What Providers Are Saying About HRT University

This course was by far one of the best and most informative that I have taken! Thank you Nico for your dedication

Your course gave me the confidence to truly understand and speak up about HRT and I’m not even finished with the course.

I found you at the Injectibles EDU conference in Orlando in April, 2026. I feel that I am so much more prepared to care for my patients. This area is new to me, and I feel this accredited certification has me on my way. Thank you to HRTU.

HRTU has blown my expectations away. As a provider who dreaded hormones and thyroid subjects, I’m walking away from this course hungry for more knowledge and have fallen in love with these subjects. I can’t wait to help my patients find answers and witness them thriving

I often say to myself - thank god for this course.  It gave me the courage to launch, but now that I'm seeing patients, being able to go back through material and connecting the dots to my ACTUAL patient (not the future made-up patient in my head) has been super helpful. 

HRT University has helped me truly understand how hormones work and why they matter for women in perimenopause and menopause. The advanced hormone therapy education has made me more confident and intentional in my clinical decisions. I am truly grateful for Nico and this community.

I liked Nico's teaching style and podcast Definitely! Take the course! It's definitely worth the money to gain the knowledge and confidence to start prescribed BHRT right away. I love the ongoing support with the membership and Q & A section. All of my questions have been answered in a timely manner.

I met Nico at a Medical Conference and was impressed with Nico's knowledge and expertise Greatly- I felt confident prescribing and managing TRT patients, after taking Nico's course I feel super-confident and comfortable doing what I love best. Please do yourself a favor and do it- you will be glad you did!

I have been listening to your podcasts and signed up for the daily email. I received the email "what I should have sent months ago" and was instantly drawn to know more about the program! I love that you explain the pathophysiology, add drawings and dig deep to help clinicians understand the why behind what we are doing.

Continued learning for female HRT Overall a great addition to current knowledge base, most comprehensive course yet I would recommend this be the 1st course you take, it likely will eliminate the need to take other courses. Nico is a gifted teacher who has invested a great deal of time and energy into developing a high level HRT course.

I wanted to increase my knowledge base in working with men. It has solidified and provided additional information for me to consider and implement into my existing practice It’s a terrific course. Nico is very thorough and easy to understand. I highly recommend this course to any new and/or current colleague looking to get into the HRT space.

Wanting to improve my knowledge and confidence in hrt I love the course. It has helped me a lot. I must admit I have listened to the course like 10 times Iol. I can even predict what Nico would say. Lol. Great content and highly recommended for anyone looking to grow and stand out in providing HRT. It was money well spent for sure. Thanks for supporting me in my journey. Highly recommended!

I absolutely loved this course. I have taken other hormone courses and they just don't hold a candle to how comprehensive and informative this course is. I can say I am a more confident and capable provider because of Nico's course and the thought/time put into the education provided here. I have been able to level up my care and my patients are seeing excellent results. Thank you so much for this course!!

A friend recommended this course after I had a hard time learning HRT through the WorldLink program. I tried for over a year to see patients, but I eventually stopped because I didn’t feel like I truly understood what I was doing. Since taking HRTU, I feel much more confident now, and I really appreciate the resources, especially the forum and being able to go back and review the material whenever I need to.

This course helped me grow my practice by learning from aligned providers who genuinely want to help other practitioners break through barriers. It significantly enhanced my confidence, and the amount of resources and support made this an enjoyable and empowering first experience. This is a great course to start your practice. Nico, thank you for being so responsive to my questions and for the moral support along the way.

Wanted a better understanding of hrt Feel more confident in prescribing and actually started to treat patients Definitely take it you wont regret it! I took many hormone courses, and just wasnt feeling confident in starting to actually manage my patients needing HRT. Finishing this course, and having the support of Nico and their forum gave me the confidence to finally start prescribing. Im already seeing positive results for patients and so happy I did.

I have first-hand personal collegial knowledge and experience with Nico. I knew the breadth of what he represented and was capable of both as a clinician, but especially as an educator. Nico is both a great clinician, but his educator skills are not to be overlooked. He does an excellent job of discussing very granular, esoteric topics and translating it to levels that layman and clinicians alike can appreciate. Be excited. Be very excited. This shit is dope.

HRTU was recommended to me by a coworker and I am so glad I decided to start my BHRT learning journey here! The Master Course and the community board have truly been a wonderful, enlightening, and continuous learning tool. The evidence based information shared by Nico and the peer feedback have allowed me to prescribe and educate my patients regarding BHRT with confidence. Couldn't recommend enough for any providers looking to expand their knowledge base around BHRT!

Everyone in a Facebook group I am in was saying how amazing it was and how great they felt about prescribing and that they knew what they were doing when they completed this course. I finished the course content yesterday. I treated 2 women today and I felt very comfortable explaining why we were starting testosterone cream, estradiol (E2) pill and P4 capsule. I just have to figure out a membership plan and see if the local pharmacy is better than belmar. DO IT! Thank you!

I have so many wonderful things to share about HRTU! This is one of the best decisions I have made in my business over the last 3.5 years. It was an interesting course, it was in depth, it was inspiring and exciting. Believe it or not, not all healthcare courses have these things! I joined the community on Facebook, follow all of the podcasts and have rewatched the course many times over the last 9 months. I have taken 4 master courses, and this was by far my favorite, and I tell all my friends!

"...Your course has truly been life-changing for me — not only professionally, but personally. It has strengthened my confidence, deepened my understanding, and reinforced my passion for helping patients... I have taken multiple hormone courses over the years, but your course is the first that has made me feel both capable and confident in building something of my own... What you have created is not just educational — it is empowering, and it is helping providers like myself change lives in a meaningful way."

