her 

5:53 The "Aha!" Moment That Changed Everything 

7:33 The Secret That Ended Her Infertility 

9:00 What Doctors Are Missing About Fertility 1

0:24 How to Build a Business with a Family 

14:14 The #1 Question Every Cash-Based Clinic Owner Asks 

15:42 Why You Can't Help Everyone (And That's Okay) 

19:18 How to Become the #1 Expert in Your Town 

21:13 The Easiest Way to Get New Patients for Free 

24:23 Scared to Share Your Story? Watch This. 

25:05 The Mindset Shift That Changes Everything 

31:28 How to Keep Your Business Growing with a New Baby 

33:15 The "Winter" Season of Your Business 

37:02 The Biggest Mistake New Clinic Owners Make 

41:07 The Secret to a 5-Star Patient Experience 

43:27 The #1 Reason You're Losing New Patients 

44:16 The Simple Trick to Get Patients to Show Up 

47:08 How to Find and Work with Julie.

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 tasks like lab orders, and finally build the scalable cash-based practice that gives you more profit and true time freedom.

Building your business systems is the first step. The next is mastering your clinical systems. Get the complete framework to confidently manage hormone replacement therapy and deliver incredible patient outcomes in 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:

- 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 Real Reason Your Business Isn't Thriving 

1:23 - How "Pain Points" Are Killing Your Clinic 

2:56 - Stop Wasting Time on Repetitive Tasks 

4:27 - The True Path to Time Freedom 

6:57 - Step 1: Identify Your Repetitive Tasks 

9:32 - Step 2: Document the Entire Process 

10:00 - How to Use ChatGPT to Instantly Create SOPs 

11:49 - Why You Need to Record Video SOPs 

13:05 - Step 3: Delegate Your Tasks (The Right Way) 

14:21 - Why Employee Mistakes Are Always Your Fault 

16:36 - Step 4: Test & Refine Your Systems 

18:00 - How to Find the Bottlenecks in Your Business 

19:22 - The Final Rule: Organize Your SOPs for Easy Access 

20:51 - A Final Warning for All Clinic Owners

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 is far better than a large one and shares simple tactics using QR codes on business cards, smart in-office forms, and powerful collaborations with local partners. This is a step by step guide to getting consistent, high quality subscribers without paying for ads.

Tickets to Nico Live: https://nicholas-misleh.mykajabi.com/nico-live-sales-page-e0a96074-354a-46e8-8a85-aea187e5c315

Ready to become the go to HRT expert your new subscribers are looking for? Building your audience is the first step, and mastering your clinical skills is the next. Gain the confidence to treat any patient who walks through your door with The HRT Master Course. See the full curriculum and join today 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:

- 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

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 what clinicians need to know about potentially incorporating psychedelics into practice while balancing legal and ethical challenges. Whether you’re curious about microdosing, MDMA’s potential, or how psychedelics can align with faith and spirituality, this episode is packed with insights tailored for entrepreneurial clinicians ready to question the norms and approach healing holistically. 

If you’re ready to grow your clinical confidence and revolutionize how you treat patients, check out 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:

- 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 Why clinicians are exploring psychedelics for patient care

1:56 A healer’s journey: From small-town trauma to spiritual transformation

6:29 Psychedelics 101: Choosing the right substance, dosage, and setting for safety

8:45 Breaking addiction and mental health barriers with psychedelics

13:29 Why providers are hesitant yet hopeful about psychedelic therapies

15:29 MDMA’s fight for medical acceptance and helping veterans heal

19:30 Psychedelics and purpose: Profound transformations and life-changing insights

25:24 Bridging spirituality and science: The divine connection through psychedelics

31:24 Exploring consciousness: What psychedelics teach us about existence

37:16 Microdosing vs. deep journeys: Unlocking true healing potential

42:51 Connection and healing: Why high doses aren’t always necessary

48:30 Personality traits and readiness: Who benefits most from psychedelics?

54:55 When psychedelics aren’t the answer: Mental health risks to consider

1:00:39 Veterans and the search for better solutions beyond antidepressants

1:02:18 Free resources to get started: Tools for clinicians exploring psychedelics

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 career, focusing on personalized patient care and the transformative power of hormone replacement therapy (HRT). Whether you're a clinician looking to escape burnout, improve patient outcomes, or rethink how you approach medicine, Nico’s story offers powerful insights and actionable inspiration that speaks directly to you and your aspirations.

Ready to confidently master HRT prescribing and grow your cash-based practice? Sign up for The HRT Master Course today 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:

- 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 How Nico Misleh found purpose in nursing through science and family influence

2:00 Why cash-based clinics are the future and how they free you from insurance headaches

4:04 Debunking the stigma around HRT & TRT – Why hormone therapy is safer than you think

5:57 Unlocking the life-changing benefits of hormone therapy for your patients and practice

8:02 How HRT can help your patients reach higher goals and truly thrive

9:55 Why some providers hesitate with HRT—and how to overcome the fear

11:53 The secret to being a better clinician? Staying humble and open to new approaches

13:50 The power of personalized care – Why it’s the key to happy patients and clinicians

15:52 Let’s talk money – Why earning from patients directly isn’t “bad” for your practice

17:46 Demand for HRT is skyrocketing—here’s how to take advantage of the opportunity

19:24 HRT’s critical role in modern medicine—and how it empowers your legacy

21:12 Building better relationships in healthcare to create a bigger, lasting impact

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 prescribing HRT, or feel overwhelmed by business challenges, this episode is packed with actionable insights to help you overcome these hurdles. Discover how to create long-term vision, develop sales skills, and systematize operations to achieve both clinical and financial success. If you're committed to improving patient care, scaling your clinic, and gaining more freedom, this conversation is for you.

Ready to master HRT and learn the skills needed to take your clinic to the next step? Sign up for 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:

- 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:

00:00 - Break Out Of The Golden Handcuffs

02:12 - You Don't Deserve Anything Right Away

05:40 - Importance of Business Systems

08:11 - Mastering Sales Techniques

12:57 - Unique Positioning in Healthcare

17:14 - Developing a Business Vision

21:30 - Crafting Your Business Vision

21:58 - 5 Steps to Business Mastery

22:19 - The Power of Consistency

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 your confidence with HRT, bring holistic care into your community, and create a life and business that truly works for you and your family.

Want step-by-step HRT training from real experts? Join the HRT University Master Course now 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:

- 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:

00:00 - Starting Over: Key Changes

01:26 - Becoming a Key Person of Influence

08:06 - Building a Business Ecosystem

11:15 - The Power of Storytelling

13:57 - Developing Your Own Ecosystem

15:52 - Recap: Two Essential Strategies

17:45 - Next Steps