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:

- 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 AI Scribes Are Revolutionizing Patient Care 

0:34 - What Is Optimantra? (And Why We Use It) 

1:36 - Meet Optimantra's Head of Growth, Lauren Vetter 

2:38 - The Surprising Origin Story of Optimantra 

4:00 - Why Optimantra is the Best EMR for Functional Medicine 

5:40 - How Optimantra Serves Cash-Based & Hybrid Clinics 

6:38 - A Look at Optimantra's Patient-Facing Portal & Communication Tools 

8:25 - The Exclusive Benefit for HRT University Members 

10:00 - How to Overcome the #1 Hurdle When Starting a Clinic 

11:00 - Is Switching Your EMR as Hard as You Think? 

13:10 - What Makes Optimantra's Customer Support So Different? 

15:01 - The Secret to Optimantra's Expert-Level Support 

16:22 - What's Next for Optimantra? A Look at Upcoming Innovations 

16:52 - How AI is Giving Providers More Time With Patients 

18:24 - The Future of EMRs: Integrations & Automation 

20:33 - Where is the Future of EHRs Going? 

21:42 - Why Should a Busy Provider Choose Optimantra? 

24:07 - This EMR Grows Your Practice 37% in the First Year—Here's How 

25:02 - How to Easily Onboard New Staff to Your EMR 

27:17 - How to Get a Free Trial and Demo of Optimantra 

28:15 - How HRT University Members Get a Special Discount on Optimantra

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:

- 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 Denying Patients Testosterone Is a HUGE Mistake 

0:59 - Does Testosterone Replacement Therapy Cause Blood Clots? The Definitive Answer 

1:40 - The TRAVERSE Trial: What the Landmark Study ACTUALLY Revealed 

2:09 - Why the FDA Just Removed a Major Warning from Testosterone 

4:36 - Can Patients with Factor V Safely Take Testosterone? 

8:22 - The Surprising Anti-Clotting Benefits of Testosterone & DHT 

11:01 - Why Are Cardiologists So Against Testosterone Therapy? 

16:35 - Should Patients Stop TRT Before Surgery? A Surgeon's Biggest Mistake 

18:45 - How Testosterone Can Dramatically Accelerate Post-Surgery Healing 

21:07 - The Case Study: Using Topical Testosterone to Heal Gangrene 

22:15 - Is Withholding Testosterone Before Surgery Medical Negligence? 

24:37 - A Call to Action for Clinicians to Challenge Outdated Beliefs 

26:00 - How to Learn More About Hormone Replacement Therapy

Want to know the AI secrets other clinicians are missing? Join Nico’s Daily Newsletter for the real insights: https://nicomislenp.kit.com/8050eeea5f

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:

- 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 Future of AI in Medicine for Clinicians 

1:03 - Is AI a Threat or an Opportunity for Your Practice? 

2:16 - What Tech Experts Get Wrong About AI 

4:23 - Why Clinicians Must Stay Ahead of Technology Trends 

5:53 - How the Model T Explains the Future of AI in Healthcare 

7:32 - A Beginner's Guide to Using AI Tools (ChatGPT, Gemini) 

7:50 - The Biggest Problem with AI-Generated Content 

9:16 - What is "AI Slop" and How Does It Affect You? 

10:08 - WARNING: AI Can Create Fake Medical Studies 

12:24 - Why Human Authenticity Is More Valuable Than Ever 

14:17 - The Dangers of Using ChatGPT for HRT Questions 

15:28 - How We Built an AI Mentor for Hormone Experts 

18:10 - How a Specialized AI Answers Complex HRT Questions 

20:15 - Will AI Replace Radiologists and Automate Charting? 

21:32 - How AI Frees You Up for Deeper Patient Connection 

22:52 - A Guide to Building a Human-First Medical Practice 

25:03 - How to Stay Curious and Confident About a Future with AI 

27:00 - The #1 Mistake to Avoid When Creating Content 

28:33 - The Alex Hormozi Secret to a Lasting Legacy 

29:38 - How Do You Want Your Patients to Remember You? 