Wanted to support my colleague's efforts. Solidified understanding. This course offers an excellent foundational understanding of Male and Female HRT including all sex hormones and thyroid. You will complete this course feeling confident in starting to treat clients with HRT and with a good understanding of the why and how of HRT, not just protocols. This course provides a thorough beginning understanding for HRT for the novice practitioner and will enable them to feel confident in beginning to treat clients.

Nico and HRTU have been nothing short of amazing. I had invested in multiple hormone training sessions prior to HRTU and left feeling more confused than anything else. Nico breaks down each and every hormone concern from production to disease state and options for repletion. The training is complex and does take some time but I loved being able to take this on my own time and when my brain could handle the information. Nico is an excellent instructor and the knowledge obtained from his training has helped me gain confidence in my day to day HRT clinic. Thank you!

I signed up (In blunt honestly) because I wanted more than what I was getting from other programs. I want the whole enchilada, and I want to be able to share/demonstrate back the why's behind what I do and that is where this program came in and it has met my expectations at this point. The delivery and the thoroughness set the program apart. Also, PEARL - chef's kiss on that one. I would and have advised colleagues to purchase it, money well spent. I love the program and Nico's love for his craft is evident. It is thorough, videos aren't too long, and the format is easy to use.

Though I have taken several hormone courses I didn’t feel completely confident in helping my patients choose from among the different options. Several other NP colleagues recommended Nico’s HRT University so I decided to give it a try. I feel much more confident in creating treatment plans and adjusting them based on side effects the patient is experiencing. I feel less intimidated by all the different options. Take the course. It is insightful, evidence based, concise and well put together. It will absolutely add to any other course you’ve taken and help you deliver HRT to women and men with greater confidence!

You were referred to us by others in the industry. We are a medspa located in the Cleveland, OH area and have a weight loss program currently. We have done Men's HRT in the past but ended up shutting the service line down for awhile. There was such a fear that existed about HRT amongst our providers and with your course we are more confident in our abilities to provide safe and evidenced-based HRT to our patients. We are now going to be opening HRT services back up to male and females in the near future thanks to the education you provided in your course. It has greatly helped us also with our current weight-loss program as an adjunct to therapy.

Nico and HRTU are unmatched in many ways. I had taken MANY HRT courses, both conventional and functional medicine type courses and none of them compare to HRTU and Nico’s ability to synthesize and explain concepts. I feel more confident than ever in explaining HRT with patients, colleagues and friends. What sets HRTU apart even further is the community. The providers in this community are supportive and uplifting. The weekly community calls are incredible and you can tell on these calls that Nico really cares about the success of everyone in the community. Kudos to Nico for creating such a welcoming and academic environment where we can all learn to serve our patients better!

Thank you for being you and doing what you’re doing! I haven’t finished the master course yet, decided to do it out of order, lol. I did women’s health first (area that I wanted to strengthen first). I am now finishing up the men’s health to move on to thyroid. I can honestly say that your course has given me true understanding of the content! It was like this aha moment where the light bulb just turned on and everything started to make sense. I feel so much more confident speaking to my patients, especially the female patients. Just this week alone I closed two new female patients and one of them left me this review which I attached for you to read. I just wanted to say Thank you and I look forward to everything I can learn from you and apply to my practice!

I have taken HRT courses in the past but always felt something was missing... I wanted to feel good about the services I was providing to my community. I didn't want to be embarrassed when I saw clients at the grocery store, I wanted to be reassured I was doing the right thing. I had been following Nico on the FB page and listened to his podcast. I could just feel his passion for patient and providers alike to find success; I trusted him and his knowledge, went with my gut and am so glad I did! I definitely feel more confident and can explain the why behind HRT. Don't second guess the decision, top notch course. Easy to listen to and understand. I love that the courses are broken down into short sections. Love it and happy I made the purchase to better my clients. Thanks Nico, so thankful you followed your passion to help patients and providers alike.

I was looking to broaden my HRT knowledge, and HRT University really delivered. Nico Misleh goes way beyond the basics and actually walks through the endocrine physiology in a way that clicks. It’s not just theory, it translates into real clinical understanding. His approach feels logical and grounded, and he backs it up with research, which I really appreciate. I first heard about HRTU from someone in another group I’m in. She hadn’t even taken the course herself, so I was a little skeptical going in. But honestly, I’m really glad I invested the time and money. It’s been worth it. I’d also recommend his podcasts. They help reinforce everything and add more depth. This whole experience has kind of opened a new door for me. After more than 20 years in healthcare, it’s not easy to feel excited about learning something new, but this actually did that for me.

I wanted a truly comprehensive and practical education in hormone optimization that went beyond the basics. After years of piecing together info from various sources, I was looking for a reliable, well-structured program to deepen my expertise. This course has elevated both my knowledge and confidence. While I’ve successfully offered TRT for years, I now feel fully prepared to provide evidence-based thyroid optimization and female HRT as well. It’s expanded what I can offer my patients in a meaningful way. This is the gold standard in HRT education. It’s realistic, comprehensive, and immediately applicable in practice. I only wish I had found it sooner—it would’ve saved me so much time and guesswork. Nico Misleh is a visionary nurse practitioner whose passion for hormone optimization and education shines through in every presentation and in the supportive online community he’s built for providers.

