Want the truth about treating PCOS? Get daily insights from Nico Misleh that challenge conventional medicine: https://nicomislenp.kit.com/8050eeea5f

What if everything you learned about Polycystic Ovarian Syndrome (PCOS) is wrong? Most clinicians focus on insulin resistance, but that's a late-stage symptom, not the cause. In episode 52 of The Nico Misleh Podcast, host Nico Misleh reveals how PCOS truly begins years earlier with chronic stress, high cortisol, and poor gut health, leading to a critical lack of two key hormones: progesterone and thyroid. Learn how to spot the early warning signs in your patients and why conventional treatments like birth control could be making the problem worse. This is the new approach to helping your patients heal.

Ready to master the hormone protocols that solve the root cause of PCOS? Get the complete system to build your clinical confidence and your practice in The HRT Master Course: 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 - Is PCOS Being Diagnosed Completely Wrong? 

1:16 - Why Polycystic Ovaries Are NOT the Main Sign of PCOS 

2:03 - The Biggest Mistake Clinicians Make When Treating PCOS 

2:57 - What Is the TRUE Root Cause of PCOS? (It's Not Insulin) 

4:12 - How to Spot Early-Stage PCOS (Before It's Obvious) 

5:03 - The Hidden Link Between Childhood Trauma and PCOS 

5:51 - How Chronic Stress Triggers PCOS at a Hormonal Level 

6:27 - Leaky Gut & Endotoxins: The PCOS Connection No One Talks About 

8:48 - The Vicious Cycle: How Estrogen & Cortisol Fuel PCOS 

9:03 - The 2 Hormones That Can Reverse PCOS Damage 

10:32 - Progesterone & Thyroid: The Ultimate PCOS Antidote 

11:26 - The Real Timeline: How PCOS Actually Develops 

12:32 - What Is Progesterone Resistance in PCOS Patients? 

14:09 - Is Male Hypogonadism the Same as PCOS in Women? 

15:30 - Why Standard PCOS Treatments Are Failing Your Patients 

16:16 - When to Use Progesterone & Thyroid Instead of Metformin 

17:30 - How to Identify Subtle PCOS Symptoms in "Healthy" Patients 

18:14 - A Surprising Truth About Carbs and PCOS 

19:37 - Top 3 Supplements Every PCOS Patient Should Consider 

20:19 - Why Hormone Replacement Therapy is the Antidote to PCOS 

20:43 - Is Birth Control Making Your PCOS Patients Worse? 

22:01 - How to Use Bioidentical Hormones to Unmask the Real Problem 23:03 - A New Way to Empower Your PCOS Patients 

25:21 - How to Determine the Most Appropriate Therapy for Any Patient 

26:31 - Are Endocrine Disruptors the Real Cause of Modern PCOS? 

29:42 - Announcing: The Advanced Female HRT Course 

31:14 - Why the HRT Market is Far From Saturated 

32:37 - Are YOU the Patient You've Been Waiting For? 

33:03 - How to Join the HRT University Community

Stop trying to out-compete other HRT clinics and start making your competition completely irrelevant. In episode 51 of the Nico Misleh Podcast, Nico Misleh reveals why the feeling of market saturation is a myth and how building a powerful brand, not just a clinic, is the key to attracting a flood of ideal patients. You will learn the 'Blue Ocean Strategy' used by innovative companies like Liquid Death and Apple to create their own market, and how you can apply these same principles to your wellness practice. This episode will show you how to stand out, find untapped patient groups, and build a business that thrives by being different, not just cheaper.

Ready to build a brand that dominates your market? Learn the proven strategies for clinical and business mastery inside the HRT Master Course. Find out more and 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 - What is Blue Ocean Strategy vs. Red Ocean? 

0:45 - The Marketing Genius of Liquid Death Water 

1:49 - What Is The "Blue Ocean Strategy" Book About? 

2:41 - Red Ocean Explained: Why Most Companies Fail 

4:03 - How Liquid Death Created a Blue Ocean 

6:50 - The Goal: Make Your Competition Irrelevant 

7:58 - How Cirque du Soleil Reinvented the Circus 

12:52 - The Two Keys to a Blue Ocean: Innovation & Price 

14:29 - Are You Competing on Price? (The Race to the Bottom) 

15:42 - How Apple Nailed Blue Ocean Strategy with the iPhone 

20:02 - Is the HRT Market Too Saturated? 