31:13 - My Challenge to Every Clinician 

32:12 - How to Join Nico's Daily Email & HRT University

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:

- 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 Men Become "Toxic" (It's Not What You Think) 

0:38 - Why You Should Be Obsessed with Men's Testosterone 

1:31 - The #1 Stereotype About Men Seeking TRT (and Why It's Wrong) 

3:34 - The Psychological NEED for Men to Feel Strong & Masculine 

5:53 - Is Getting a Haircut a Medical Necessity? The surprising link... 

8:20 - The Hormone Secret to Reaching Self-Actualization (Maslow's Hierarchy) 

11:25 - Antidepressants vs. Testosterone: Are We Medicating the Wrong Problem? 

14:07 - A Doctor's Take: Is "Toxic Masculinity" a Symptom of Low T? 

16:26 - Is It Safe to Give Young Men Testosterone? A Controversial Opinion 

17:19 - Does TRT Cause Permanent Sterility? The Truth Revealed 

18:45 - The TRT & Birth Control Comparison You've Never Heard 

21:20 - Why Telling Young Men to "Touch Grass" is Terrible Medical Advice 

22:46 - The Age Myth: Why Waiting Until 45 for TRT is a Huge Mistake 

26:33 - When "Pulling Yourself Up By Your Bootstraps" Fails 

28:13 - How to Safely Start a Young Man on TRT (Even if He Wants Kids) 

30:54 - A Radical Idea: How Optimizing Male Hormones Could Change the World 

33:09 - Do You Need a Semen Analysis Before Starting TRT? 

35:00 - How to Join the Movement & Learn More About HRT

Want the truth about medicine that others won't say? Join Nico's Daily Newsletter: https://nicomislenp.kit.com/8050eeea5f

Hormonal birth control is being prescribed for everything from headaches to cramps, but is it a form of chemical castration? In episode 58 of the Nico Misleh Podcast, host Nico Misleh reveals the hidden dangers of hormonal birth control that your patients are not being told about. This episode exposes the serious long-term health risks, including a lower metabolism, decreased fertility, and a shocking 43% higher rate of heart attacks. Discover how these “franken-hormones” can increase the risk of autoimmune disease, anxiety, depression, and even impact who you find attractive. It’s time for clinicians to understand the truth and provide real informed consent.

Are you a clinician who wants to master hormone optimization and build a practice outside the broken insurance model? The HRT University Master Course gives you the complete framework to confidently treat patients and achieve clinical excellence. Join the movement of practitioners creating a real impact. Become an expert 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 Truth About Hormonal Birth Control 

1:19 - Why History Will Judge Birth Control Harshly 

2:07 - The Study That Exposes The Long-Term Risks 

3:00 - Oral Birth Control vs. IUDs: Which is Worse? 

5:07 - Why Are Doctors Overprescribing Birth Control? 

6:17 - The Critical Difference: Real vs. "Franken" Hormones 

7:52 - How Birth Control Shuts Down Your Body's Hormones 

9:22 - Is Birth Control a Form of Chemical Castration? 

10:11 - How Birth Control Secretly Lowers Your Metabolism 

11:56 - The Link Between Birth Control, Obesity & Blood Sugar 

13:31 - Does Birth Control Impact Your Long-Term Fertility? 

14:50 - The Hidden Signs of Ovarian Aging from Birth Control 

16:07 - The Informed Consent Your Doctor Isn't Giving You 

16:55 - The Shocking 43% Increased Risk of Heart Attack 

18:30 - How Birth Control Increases Your Risk of Autoimmune Disease 

19:51 - Does Birth Control Cause Depression & Anxiety? 

20:54 - What Is Post-Birth Control Syndrome? 