I was getting ready to launch my own clinic and wanted to take my hormone knowledge to the next level. The course added to my knowledge on Men's health and thyroid, along with introducing me to the very important world of women's health. This course goes beyond the typical information driven teaching style most other courses provide. Nico really does a great job of providing the most recent evidenced based information on hormones with a very storytelling type approach. Everything in the course is very digestible and applicable. Even if you already have some knowledge working with hormones, this course will just amplify that and take your practice to the next level. The included materials like symptom guides, lab reference range chart, and EMR intake/questionnaires/consents were extremely helpful as well. This course is by far the foundation everyone should have if they want to be the best at working with both men's and women's hormones.

I’ve taken other hormone courses and was looking for something more in-depth and practical that went beyond the basic information I’d already received. This course delivered exactly that. Every lecture teaches me something new and provides a thorough review of the fundamentals, along with clear explanations of the ‘why’ behind hormone therapy, potential side effects, and how to navigate them confidently for patients. The hormone optimization course from HRT University is the most thorough and user-friendly resource I’ve found. It’s easy to follow, flexible to work through at your own pace, and packed with everything you need — from detailed dosing and calculations to consents, FAQs, and more. What truly sets this course apart is the level of support and mentorship. Nico’s commitment to his students is unmatched. This course is comprehensive, reasonably priced, and far superior to anything else I’ve come across. I highly recommend it to anyone serious about learning hormone optimization the right way.”

To gain deeper understanding of HRT. It has strengthened the knowledge I previously had regarding HRT and absolutely equipped me with more confidence to practice HRT. If you are interested in effectively and confidently treating patients with HRT (thyroid, sex hormones, adjunct hormones) take this course. It is top tier quality and more detailed compared to other similar courses. From foundational metabolic dysfunction, assessment, critical thinking, and treatment with troubleshooting. Listen to Nico on repeat! Afterwards, you will be able to describe to your patients (and possible future patients) the reasons why everyone needs HRT. I think Nico and his team, Cheryl and team, have created something really special. The subject matter is truly interesting and enlightening; and can be put into practice to help improve peoples lives. Nico genuinely can and wants to help his peers understand what he knows; he is an excellent teacher and the course is a breeze to navigate. Nico, if you see this, thank you so much.

I had taken so many other courses but still lacked the confidence I wanted to have. OMG where do I begin!?!? This course has been indispensable in my professional growth - and to date, is the most helpful, beneficial continuing education I have ever taken. Nico is sensitive to the fact that this is an LOT of information - so he breaks each concept down, and then breaks it down some more - so even the most novice providers can understand. Nico’s use of visual aids to support learning is super helpful. And the mentorship is just the icing on the cake. Such an amazing experience and community to be a part of. If you are considering taking this course, STOP considering and just DO IT! It has single-handedly changed my practice. Worth its weight in gold and then some. Best investment in education I have made to date! If you want to become an expert in HRT, THIS course is a MUST. If anyone wants to chat further about my personal experience with HRTU, I’m happy to answer any personal questions you have to help you make a decision that is right for you!

The HRTU course has completely transformed how I understand hormone replacement therapy. What makes it stand out is how deeply it teaches HRT at the cellular level. It's not just protocols and dosing, but why the body responds the way it does. That level of understanding makes everything click. I’ve gained incredible value just from joining the live Q&A calls every Tuesday. I use those sessions to test my knowledge, and it’s been such a powerful way to gauge what I’ve mastered and what I need to revisit. As a new provider in HRT, HRTU has been my first and only formal course and it has truly given me the tools and confidence to build my own HRT clinic from the ground up....seriously. Between the adjunct resources, community support, and preferred vendor lists, HRTU provides everything you need to not only learn the science but also launch and grow your practice. In my opinion, HRTU isn’t just the best educational course out there. It’s the most comprehensive and empowering resource for anyone serious about mastering hormone optimization and creating a thriving HRT practice.

The HRTU course has completely transformed how I understand hormone replacement therapy. What makes it stand out is how deeply it teaches HRT at the cellular level. It's not just protocols and dosing, but why the body responds the way it does. That level of understanding makes everything click. I’ve gained incredible value just from joining the live Q&A calls every Tuesday. I use those sessions to test my knowledge, and it’s been such a powerful way to gauge what I’ve mastered and what I need to revisit. As a new provider in HRT, HRTU has been my first and only formal course and it has truly given me the tools and confidence to build my own HRT clinic from the ground up....seriously. Between the adjunct resources, community support, and preferred vendor lists, HRTU provides everything you need to not only learn the science but also launch and grow your practice. In my opinion, HRTU isn’t just the best educational course out there. It’s the most comprehensive and empowering resource for anyone serious about mastering hormone optimization and creating a thriving HRT practice.

I loved Nico's approach and attention to detail. I have taken other courses but wanted more knowledge in HRT and Thyroid I feel so much more confident in HRT and Thyroid. I am still rewatching many of the modules and incorporating the knowledge I have learned into my practice. I love how he explains each topic and makes it easy to digest. I would say this is one of if not the best course on HRT and Thyroid Function out there. Nico's in depth knowledge on these and many more subjects is amazing and I could listen to him all day! Some days I do, along with his podcast- learning on the go. I'm very grateful to Nico- I am a solo provider- started out in Aesthetics on my own after many years working in Addiction Medicine and I'm now passionate about HRT particularly in women. I want to become an expert and help every woman I can to feel better and age better. I wish I had known this years ago, growing up with PCOS. It seems hormones and knowing these imbalances can change everything! I'm grateful to be on the forefront of this HRT revolution. And make a great career doing it to support my family. Thank you!!