20:42 - How to Create a Blue Ocean for Your Clinic 

21:00 - My Blue Ocean Strategy for Apollo TRT Clinic 

23:52 - How I Marketed to Untapped Patient Groups 

27:07 - Why Innovation Isn't About Reinventing the Wheel 

28:22 - The Most Underutilized Strategy in Concierge Medicine 

30:14 - How Trader Joe's Won the Cutthroat Grocery War 

31:42 - How to Beat Big Business (and AI) with Creativity 

33:28 - Stop Focusing on Price, Focus On This Instead 

35:37 - Why HRT University is a Movement, Not a Course 

37:26 - The AI Tool That Will Make You an HRT Expert 

41:07 - How to Find Your Unique, God-Given Talent 

42:39 - Important Links & How to Join the Community

What if the "normal" female testosterone level is the real problem? New data suggests optimal is up to 30x higher than you think, and your fear of proper dosing could be limiting your patients' results and your practice's success.

In Episode 50 of The Nico Misleh Podcast, host Nico Misleh confronts the biggest fears holding clinicians back from effectively using female TRT. He explains why standard lab ranges are flawed and how underdosing testosterone contributes to patient anxiety, low motivation, and a poor quality of life. Nico also breaks down why he avoids pellets in favor of creams and injections. This is the critical insight you need to build clinical confidence, deliver incredible patient transformations, and stop letting outdated fears dictate your treatment protocols.

Are you ready to stop guessing and start mastering the hormone protocols that create these powerful patient outcomes? If you feel uncertain about your dosing strategies, the HRT Master Course gives you the complete framework to confidently grow your practice. Become the expert your community needs 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 ALL Women Should Care About Testosterone Levels! 

0:44 - Is Testosterone a "Male Only" Hormone? (The Answer May Surprise You) 

2:36 - Are Modern Women Suffering from Low Testosterone? 

5:25 - The Top Symptoms of Low Testosterone in Women (Anxiety, Depression, & More) 

6:35 - Is Testosterone Replacement Therapy (TRT) Safe for Women? 

6:52 - How to Avoid Masculinizing Side Effects from TRT 

7:50 - What Testosterone Pellets Taught Us About Dosing for Women 

10:00 - Why "Normal" Lab Ranges for Testosterone Are Dangerously Low 11:25 - The Optimal Testosterone Level for Female Quality of Life 

13:30 - Why I Don't Use Pellets (And What I Use Instead) 

14:30 - The Mindset Shift Every Provider Needs to Make About TRT 

14:53 - A Guide to Dosing Testosterone Creams & Injections 

17:44 - The Full List of Benefits of Testosterone for Women 

19:31 - How to Prevent Unwanted Side Effects (It's Easier Than You Think) 

20:12 - Why Avoiding TRT Creates a Health Crisis for Women 

21:28 - How Low Testosterone Destroys a Woman's Sex Drive 

23:40 - Can Hormone Replacement Therapy Save a Marriage? (A True Story) 

28:02 - How You Can Overcome the Fear of Treating Female Patients 

29:41 - How to Gain Confidence as an HRT Provider 

30:58 - My Personal Mission: Why I Teach Hormone Replacement Therapy 

33:15 - You Can Start Treating Patients in 3 Minutes (Here's How) 

35:02 - A Final Message for Aspiring HRT Experts 37:21 - How to Join My Free Community & Daily Newsletter

Are you losing patients the moment you mention pricing? It might be because you’re accidentally breaking their trust without even realizing it. Most clinicians make this one simple mistake in their consultations, and it's costing them their confidence and their income.

In episode 49 of The Nico Misleh Podcast, host Nico Misleh reveals why your traditional patient consult is failing. He shares the exact communication strategies, powerful analogies for explaining HRT, and a step by step guide to discussing pricing that builds unstoppable patient confidence. Learn how to handle common objections with ease and turn hesitant patients into loyal clients who are excited to start care. This is the simple method to master the art of the patient consult and build a successful HRT practice.