22:46 - The Reason Your Libido Never Returned After Birth Control 

23:23 - How Birth Control Secretly Destroys Your Gut Health 

24:18 - How Birth Control In Tap Water Is Affecting Everyone 

26:21 - Should You Still Take Birth Control After Knowing The Risks? 

27:02 - Is Birth Control A Medical Necessity or a Lifestyle Choice? 

29:27 - Are There Better Alternatives to Hormonal Birth Control? 

30:51 - Why Chemically Castrating Women is a Bad Idea 

31:40 - How Birth Control Can Change Who You're Attracted To 

35:51 - The Problem No One Is Talking About 

38:33 - Where to Find More Information & Join The Movement

Join Nico's Daily Newsletter for exclusive insights on optimizing patient care and practice growth: https://nicomislenp.kit.com/8050eeea5f

Discover the truth about Testosterone Therapy and why it might be the key to transforming your patients' health. In this eye-opening episode 57 of the Nico Misleh Podcast, host Nico Misleh challenges common misconceptions and reveals the remarkable safety and efficacy of Hormone Replacement Therapy. Learn how HRT can benefit a wide range of individuals, moving beyond outdated beliefs to embrace a new standard of patient wellness. This discussion will reshape your understanding of testosterone and its vital role in modern medicine, offering a fresh perspective on a topic often surrounded by controversy. If you're a practitioner dedicated to providing the best outcomes, this is a conversation you can't afford to miss.

Ready to deepen your expertise in Hormone Replacement Therapy? The HRT Master Course is your comprehensive guide to mastering this powerful treatment modality. Enroll today and start leading the way in advanced patient care: 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

Want the marketing secrets that will define 2025? Get the weekly summary here: https://nicomislenp.kit.com/8050eeea5f

Is your clinic’s website failing to bring in new patients? Your old SEO strategy might be the reason why. The rules of marketing are shifting, and what worked last year could be hurting your practice today. In episode 56 of the Nico Misleh Podcast, host Nico Misleh is joined by web development and SEO expert Amber Goetz, who reveals why Google is moving towards visual search, why building a trusted brand is now essential for visibility, and how AI is changing the way ideal clients find you. Learn the critical marketing trends clinicians need to know to improve website traffic, conversions, and build a business that thrives in 2025 and beyond.

Are you a clinician ready to build a practice that gives you more freedom and impact? Learn the clinical and business systems to launch and scale a successful cash-based clinic. Sign up for the HRT Master Course today: ⁠https://hrtuniversity.com/hrtcourse/⁠⁠

Connect with Amber: https://www.instagram.com/p/Cck2WU7Mvth/

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 - Is SEO Still Important in the Age of AI? 

0:06 - What is Visual Search? The Future of Google is Changing 

0:26 - How to Build a Brand Google Actually Trusts 

0:37 - Meet Amber Goetz: The Web Genius Behind Successful Clinics 

1:20 - How to Build a Website That Actually Converts Customers 

2:15 - Why a "Pretty" Website Doesn't Guarantee Conversions 

3:08 - What is User Experience (UX) and Why It Matters 

3:52 - Your Website Is Your #1 Salesperson (Especially in Medicine) 

5:35 - The Hidden Costs of a "Cheap" DIY Website Builder 

6:34 - How an Anatomy Class Led to a Career in Web Design 

7:43 - The Most Important Website Data You're Probably Ignoring 

10:02 - What's The Future of SEO & AI Automation? 

11:45 - What Is Search Engine Optimization (SEO)? A Beginner's Guide 

13:05 - The New Rules of SEO: Quality, Schema & Visuals 

14:34 - Is Backlinking Still a Good SEO Strategy? 

15:22 - Why a $500 Website Will Cost You More in the Long Run 

17:46 - Why Your Paid Ads Aren't Working (The SEO Connection) 

19:54 - Who Is the Ideal Client for a High-Performance Website? 