I really wanted to understand the evidence behind HRT so that I could confidently have a discussion with patients. I realized how little I actually understood beforehand. The HRTU Master Course finally connected the dots and made everything click. I was never ready to launch my practice, but now I am. Don't hesitate. If you're serious and willing to put in the work, the investment will be worth it. Nico, Cherrell, and the HRTU Team. Where can I start? I guess I can say that I certainly wouldn’t be where I am today without you. Before finding HRTU and patiently awaiting its launch, I had taken other courses on HRT. Simply put, nothing compares. I mean it - I wouldn’t have had a soft launch had you not made something that seemed so daunting completely digestible, with the ability to review as many times as possible, and really LEARN the material. I would never have even thought to comment on HRT to a patient because I didn’t have the evidence to back it up. Now I do. Imposter syndrome is real – and I appreciate PEARL, too, for dealing with my antics whenever I’m second-guessing myself. I appreciate you more than you will ever begin to understand. With immense gratitude, Miguel

The #1 trigger was pure information overload and academic frustration. I had already invested in 2−3 other courses, only to find the core material to be overwhelmingly conflicting and difficult to interpret. After following Nico's consistent, spot-on analysis on social media and in his emails—which always seemed to cut through the noise—I realized he possessed the clarity and simplicity I was desperately seeking. My decision to enroll was simply an investment in finally getting the straight answers I needed. It has been a complete paradigm shift. Before this course, my understanding of HRT was fragmented, leading to doubt. Now, I have achieved clarity that cuts through the industry noise, providing immense comfort in the application of the material. This confidence has instilled the courage to implement comprehensive, evidence-based care with consistency, ensuring optimal outcomes and a reliable standard of practice. Stop overthinking it. If you're currently dealing with the conflicting and confusing noise from other programs, enrolling is the single best investment you can make in your practice and peace of mind. Don't delay! The only thing you'll regret is the time you wasted before finally signing up. I have nothing but praise for this course.

I discovered Nico Miseleh and HRTU after a referral from a trusted friend and colleague who spoke highly of the profound impact Nico had on his personal hormone and wellness journey. Hearing firsthand about Nico’s expertise—not only as a clinician but also as an educator—immediately sparked my interest, and I began searching for more information. When Nico and his team released the HRTU course, I was instantly drawn in. Having completed several hormone education programs myself after recognizing gaps in my formal training, I can confidently say that Nico has truly brought everything together in a way that is practical, actionable, and grounded in real-world clinical application. What sets this program apart is that the learning doesn’t stop with the course itself. Nico and his team continually expand and refine the content, consistently adding value. The exclusive provider community they’ve created allows for ongoing collaboration, discussion, and shared learning, which has been incredibly impactful. Without hesitation, this has been one of the best investments I’ve made in my professional education. Not only has it elevated my own clinical practice, but it has also been genuinely life-changing for my patients. I’m incredibly excited for the opportunity to meet Nico and his team in person at an upcoming conference.

From the moment I heard Nico was creating a course, I was all in. After reading his thoughtful and spot on responses to hormone and functional medicine questions from colleagues, I knew he was someone I wanted to learn from. I had already invested in multiple hormone programs, including men’s and women’s courses through BHRT Academy, and had explored other well known options. Still, I was craving something deeper. I wanted training from a nurse practitioner who has been in the trenches, built a real business, and truly understands the clinical and practical sides of this work. My intuition told me this course would give me the edge I was looking for, and I am so glad I listened. I’ve completed the male portion of the course and am now diving into the women’s section, and it has exceeded every expectation. Nico breaks down complex concepts in a way that is clear, practical, and easy to understand. His teaching style, delivery, and ability to speak directly to fellow NPs feels incredibly natural and intentional. This course is fundamental yet precise, eloquent, and immediately applicable. You can confidently begin treating patients once you complete the Master Course. Hormone management is a delicate and constantly evolving process. There is no single protocol or algorithm that works for everyone. It requires strong training, real world experience, and refined clinical intuition to truly optimize patient outcomes. That is exactly what this course provides. Nico’s Master Course delivers comprehensive, practical training in a way that feels thoughtful, intentional, and exceptionally well done. I highly recommend it to anyone serious about practicing hormone optimization the right way.

I am so incredibly thankful that I was led to Nico and the HRTU by another Nurse Practitioner and business owner. I had been interested in bioidentical hormone replacement therapy and thyroid optimization for quite some time, especially after my own experiences feeling dismissed by providers while dealing with thyroid issues, recurrent miscarriages, and other concerns. Once I took a deeper dive into my own health, I knew I had a calling to help empower others to take control of their health and quality of life. However, I continued to feel frustrated and disappointed by the conflicting information and lack of clarity from other courses and trainings. Many of them left me with more questions than answers. Then I found Nico’s course—and everything changed. Nico’s approach is truly evidence-based, and he has an incredible gift for teaching in a way that helps you deeply understand the “why” behind everything. It wasn’t just about protocols, memorization, or a cookie-cutter approach. For the first time, I felt like I truly understood the foundation and could confidently build upon it. Nico gave me my love for learning back, and now I simply cannot get enough. The fire within me to educate and empower others has reached an entirely new level. I am beyond grateful for Nico and his team—not only for how this has transformed my own life, but also for how it has shaped my business and the way I care for my patients. The ripple effect of his work—how many lives are being changed—is something truly special. I am so thankful to be part of this movement, and I have no doubt it will continue to transform the way healthcare is approached. Thank you, Nico. I am forever grateful. - Nikki Frey

This course was by far one of the best and most informative that I have taken! Thank you Nico for your dedication

Your course gave me the confidence to truly understand and speak up about HRT and I’m not even finished with the course.