Are you ready to stop feeling nervous about sales and start confidently guiding patients to the care they need? Become an expert in HRT and the master of your consultations. Join 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 - The #1 Mistake Clinicians Make in Patient Consults 

0:53 - How to “Sell” HRT Without Feeling Like a Salesperson 

1:31 - Why You Need to Rethink the "Healthcare Interaction" 

3:08 - The Most Powerful Questions to Ask Every Patient 

4:27 - Using "Leverage" to Build Unshakable Confidence 

5:56 - A Simple Guide to Explaining Labs That Wows Patients 

6:57 - How to Address HRT Fears Before They're Even Asked 

8:28 - The Secret to Explaining Complex Topics (Use Analogies) 

9:54 - A Perfect Analogy for Lifelong HRT (The Type 1 Diabetes Model) 

11:42 - The "Old Car" Analogy: Why Supplements Aren't Enough 

15:14 - Why the Best Communicators Are the Best Salespeople 

16:20 - How to Discuss Pricing with Absolute Confidence 

18:04 - Is It Normal to Feel Uncomfortable with Sales? 

19:00 - How to Make Your Offer an Absolute "No-Brainer" 

20:12 - The Power of Offering a "Pay in Full" Discount 

21:40 - How to Stack Value (What NOT to Offer) 

23:51 - Why Being an HRT Expert Makes Selling Easy 

25:00 - What to Do If a Patient Doesn't Pay Upfront 

25:28 - Is Your Cancellation Policy Hurting Your Clinic? 

26:46 - A Patient Wants to Quit... Now What? (The Open Door Policy) 

28:30 - How to Frame Your Cancellation Fee (It's Not a Penalty) 

29:28 - When Is It NOT Worth Fighting for the Cancellation Fee? 

30:29 - What Does It Mean When Patients Say "I Need to Think About It"? 

32:05 - The Power of Practicing Your Sales Pitch 

32:51 - How to Handle the "I Need to Talk to My Spouse" Objection 

35:12 - What If the Real Objection Is About Money? 

36:38 - The "3-Month Trial": An Irresistible Offer 

37:43 - Why Your Patients Need "Permission" to Buy From You 

38:33 - Should You Offer a Money-Back Guarantee? 

40:02 - Is Your Lack of Sales Skills Costing You Patients? 

40:45 - The Importance of Rehearsal & Getting Feedback 

42:08 - How to Use ChatGPT to Overcome Sales Objections 

42:51 - The Single Most Important Word in Sales 

44:48 - Final Thoughts: Selling with Confidence & Integrity 

45:36 - The Go-To Resource for Mastering HRT (HRT University)

Are you sleeping more but feeling more tired? Your hormones, not just your habits, could be the real reason you can't get deep, restful sleep. In episode 48 of The Nico Misleh Podcast, host and hormone expert Nico Misleh reveals why progesterone deficiency is the secret cause of terrible sleep, anxiety, and weight gain in women, and how testosterone is the unsung hero for men's recovery. He explains why common sleep aids like Trazodone and even melatonin fail to fix the root problem and shares his clinical protocols for using progesterone, pregnenolone, and testosterone to restore energy and vitality for both men and women. You'll learn simple, powerful strategies to finally sleep through the night and wake up feeling rested.

Ready to master hormone optimization for your patients and build clinical confidence? Our HRT University Master Course provides the complete framework to safely and effectively use hormones for sleep, recovery, and total wellness. Become the expert your patients need by enrolling 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 - Is This Hormone Ruining Your Sleep? 

0:47 - The Most Underrated Benefit of Hormone Therapy 

1:28 - Why You're Still Tired After a Full Night's Sleep 

3:01 - The Problem with Using Trazodone for Sleep 

4:14 - The Hidden Hormonal Cause of Sleep Apnea 

5:30 - How Hormone Imbalances Destroy Sleep in Young Women 

6:18 - The #1 Sign of Progesterone Deficiency 

7:03 - The "Calm" Hormone Your Brain Needs for Deep Sleep 

8:42 - Why Menopausal Women Can't Sleep (And How to Fix It) 

12:29 - Progesterone vs. Melatonin: Which is Truly Better for Sleep? 

