The New Primary Care: Hormones, Labs, and Lifestyle

Nico Misleh reveals why hormone therapy isn’t fringe—it’s foundational—and how data-driven care transforms both patient outcomes and medical practice.----In this episode, I talk with Nico Misleh, founder of HRT University, about why hormone therapy should be seen as foundational care. We explore advanced lab testing, male and female hormone optimization, and the myths holding medicine back. Nico shares how to read labs like free testosterone, DHEA, and thyroid markers—and why sleep, gut health, and cholesterol all connect to hormonal balance.----Nico Misleh, FNP-C, is a board-certified Family Nurse Practitioner who built a thriving, cash-based HRT clinic from the ground up. After years of witnessing patients struggle with fatigue, weight gain, and burnout—and seeing providers overwhelmed by vague protocols and fragmented education—he created HRT University to bring clarity to the field.Through HRT University, Nico blends science, strategy, and innovation into a practical system that helps healthcare providers master hormone therapy and build sustainable, results-driven practices. As a national speaker on HRT, functional medicine, and mental health, and a consultant to hundreds of clinicians, he’s passionate about reshaping how hormone care is taught and delivered so that both patients and providers can thrive.----Connect with Nico MislehInstagram: https://www.instagram.com/nicomislehnp/ LinkedIn: https://www.linkedin.com/in/nicholasmisleh/ Facebook: https://web.facebook.com/groups/thehrtuniversity/?_rdc=1&_rdr#----This podcast is brought to you by Access Medical LabsClaim 10% off your first invoice here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://lp.accessmedlab.com/getstarted⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠----Connect with Dr. Ivan RusilkoInstagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/drivanrusilko/?hl=en⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/ivanrusilko/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠----DISCLAIMER: The content herein is for educational and entertainment purposes only, containing opinions of the participants, and is not a substitute for professional medical advice, diagnosis, or treatment. Consult with a qualified healthcare professional for specific questions or concerns and dial 911 in case of a medical emergency. Never delay seeking nor disregard medical advice because of information shared herein.Please be aware that different healthcare providers may have varying approaches to lab testing and interpretation. The selection of specific tests, methodologies, and treatment recommendations can differ based on the provider’s training, experience, and the individual needs of the patient. Providers should always use their best clinical judgment when making decisions for patient care.MUSIC CREDITSIntro & Outro MusicSong: “Exciting” by HitsLabLicensed via: Envato ElementsLicense Code: FRDG5LAYC2Item URL: ⁠⁠⁠https://elements.envato.com/exciting-CN8759T⁠⁠⁠License Certificate: ⁠⁠⁠https://drive.google.com/file/d/1alXX0Hc-ltCX8I3diCH9NfZmKSlgwQjJ/view?usp=sharing⁠⁠⁠Envato Support: ⁠⁠⁠https://help.elements.envato.com/hc/en-us/requests/new⁠⁠⁠Song: “5 Please Don't Go”Artist: Alex MakeMusicVerification Link: ⁠⁠⁠https://www.shazam.com/song/1714682478/5-please-dont-go⁠⁠⁠Note: This track shows differing artist listings across platforms, and we are addressing this with licensing partners.----Produced by DrTalks: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drtalks.com/podcast/⁠⁠