I found you at the Injectibles EDU conference in Orlando in April, 2026. I feel that I am so much more prepared to care for my patients. This area is new to me, and I feel this accredited certification has me on my way. Thank you to HRTU.

HRTU has blown my expectations away. As a provider who dreaded hormones and thyroid subjects, I’m walking away from this course hungry for more knowledge and have fallen in love with these subjects. I can’t wait to help my patients find answers and witness them thriving

I often say to myself - thank god for this course.  It gave me the courage to launch, but now that I'm seeing patients, being able to go back through material and connecting the dots to my ACTUAL patient (not the future made-up patient in my head) has been super helpful. 

HRT University has helped me truly understand how hormones work and why they matter for women in perimenopause and menopause. The advanced hormone therapy education has made me more confident and intentional in my clinical decisions. I am truly grateful for Nico and this community.

I liked Nico's teaching style and podcast Definitely! Take the course! It's definitely worth the money to gain the knowledge and confidence to start prescribed BHRT right away. I love the ongoing support with the membership and Q & A section. All of my questions have been answered in a timely manner.

I met Nico at a Medical Conference and was impressed with Nico's knowledge and expertise Greatly- I felt confident prescribing and managing TRT patients, after taking Nico's course I feel super-confident and comfortable doing what I love best. Please do yourself a favor and do it- you will be glad you did!

I have been listening to your podcasts and signed up for the daily email. I received the email "what I should have sent months ago" and was instantly drawn to know more about the program! I love that you explain the pathophysiology, add drawings and dig deep to help clinicians understand the why behind what we are doing.

Continued learning for female HRT Overall a great addition to current knowledge base, most comprehensive course yet I would recommend this be the 1st course you take, it likely will eliminate the need to take other courses. Nico is a gifted teacher who has invested a great deal of time and energy into developing a high level HRT course.

I wanted to increase my knowledge base in working with men. It has solidified and provided additional information for me to consider and implement into my existing practice It’s a terrific course. Nico is very thorough and easy to understand. I highly recommend this course to any new and/or current colleague looking to get into the HRT space.

Wanting to improve my knowledge and confidence in hrt I love the course. It has helped me a lot. I must admit I have listened to the course like 10 times Iol. I can even predict what Nico would say. Lol. Great content and highly recommended for anyone looking to grow and stand out in providing HRT. It was money well spent for sure. Thanks for supporting me in my journey. Highly recommended!

I absolutely loved this course. I have taken other hormone courses and they just don't hold a candle to how comprehensive and informative this course is. I can say I am a more confident and capable provider because of Nico's course and the thought/time put into the education provided here. I have been able to level up my care and my patients are seeing excellent results. Thank you so much for this course!!

A friend recommended this course after I had a hard time learning HRT through the WorldLink program. I tried for over a year to see patients, but I eventually stopped because I didn’t feel like I truly understood what I was doing. Since taking HRTU, I feel much more confident now, and I really appreciate the resources, especially the forum and being able to go back and review the material whenever I need to.

This course helped me grow my practice by learning from aligned providers who genuinely want to help other practitioners break through barriers. It significantly enhanced my confidence, and the amount of resources and support made this an enjoyable and empowering first experience. This is a great course to start your practice. Nico, thank you for being so responsive to my questions and for the moral support along the way.

Wanted a better understanding of hrt Feel more confident in prescribing and actually started to treat patients Definitely take it you wont regret it! I took many hormone courses, and just wasnt feeling confident in starting to actually manage my patients needing HRT. Finishing this course, and having the support of Nico and their forum gave me the confidence to finally start prescribing. Im already seeing positive results for patients and so happy I did.

I have first-hand personal collegial knowledge and experience with Nico. I knew the breadth of what he represented and was capable of both as a clinician, but especially as an educator. Nico is both a great clinician, but his educator skills are not to be overlooked. He does an excellent job of discussing very granular, esoteric topics and translating it to levels that layman and clinicians alike can appreciate. Be excited. Be very excited. This shit is dope.

HRTU was recommended to me by a coworker and I am so glad I decided to start my BHRT learning journey here! The Master Course and the community board have truly been a wonderful, enlightening, and continuous learning tool. The evidence based information shared by Nico and the peer feedback have allowed me to prescribe and educate my patients regarding BHRT with confidence. Couldn't recommend enough for any providers looking to expand their knowledge base around BHRT!

Everyone in a Facebook group I am in was saying how amazing it was and how great they felt about prescribing and that they knew what they were doing when they completed this course. I finished the course content yesterday. I treated 2 women today and I felt very comfortable explaining why we were starting testosterone cream, estradiol (E2) pill and P4 capsule. I just have to figure out a membership plan and see if the local pharmacy is better than belmar. DO IT! Thank you!

I have so many wonderful things to share about HRTU! This is one of the best decisions I have made in my business over the last 3.5 years. It was an interesting course, it was in depth, it was inspiring and exciting. Believe it or not, not all healthcare courses have these things! I joined the community on Facebook, follow all of the podcasts and have rewatched the course many times over the last 9 months. I have taken 4 master courses, and this was by far my favorite, and I tell all my friends!

"...Your course has truly been life-changing for me — not only professionally, but personally. It has strengthened my confidence, deepened my understanding, and reinforced my passion for helping patients... I have taken multiple hormone courses over the years, but your course is the first that has made me feel both capable and confident in building something of my own... What you have created is not just educational — it is empowering, and it is helping providers like myself change lives in a meaningful way."