21:55 - How AI is Reshaping the Future of Business & Search 

22:44 - The "Death" of Page One: A New Way to Think About Ranking 

25:44 - How to Write Content for Modern Search Engine Queries 

26:23 - Why Google is De-Ranking "Junk" Websites 2

8:16 - The Biggest Pain Point for Most Business Websites 

29:24 - What is a Patient's "User Experience" on Your Website? 

30:34 - How to Edit Your Website Without Breaking It 

31:32 - How Long Does It Take to Build a Professional Website? 

32:07 - How to Know if Your SEO Strategy is Actually Working 

33:21 - How to Work With Amber Goetz & The Active Media 

33:41 - Services Offered: SEO, Web Development, and More 

34:11 - Google is Now Indexing Instagram Captions (Are You Ready?) 

35:34 - How We Made a $10,000 Website Mistake (And What We Learned) 37:17 - Where to Find Amber in the HRT University Community

Ready to grow your clinic faster? Get daily business and HRT insights from Nico here: https://nicomislenp.kit.com/8050eeea5f

Feeling trapped in your own clinic, working like an employee instead of a CEO? The secret to maximizing productivity isn't working more hours; it's taking a strategic day off or "firing yourself". In episode 55 of the Nico Misleh Podcast, host Nico Misleh reveals the powerful strategy of dedicating one day a week to work on your business, not just in it. Discover how this simple shift can help you improve systems, find new patients through networking, and finally achieve the freedom and work life balance you aimed for when starting your business. Stop wasting time on tasks that don't lead to growth and learn how to truly scale your practice.

Are you ready to build a thriving, profitable, and sustainable wellness clinic? The HRT University Master Course gives you the complete clinical and business roadmap to master hormone optimization and create a practice that serves your life. Start your journey 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 - The #1 Mistake That Keeps Your Clinic Small 

0:40 - My Counterintuitive Secret to Clinic Success 

1:31 - How to Find Your "CEO Day" (The Data-Driven Method) 

2:40 - Are You a Clinic Owner or a Clinic Employee? 

4:06 - How to Escape the "Trapped" Feeling In Your Own Business 

4:41 - The Mindset Shift That Unlocks Business Growth 

5:02 - What Should You Do on Your CEO Day? 

5:50 - The Best Free Marketing Strategy for New Clinics 

7:00 - Why My "Old School" Dad Hated This Business Advice 

8:10 - What Is An "Admin Day" and Should You Have One? 

9:04 - How Taking a Day Off Actually Helps You Grow Faster 

9:35 - The REAL Reason You Started Your Own Business 

10:54 - Scared to Take a Day Off? Start Here. 

12:02 - What to Do When You're Too Busy to Take a Day Off 

12:33 - How to Find The Right Growth Strategy For YOU 

13:19 - Join the Free HRT University Community

Want the insights other clinicians are missing? Join Nico’s Daily Newsletter here: https://nicomislenp.kit.com/8050eeea5fThe resistance to HRT stems from the exact same fear that blinds experts to the deep flaws in our financial system. On episode 54 of the Nico Misleh Podcast, host Nico Misleh uncovers the shocking parallels between the debate over Bitcoin and the controversy surrounding bioidentical hormones. He reveals how a broken "sick-care" mindset is not only failing our patients but also costing the nation billions. Learn how optimizing metabolic energy with hormone therapy represents a powerful paradigm shift in wellness, offering a solution that could strengthen both patient health and our economy.Are you ready to move beyond the conventional model and master the clinical and economic arguments for hormone optimization? Enroll in the HRT Master Course to gain the confidence and skills you need. Sign 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:

- 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&_rdr⁠Chapters:0:00 - The Paradigm Shift That Could Save the US Economy 0:53 - Why I’m Talking About More Than Just Hormones 1:33 - The Moment I Knew We Needed a Wealth Manager 2:25 - The Controversial Topic I Became Obsessed With (It's Not HRT) 4:03 - Why Is Everything So Expensive? A Simple Guide to Inflation 4:52 - Is the US Dollar as "Sick" as the Average American Patient? 6:23 - The Uncomfortable Truth About Your Savings Account 7:16 - Why Your Greatest Asset Is a Depreciating One 8:23 - What Is a Better Store of Value: Gold or Bitcoin? 9:08 - How Modern Medicine Uses a "Band-Aid Approach" to Health 10:13 - Is Bitcoin the New Gold? A Paradigm Shift in Money 11:16 - How Your Feelings About Bitcoin Mirror Your Feelings About HRT 12:54 - Why You Should Never Discount Human Ingenuity 13:24 - How "Heretical" Ideas Have Changed the World 14:11 - The #1 Mindset Shift That Changed My Approach to New Ideas 14:42 - How Bioidentical Hormones Create Unbelievable Health Outcomes 15:27 - The Pioneers of HRT: Why They Were Treated Like Crackpots 16:50 - How COVID Changed Everyone's Mind About Functional Medicine 17:51 - What Is Money? The Best Explanation You'll Ever Hear 18:36 - Is Your Money "Leaking"? The Battery & Entropy Analogy 19:46 - How HRT Stops Your Body's "Energy Leak" 20:44 - The Moment I Made My Financial Advisor Uncomfortable 21:52 - Why Professionals Get Defensive About New Ideas (Like TRT) 22:51 - Is HRT Following the Same Path as Bitcoin? 25:31 - The Fear of Being Wrong: Why Experts Resist Paradigm Shifts 26:26 - Why I Hope to Be Wrong About HRT Someday 27:14 - AI, Bitcoin & Wellness: The Three Biggest Paradigm Shifts Happening Now 28:14 - How to Approach New Ideas Without Fear 29:56 - The Surprising Lesson I Learned from My Initial Dislike of HRT 30:59 - The Counter-Narrative You Need to Hear 31:33 - A Message for Clinicians Who Are Still Afraid of HRT 32:22 - How HRT Unlocks Your Physical, Spiritual, and Emotional Life 33:01 - Energy Is the Currency of Life: The Ultimate Connection 34:42 - How to Connect with Nico (Newsletter, Facebook Group & Course)

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 Misleh explains the essential principle that exogenous hormone replacement therapy does not act the same as the hormones our bodies produce naturally. This fundamental misunderstanding is why so many patients feel worse on testosterone replacement therapy and why "by-the-book" dosing often fails to resolve symptoms. Nico breaks down why higher doses are frequently needed, how TRT impacts other crucial hormones, and why a clinician's critical thinking is more valuable than just following lab values for achieving life-changing patient outcomes.

Discover the principles to prescribe with confidence and get superior results for your patients. Watch the full episode now, and if you are ready to become an expert in hormone optimization, enroll in 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 - Why Most Clinicians Get HRT Wrong: A Core Principle 

1:42 - Is HRT Just "Algorithmic Medicine"? 

3:35 - Exogenous vs. Endogenous: The #1 HRT Rule You MUST Understand 

5:34 - The TRT Paradox: Does It Shut Down Your Natural Hormones? 

7:00 - Why "Natural" TRT Doses Make Men Feel WORSE 

9:52 - The Hidden Hormones You Lose on TRT (And Why It Matters) 

11:12 - The Surprising Link Between LH, HCG, and Brain Health 

12:20 - Hormone Resistance: Is It Like Insulin Resistance? 

13:24 - How to Dose Progesterone for a Young Female Patient 

14:24 - Is It The Dose or The Symptom? A Guide to HRT Priorities 

16:16 - Why Two People on the Same Insulin Dose Get Different Results 

18:20 - Is the Human Body a Computer? (Complex vs. Complicated Systems) 

21:04 - How Your Gut Microbiome Controls Your Health 

24:32 - How to Find Joy and Inspiration in Clinical Practice 

26:20 - A Professor's Secret to Understanding a "Boring" Subject 

30:04 - The Beautiful Language of the Universe 

32:40 - The BEST Resource to learn more about HRT