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
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/ and start building the fulfilling career you’ve been dreaming of.
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
Are you struggling to figure out exactly what to charge in your HRT clinic? Episode 33 of The Nico Misleh Podcast will completely shift the way you think about pricing. Nico Misleh breaks down the exact steps, secrets, and strategies behind setting prices that actually help your patients, grow your business, and give you more confidence as a clinician. Learn how to avoid costly mistakes, discover what the best clinics are really charging, and see why the right price can help your clinic thrive while saving you from burnout. If you want real answers on patient pricing, clinical profitability, and building a wellness practice that supports your life and your mission, you’re in the right place.
Want step-by-step guidance to set the perfect price for your services? Sign up now 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:
- 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 - Pricing Challenges and Strategies
05:35 - Infinite Pricing Concepts
12:38 - Emotional and Behavioral Influences
17:54 - Audience Understanding Techniques
19:42 - Valuing Health and Wellness
22:20 - Ethical Considerations in Pricing
24:10 - Self-Investment Importance
24:30 - Hard Realities in Business
25:00 - Identifying Your Target Audience
26:35 - Conclusion and Key Takeaways
Jillian Martin wears a lot of hats: hospitalist, psych NP, regulatory consultant, emergency psych provider, and now, HRT clinic owner. In this episode, she sits down with Nico to talk about her journey from operational nursing to launching her own hormone clinic, Valen Medical, on Cape Cod.
They dive into how Jillian and her husband are building the clinic behind the scenes, when to start paying yourself (and your spouse), and what to do when you’re juggling multiple jobs but want your clinic to take off. The two also explore treating adolescents, the intersection of hormones and mental health, and how TBI history could be affecting your patient’s hormone cascade.
This one’s for the multi-passionate provider wondering how to make their HRT clinic sustainable, profitable, and personally fulfilling, without burnout or a social media presence.
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 the HRT University Facebook Group: https://www.facebook.com/groups/1179376819949373/?ref=share&_rdr
In episode 3 of her marketing series, Emily Beal tackles one of the biggest mindset blocks for clinic owners: what to write in your emails, especially when your list is tiny (or nonexistent). She shares a real message from a provider who felt stuck before even getting started, and gives step-by-step advice to help you build writing confidence without using AI or generic templates.
You’ll learn why your personal story matters, how to break past perfectionism, and how to make your writing actually feel like you. Whether you’ve written nothing yet or have drafts sitting in Google Docs, this episode is the push you need to finally start hitting “send.”
Click here to join Emily's weekly marketing newsletter: https://nicomislenp.kit.com/5bc0d4dd96
NICO LIVE, our three-day business conference designed for nurse practitioners who want to grow cash-based, concierge, and wellness-focused practices is coming up! Get your tickets for NICO LIVE here 🎟️