Wanted to support my colleague's efforts. Solidified understanding. This course offers an excellent foundational understanding of Male and Female HRT including all sex hormones and thyroid. You will complete this course feeling confident in starting to treat clients with HRT and with a good understanding of the why and how of HRT, not just protocols. This course provides a thorough beginning understanding for HRT for the novice practitioner and will enable them to feel confident in beginning to treat clients.

Nico and HRTU have been nothing short of amazing. I had invested in multiple hormone training sessions prior to HRTU and left feeling more confused than anything else. Nico breaks down each and every hormone concern from production to disease state and options for repletion. The training is complex and does take some time but I loved being able to take this on my own time and when my brain could handle the information. Nico is an excellent instructor and the knowledge obtained from his training has helped me gain confidence in my day to day HRT clinic. Thank you!

I signed up (In blunt honestly) because I wanted more than what I was getting from other programs. I want the whole enchilada, and I want to be able to share/demonstrate back the why's behind what I do and that is where this program came in and it has met my expectations at this point. The delivery and the thoroughness set the program apart. Also, PEARL - chef's kiss on that one. I would and have advised colleagues to purchase it, money well spent. I love the program and Nico's love for his craft is evident. It is thorough, videos aren't too long, and the format is easy to use.

Though I have taken several hormone courses I didn’t feel completely confident in helping my patients choose from among the different options. Several other NP colleagues recommended Nico’s HRT University so I decided to give it a try. I feel much more confident in creating treatment plans and adjusting them based on side effects the patient is experiencing. I feel less intimidated by all the different options. Take the course. It is insightful, evidence based, concise and well put together. It will absolutely add to any other course you’ve taken and help you deliver HRT to women and men with greater confidence!

You were referred to us by others in the industry. We are a medspa located in the Cleveland, OH area and have a weight loss program currently. We have done Men's HRT in the past but ended up shutting the service line down for awhile. There was such a fear that existed about HRT amongst our providers and with your course we are more confident in our abilities to provide safe and evidenced-based HRT to our patients. We are now going to be opening HRT services back up to male and females in the near future thanks to the education you provided in your course. It has greatly helped us also with our current weight-loss program as an adjunct to therapy.

Nico and HRTU are unmatched in many ways. I had taken MANY HRT courses, both conventional and functional medicine type courses and none of them compare to HRTU and Nico’s ability to synthesize and explain concepts. I feel more confident than ever in explaining HRT with patients, colleagues and friends. What sets HRTU apart even further is the community. The providers in this community are supportive and uplifting. The weekly community calls are incredible and you can tell on these calls that Nico really cares about the success of everyone in the community. Kudos to Nico for creating such a welcoming and academic environment where we can all learn to serve our patients better!

Thank you for being you and doing what you’re doing! I haven’t finished the master course yet, decided to do it out of order, lol. I did women’s health first (area that I wanted to strengthen first). I am now finishing up the men’s health to move on to thyroid. I can honestly say that your course has given me true understanding of the content! It was like this aha moment where the light bulb just turned on and everything started to make sense. I feel so much more confident speaking to my patients, especially the female patients. Just this week alone I closed two new female patients and one of them left me this review which I attached for you to read. I just wanted to say Thank you and I look forward to everything I can learn from you and apply to my practice!

I have taken HRT courses in the past but always felt something was missing... I wanted to feel good about the services I was providing to my community. I didn't want to be embarrassed when I saw clients at the grocery store, I wanted to be reassured I was doing the right thing. I had been following Nico on the FB page and listened to his podcast. I could just feel his passion for patient and providers alike to find success; I trusted him and his knowledge, went with my gut and am so glad I did! I definitely feel more confident and can explain the why behind HRT. Don't second guess the decision, top notch course. Easy to listen to and understand. I love that the courses are broken down into short sections. Love it and happy I made the purchase to better my clients. Thanks Nico, so thankful you followed your passion to help patients and providers alike.

I was looking to broaden my HRT knowledge, and HRT University really delivered. Nico Misleh goes way beyond the basics and actually walks through the endocrine physiology in a way that clicks. It’s not just theory, it translates into real clinical understanding. His approach feels logical and grounded, and he backs it up with research, which I really appreciate. I first heard about HRTU from someone in another group I’m in. She hadn’t even taken the course herself, so I was a little skeptical going in. But honestly, I’m really glad I invested the time and money. It’s been worth it. I’d also recommend his podcasts. They help reinforce everything and add more depth. This whole experience has kind of opened a new door for me. After more than 20 years in healthcare, it’s not easy to feel excited about learning something new, but this actually did that for me.

I wanted a truly comprehensive and practical education in hormone optimization that went beyond the basics. After years of piecing together info from various sources, I was looking for a reliable, well-structured program to deepen my expertise. This course has elevated both my knowledge and confidence. While I’ve successfully offered TRT for years, I now feel fully prepared to provide evidence-based thyroid optimization and female HRT as well. It’s expanded what I can offer my patients in a meaningful way. This is the gold standard in HRT education. It’s realistic, comprehensive, and immediately applicable in practice. I only wish I had found it sooner—it would’ve saved me so much time and guesswork. Nico Misleh is a visionary nurse practitioner whose passion for hormone optimization and education shines through in every presentation and in the supportive online community he’s built for providers.

