HeyJaredThe HRT University® Podcast
Welcome to the HRT University® Podcast, where patient care meets the realities of building a thriving practice.
- Indexed episodes, last 90 days
- 9
- Latest publication
- Sep 28, 2026
- Audience
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- Earliest in this view
- Jul 6, 2026
Latest episodes
Postpartum Psychosis Is an Endocrine Event (opens the original)
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A labor and delivery nurse was prescribed 13 psychiatric medications over four months. This is the Lindsay Clancy case. This episode asks a hard question: could thyroid screening and a hormone-aware postpartum plan have caught something during those months of psychiatric prescribing, when no one addressed the underlying hormone shift? Postpartum psychosis affects 1 to 2 women per 1,000 births. Onset is fast: usually within the first two weeks, often within 72 hours. It looks nothing like the slo
TRT and Fertility: The Myth That Keeps Young Men Untreated (opens the original)
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Zach's testosterone came back at 302, in a range that runs from 300 to 1000, and his endocrinologist told him he was fine. He had brain fog, no energy, and no sex drive. In his words, she was judging him off an app. On this episode, Nico Misleh, MSN, FNP-C, talks with Zach, a patient and a friend. Zach gives the side of this story providers rarely hear firsthand. They talk about a belief that keeps young men out of care, the idea that testosterone ends fertility. Zach started treatment anyway. H
How to Start an HRT Clinic Debt Free: Savings First, Staff Later (opens the original)
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Nico Misleh sits down again with his wife, Cherrell, who runs the money and operations side of Apollo Health Optimization and HRT University, to talk about what it actually takes to build a business together without going into debt. They dive into how they opened their first clinic with savings instead of loans, why they waited to hire their first administrator until the revenue could cover her salary, and how they set a runway before Nico left his 1099 job. Cherrell shares her perspective on ru
Low Testosterone and Depression: A First Responder’s Story (opens the original)
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This episode includes discussion of PTSD, suicidal ideation, and alcohol use. Garrett spent 18 years as a deputy sheriff and police officer, all of it on night shift. Over that career he was part of about a dozen calls involving dead children. He gave CPR to an eight week old and lost. He never took a day for any of it. There was no policy in his agency that offered one, and no version of asking that did not feel like a risk to his badge. It caught up with him when he had his own kids. He would
Testosterone for Women and Men: What Providers Should Order (opens the original)
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Testosterone is the hormone nobody checks in women. Nico Misleh, MSN, FNP-C sat in an OB-GYN office with his wife not long ago and watched it play out. Nobody ordered it. It did not come up. He checks it on every female patient he has, his students all check it, and inside that bubble it starts to feel like standard practice. It isn't. So the first half of this episode is women. Testosterone isn't a male hormone that women happen to carry a little of. They have it by design. It's doing work on l
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