14:08 - The Surprising Link Between Testosterone and Better Sleep 

16:32 - Should Men Take Progesterone For Sleep? (A Clinician's Guide) 

19:03 - The Truth About Progesterone Safety in Men 

20:54 - New Study: Progesterone's Shocking Anti-Inflammatory Power 

22:54 - Which Men Benefit Most From Progesterone Therapy? 

24:06 - The Link Between Traumatic Brain Injury (TBI), PTSD, and Hormones 

25:52 - Case Study: Treating a Burnt-Out First Responder with Hormones 

28:16 - Why Clinical Experience Matters More Than Textbooks 

31:28 - When to Go "Off-Label" with Hormone Dosing 

34:11 - Beyond Hormones: Building the Ultimate Sleep Stack 

35:41 - The Best Sleep Supplement You've Never Heard Of (It's Not L-Theanine) 

37:56 - Glycine: The Ultimate "Creme De La Creme" Sleep Aid 

41:31 - Are CBD, CBN, and THC Actually Good for Sleep? 

42:53 - How to Become an Expert in Hormone Replacement Therapy

Most clinicians are unknowingly failing their female patients by treating perimenopause with antidepressants and birth control. In episode 47 of the Nico Misleh Podcast, host Nico Misleh reveals why common symptoms like night sweats, anxiety, and insomnia are often misdiagnosed and how the conventional approach can make things worse. This episode exposes the truth about hormonal fluctuations, the critical role of progesterone and thyroid health, and why bioidentical HRT is the most appropriate and effective therapy to restore vitality.

Are you ready to stop guessing and start leading your patients to true health? Become the clinical expert they deserve by enrolling in The HRT Master Course. Get started 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

Please summarize my stats over the last 7 days (views, watch time hours, click through rates and subscribers) and then please give me a comparison to the previous 7 days. Please make it positive and tell me where we are seeing success.

Chapters:

0:00 - What Are the First Signs of Perimenopause? 

1:10 - The 3 Stages of a Woman's Hormonal Life Cycle 

2:57 - The Truth About Bioidentical vs. Synthetic Hormones 

3:56 - Top 5 Telltale Symptoms of Perimenopause 

5:51 - Estrogen's Wild Ride vs. Progesterone's Decline 

8:07 - How Perimenopause Can Secretly Destroy Your Marriage 

9:34 - Why You Wake Up Anxious at 3 AM During Perimenopause 

11:23 - How Do You Know If You're in Perimenopause? 

13:26 - Why Progesterone is the First Hormone You Should Replace 

14:49 - Estrogen Dominance: The Hidden Truth 

15:45 - The Biggest Mistake Clinicians Make When Prescribing Estrogen 

17:49 - Why You Can't Rely on Lab Tests Alone for Diagnosis 

19:17 - When Is It Necessary to Start Estradiol Replacement? 

21:17 - How to Become an Expert Clinician in HRT 

23:22 - The Most Overlooked Hormone in Perimenopause Treatment 

25:00 - The "Hokey" Detox Truth My Mentors Taught Me 

26:39 - How Your Liver Health Creates Estrogen Overload 

28:35 - Is Thyroid Medication Overprescribed or Under-Treated? 

29:39 - Why Synthroid (Levothyroxine) Fails Most Patients 

32:30 - Is a Suppressed TSH Actually Dangerous? A Full Breakdown 

34:41 - How to Treat PCOS, PMDD, and Postpartum Depression 

36:06 - The Two Worst "Treatments" for Perimenopause 

39:22 - Why HRT is NOT "Alternative Medicine" 

40:43 - An Appendectomy Analogy: Appropriate vs. Inappropriate Therapy 

45:49 - The Most Important HRT Mindset Shift for Clinicians 

46:46 - Join My HRT Community & Daily Newsletter

Could a "female" hormone be the missing link to resolving anxiety, inflammation, and low energy in your male patients? What if the conventional wisdom that progesterone is useless for men is not only wrong, but dangerously outdated? In episode 46 of The Nico Misleh Podcast, host Nico Misleh dismantles the long-held myths surrounding progesterone in men's health. Discover the surprising new evidence showing its powerful anti-inflammatory effects, its role in improving mitochondrial function for more energy, and its neuroprotective qualities that could be vital for mental health and managing stress. This episode provides a vital clinical perspective on why and how to consider progesterone as part of a comprehensive hormone optimization strategy, moving beyond testosterone alone to achieve superior patient outcomes.