I was getting ready to launch my own clinic and wanted to take my hormone knowledge to the next level. The course added to my knowledge on Men's health and thyroid, along with introducing me to the very important world of women's health. This course goes beyond the typical information driven teaching style most other courses provide. Nico really does a great job of providing the most recent evidenced based information on hormones with a very storytelling type approach. Everything in the course is very digestible and applicable. Even if you already have some knowledge working with hormones, this course will just amplify that and take your practice to the next level. The included materials like symptom guides, lab reference range chart, and EMR intake/questionnaires/consents were extremely helpful as well. This course is by far the foundation everyone should have if they want to be the best at working with both men's and women's hormones.

I’ve taken other hormone courses and was looking for something more in-depth and practical that went beyond the basic information I’d already received. This course delivered exactly that. Every lecture teaches me something new and provides a thorough review of the fundamentals, along with clear explanations of the ‘why’ behind hormone therapy, potential side effects, and how to navigate them confidently for patients. The hormone optimization course from HRT University is the most thorough and user-friendly resource I’ve found. It’s easy to follow, flexible to work through at your own pace, and packed with everything you need — from detailed dosing and calculations to consents, FAQs, and more. What truly sets this course apart is the level of support and mentorship. Nico’s commitment to his students is unmatched. This course is comprehensive, reasonably priced, and far superior to anything else I’ve come across. I highly recommend it to anyone serious about learning hormone optimization the right way.”

To gain deeper understanding of HRT. It has strengthened the knowledge I previously had regarding HRT and absolutely equipped me with more confidence to practice HRT. If you are interested in effectively and confidently treating patients with HRT (thyroid, sex hormones, adjunct hormones) take this course. It is top tier quality and more detailed compared to other similar courses. From foundational metabolic dysfunction, assessment, critical thinking, and treatment with troubleshooting. Listen to Nico on repeat! Afterwards, you will be able to describe to your patients (and possible future patients) the reasons why everyone needs HRT. I think Nico and his team, Cheryl and team, have created something really special. The subject matter is truly interesting and enlightening; and can be put into practice to help improve peoples lives. Nico genuinely can and wants to help his peers understand what he knows; he is an excellent teacher and the course is a breeze to navigate. Nico, if you see this, thank you so much.

I had taken so many other courses but still lacked the confidence I wanted to have. OMG where do I begin!?!? This course has been indispensable in my professional growth - and to date, is the most helpful, beneficial continuing education I have ever taken. Nico is sensitive to the fact that this is an LOT of information - so he breaks each concept down, and then breaks it down some more - so even the most novice providers can understand. Nico’s use of visual aids to support learning is super helpful. And the mentorship is just the icing on the cake. Such an amazing experience and community to be a part of. If you are considering taking this course, STOP considering and just DO IT! It has single-handedly changed my practice. Worth its weight in gold and then some. Best investment in education I have made to date! If you want to become an expert in HRT, THIS course is a MUST. If anyone wants to chat further about my personal experience with HRTU, I’m happy to answer any personal questions you have to help you make a decision that is right for you!

The HRTU course has completely transformed how I understand hormone replacement therapy. What makes it stand out is how deeply it teaches HRT at the cellular level. It's not just protocols and dosing, but why the body responds the way it does. That level of understanding makes everything click. I’ve gained incredible value just from joining the live Q&A calls every Tuesday. I use those sessions to test my knowledge, and it’s been such a powerful way to gauge what I’ve mastered and what I need to revisit. As a new provider in HRT, HRTU has been my first and only formal course and it has truly given me the tools and confidence to build my own HRT clinic from the ground up....seriously. Between the adjunct resources, community support, and preferred vendor lists, HRTU provides everything you need to not only learn the science but also launch and grow your practice. In my opinion, HRTU isn’t just the best educational course out there. It’s the most comprehensive and empowering resource for anyone serious about mastering hormone optimization and creating a thriving HRT practice.

The HRTU course has completely transformed how I understand hormone replacement therapy. What makes it stand out is how deeply it teaches HRT at the cellular level. It's not just protocols and dosing, but why the body responds the way it does. That level of understanding makes everything click. I’ve gained incredible value just from joining the live Q&A calls every Tuesday. I use those sessions to test my knowledge, and it’s been such a powerful way to gauge what I’ve mastered and what I need to revisit. As a new provider in HRT, HRTU has been my first and only formal course and it has truly given me the tools and confidence to build my own HRT clinic from the ground up....seriously. Between the adjunct resources, community support, and preferred vendor lists, HRTU provides everything you need to not only learn the science but also launch and grow your practice. In my opinion, HRTU isn’t just the best educational course out there. It’s the most comprehensive and empowering resource for anyone serious about mastering hormone optimization and creating a thriving HRT practice.

I loved Nico's approach and attention to detail. I have taken other courses but wanted more knowledge in HRT and Thyroid I feel so much more confident in HRT and Thyroid. I am still rewatching many of the modules and incorporating the knowledge I have learned into my practice. I love how he explains each topic and makes it easy to digest. I would say this is one of if not the best course on HRT and Thyroid Function out there. Nico's in depth knowledge on these and many more subjects is amazing and I could listen to him all day! Some days I do, along with his podcast- learning on the go. I'm very grateful to Nico- I am a solo provider- started out in Aesthetics on my own after many years working in Addiction Medicine and I'm now passionate about HRT particularly in women. I want to become an expert and help every woman I can to feel better and age better. I wish I had known this years ago, growing up with PCOS. It seems hormones and knowing these imbalances can change everything! I'm grateful to be on the forefront of this HRT revolution. And make a great career doing it to support my family. Thank you!!

