93. HRT vs Functional Medicine: Hormones Are the Foundation episode artwork

EPISODE · Apr 20, 2026 · 29 MIN

93. HRT vs Functional Medicine: Hormones Are the Foundation

from The HRT University® Podcast · host Nico Misleh

Functional medicine and HRT keep getting framed as rival philosophies. That framing is wrong, and patients are the ones paying for it. In this episode, Nico Misleh, MSN, FNP-C walks through why hormones are foundational, why lifestyle alone has a ceiling, and how to sequence HRT and functional medicine for real clinical outcomes.He tells the story of a 35-year-old patient who did everything right, was offered an antidepressant by her primary care, ended up on a shopping bag of supplements through a functional provider, and only turned the corner once progesterone and testosterone were restored. Then he flips the argument and names the HRT-only mistake clinics make when they prescribe hormones without terrain work.Learn more about the Master Course: https://bit.ly/4twBb0DHRT University is a physiology-first clinical education program for licensed providers. Jointly accredited with 30 CEs.

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93. HRT vs Functional Medicine: Hormones Are the Foundation

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This episode is 29 minutes long.

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This episode was published on April 20, 2026.

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Functional medicine and HRT keep getting framed as rival philosophies. That framing is wrong, and patients are the ones paying for it. In this episode, Nico Misleh, MSN, FNP-C walks through why hormones are foundational, why lifestyle alone has a...

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