Ready to confidently guide your patients through complex hormone protocols? Our HRT Master Course is the definitive training for clinicians who want to master hormone replacement therapy. Elevate your practice by enrolling 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

Please summarize my stats over the last 7 days (views, watch time hours, click through rates and subscribers) and then please give me a comparison to the previous 7 days. Please make it positive and tell me where we are seeing success.

Chapters:

0:00 - Should Men Take Progesterone? A Clinician's Definitive Answer 

1:24 - What Hormone TRULY Separates Men and Women? (It's Not Estrogen) 

3:11 - Why Most Doctors Are WRONG About Progesterone in Men 

4:13 - The "Junk Hormone" Myth: Why Your Body Doesn't Waste Resources 

5:19 - What Is DHT and Why Is It Vital for BOTH Sexes? 

6:49 - How A Progesterone "Side Effect" Cures Anxiety & Insomnia 

8:04 - Are You Progesterone Resistant? A New Health Epidemic 

9:34 - Does Progesterone Cause Inflammation in Men? A Look at the Conflicting Science 

12:30 - How Progesterone Fights Deadly Inflammation (The COVID-19 ICU Study) 

16:15 - A Surprising Link: How Progesterone Levels Correlate with Suicide Risk in Veterans 

19:49 - The Connection Between Traumatic Brain Injury (TBI) and Low Hormones 

22:07 - Gas vs. Brake Pedal: How Hormones Control Your Nervous System 

23:04 - Meet the "Mother of All Hormones" and Her Calming Family 

25:34 - Is Your Brain on Fire? The Glutamate vs. GABA Battle for Your Mood 

26:56 - How a Patented Drug Mimics Progesterone to Treat PMDD & Postpartum 

29:22 - Can Men Get the Same Calming Brain Benefits from Progesterone as Women? 

30:52 - How Progesterone Acts as Your Body's Master Stress Regulator 

32:17 - The Ultimate Health Principle: Why Energy is the Currency of Life 

35:24 - How Aging Is a Disease of Energy Loss at the Cellular Level 

37:26 - When Should a Clinician Prescribe Progesterone for a Male Patient? 

38:45 - What Makes Men, Men? The Critical Role of Dihydrotestosterone (DHT) 

40:06 - How to Treat Anxiety in Men: Testosterone First, Then Progesterone 

41:19 - Can Progesterone Help with BPH and Prostate Health? 

42:33 - How TRT Can Shut Down Your Body's Natural Hormone Production 

45:14 - Are Human Beings a "Complicated" or "Complex" System? 

47:22 - The #1 Rule of Hormone Therapy: 1+1 Does Not Always Equal 2 

48:18 - How to Join the HRT University Community & Nico's Daily Newsletter

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

Is your medical license a trap? The healthcare system is forcing dedicated clinicians like you into burnout, making you work for insurance companies instead of your patients. In episode 44 of The Nico Misleh Podcast, host Nico Misleh exposes the broken insurance model and reveals how a cash-based practice is the key to regaining your autonomy. Discover how to escape the golden handcuffs, realign with your values, and practice medicine on your own terms. This episode provides the blueprint for building a profitable clinic that delivers incredible patient outcomes and restores your passion for healing.

Ready to build a practice that gives you freedom and financial control? Mastering a specialty like hormone replacement therapy is your first step toward true autonomy. Learn the clinical and business strategies to create a thriving cash-based service that your patients will value. Begin your journey and explore 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 - Insurance Is A Business, NOT Healthcare 

1:09 - Insurance vs. Cash-Pay: The REAL Battle 

2:00 - The #1 Myth About Medical Insurance 

3:33 - Does Insurance Approval Mean It's Safe? 