I really wanted to understand the evidence behind HRT so that I could confidently have a discussion with patients. I realized how little I actually understood beforehand. The HRTU Master Course finally connected the dots and made everything click. I was never ready to launch my practice, but now I am. Don't hesitate. If you're serious and willing to put in the work, the investment will be worth it. Nico, Cherrell, and the HRTU Team. Where can I start? I guess I can say that I certainly wouldn’t be where I am today without you. Before finding HRTU and patiently awaiting its launch, I had taken other courses on HRT. Simply put, nothing compares. I mean it - I wouldn’t have had a soft launch had you not made something that seemed so daunting completely digestible, with the ability to review as many times as possible, and really LEARN the material. I would never have even thought to comment on HRT to a patient because I didn’t have the evidence to back it up. Now I do. Imposter syndrome is real – and I appreciate PEARL, too, for dealing with my antics whenever I’m second-guessing myself. I appreciate you more than you will ever begin to understand. With immense gratitude, Miguel

The #1 trigger was pure information overload and academic frustration. I had already invested in 2−3 other courses, only to find the core material to be overwhelmingly conflicting and difficult to interpret. After following Nico's consistent, spot-on analysis on social media and in his emails—which always seemed to cut through the noise—I realized he possessed the clarity and simplicity I was desperately seeking. My decision to enroll was simply an investment in finally getting the straight answers I needed. It has been a complete paradigm shift. Before this course, my understanding of HRT was fragmented, leading to doubt. Now, I have achieved clarity that cuts through the industry noise, providing immense comfort in the application of the material. This confidence has instilled the courage to implement comprehensive, evidence-based care with consistency, ensuring optimal outcomes and a reliable standard of practice. Stop overthinking it. If you're currently dealing with the conflicting and confusing noise from other programs, enrolling is the single best investment you can make in your practice and peace of mind. Don't delay! The only thing you'll regret is the time you wasted before finally signing up. I have nothing but praise for this course.

I discovered Nico Miseleh and HRTU after a referral from a trusted friend and colleague who spoke highly of the profound impact Nico had on his personal hormone and wellness journey. Hearing firsthand about Nico’s expertise—not only as a clinician but also as an educator—immediately sparked my interest, and I began searching for more information. When Nico and his team released the HRTU course, I was instantly drawn in. Having completed several hormone education programs myself after recognizing gaps in my formal training, I can confidently say that Nico has truly brought everything together in a way that is practical, actionable, and grounded in real-world clinical application. What sets this program apart is that the learning doesn’t stop with the course itself. Nico and his team continually expand and refine the content, consistently adding value. The exclusive provider community they’ve created allows for ongoing collaboration, discussion, and shared learning, which has been incredibly impactful. Without hesitation, this has been one of the best investments I’ve made in my professional education. Not only has it elevated my own clinical practice, but it has also been genuinely life-changing for my patients. I’m incredibly excited for the opportunity to meet Nico and his team in person at an upcoming conference.

From the moment I heard Nico was creating a course, I was all in. After reading his thoughtful and spot on responses to hormone and functional medicine questions from colleagues, I knew he was someone I wanted to learn from. I had already invested in multiple hormone programs, including men’s and women’s courses through BHRT Academy, and had explored other well known options. Still, I was craving something deeper. I wanted training from a nurse practitioner who has been in the trenches, built a real business, and truly understands the clinical and practical sides of this work. My intuition told me this course would give me the edge I was looking for, and I am so glad I listened. I’ve completed the male portion of the course and am now diving into the women’s section, and it has exceeded every expectation. Nico breaks down complex concepts in a way that is clear, practical, and easy to understand. His teaching style, delivery, and ability to speak directly to fellow NPs feels incredibly natural and intentional. This course is fundamental yet precise, eloquent, and immediately applicable. You can confidently begin treating patients once you complete the Master Course. Hormone management is a delicate and constantly evolving process. There is no single protocol or algorithm that works for everyone. It requires strong training, real world experience, and refined clinical intuition to truly optimize patient outcomes. That is exactly what this course provides. Nico’s Master Course delivers comprehensive, practical training in a way that feels thoughtful, intentional, and exceptionally well done. I highly recommend it to anyone serious about practicing hormone optimization the right way.

I am so incredibly thankful that I was led to Nico and the HRTU by another Nurse Practitioner and business owner. I had been interested in bioidentical hormone replacement therapy and thyroid optimization for quite some time, especially after my own experiences feeling dismissed by providers while dealing with thyroid issues, recurrent miscarriages, and other concerns. Once I took a deeper dive into my own health, I knew I had a calling to help empower others to take control of their health and quality of life. However, I continued to feel frustrated and disappointed by the conflicting information and lack of clarity from other courses and trainings. Many of them left me with more questions than answers. Then I found Nico’s course—and everything changed. Nico’s approach is truly evidence-based, and he has an incredible gift for teaching in a way that helps you deeply understand the “why” behind everything. It wasn’t just about protocols, memorization, or a cookie-cutter approach. For the first time, I felt like I truly understood the foundation and could confidently build upon it. Nico gave me my love for learning back, and now I simply cannot get enough. The fire within me to educate and empower others has reached an entirely new level. I am beyond grateful for Nico and his team—not only for how this has transformed my own life, but also for how it has shaped my business and the way I care for my patients. The ripple effect of his work—how many lives are being changed—is something truly special. I am so thankful to be part of this movement, and I have no doubt it will continue to transform the way healthcare is approached. Thank you, Nico. I am forever grateful. - Nikki Frey