4:41 - The Shocking Truth About Birth Control 

6:07 - How Insurance Companies Deny Your Care 

7:58 - Who Do You REALLY Work For? (It's Not Your Patients) 

8:41 - The Golden Handcuffs Trapping Doctors 

10:33 - The True Cause of Clinician Burnout 

11:34 - Why You Became a Healer in the First Place 

13:08 - What a "Cash-Based" Clinic Actually Is 

14:04 - How Car Insurance Proves Healthcare is Broken 

15:55 - The Secret to Loving Your Job Again 

16:55 - Proof: Doctors are Happier in Cash-Pay 

17:37 - Make Less Money, Have a Better Life? 

19:34 - The Hidden Pain of Working for Insurance 

20:23 - When Your Colleagues Attack You 

22:50 - Don't Fix a Broken System, Do This Instead 

25:31 - How Patients Win in a Cash-Based Model 

26:35 - Reclaim the Provider You Were Meant to Be 

27:49 - How Insurance KILLED the Art of Medicine 

30:30 - Patient Story: Doctor Dismisses Low Testosterone 

33:51 - Patient's Life Transformed by TRT 

34:34 - Doctor's SHOCKING Offer After Seeing Patient Thrive 

37:23 - The Secret to Never Stop Learning 

38:16 - This Makes It All Worth It 

38:54 - Why Your Job is Like a Bad Relationship 

41:06 - The Hidden Dangers in Your Medicine Cabinet 

44:13 - Why I LOVE My Cash-Based Clinic 

45:01 - A Guide to Mastering HRT 

46:03 - Join Our Community of Clinic Owners 

47:00 - My FREE Daily Email for Clinicians 

47:51 - Exciting News for HRT University

Are your patients with PMDD failing to improve on standard treatments like SSRIs? The problem may not be what you were taught, but a profound hormonal imbalance that conventional medicine often overlooks. In episode 43 of The Nico Misleh Podcast, host Nico Misleh explains why these protocols fail and reveals the true root cause of PMDD, PCOS, and endometriosis. Discover the critical role of progesterone in calming the nervous system and counteracting the effects of excess estrogen from our modern environment. This episode provides a new clinical framework for when standard treatments are not enough.

Are you ready to move beyond frustrating standard protocols and confidently solve complex hormone cases? The HRT University Master Course provides the in-depth training you need to master hormone optimization and deliver superior results. Learn more and 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 Shocking Truth About Progesterone 

1:05 - Nico Reveals His #1 Favorite Hormone 

1:56 - The Forgotten Genius of Hormone Therapy 

3:23 - He Predicted The Dangers of Antidepressants in The 80s 

5:10 - Why I Fell in Love With Progesterone 

6:25 - PMS vs. PMDD: When It Becomes a Nightmare 

7:25 - The Brutal Treatment That Chemically Castrates Women 

9:43 - "I'm Scared To Be Around My Wife": A PMDD Story 

12:03 - The HUGE Mistake In Progesterone Research 

12:53 - WARNING: Are You Taking "Franken-Hormones"? 

14:52 - Estrogen: The "Cup of Coffee" Hormone? 

16:55 - The #1 Sign of Too Much Estrogen 

18:04 - Why Are PCOS & Endometriosis Rates Exploding? 

19:23 - How Your Shampoo Is Wrecking Your Hormones 

22:06 - The Simple, Elegant Solution to Hormonal Chaos 

25:48 - The Hidden Stressors Destroying Your Health 

30:51 - Is Your "Healthy" Salad Making You Sick? 

33:12 - Progesterone: The Ultimate Calming Hormone 

36:31 - "I Didn't Want to Kill My Husband Anymore" 

40:01 - From PMDD Nightmare to a Happy Mom of 3 

42:04 - Why I Give Progesterone to Men (And Why It Works) 

45:46 - The Hormone That Deserves More Attention 

48:07 - How One Study Destroyed Progesterone's Reputation 

51:35 - Why Big Pharma Can't Profit From This Hormone 

54:06 - You Are Part of a Movement 

58:52 - How to Learn More About Progesterone