Clinical education for licensed providers.

Built on physiology, not protocols.

Jointly accredited continuing education in hormone and metabolic medicine for nurse practitioners, physician assistants, physicians, and pharmacists. We teach the physiology underneath the protocol, so your reasoning holds when the labs are normal and the patient is not.

Jointly accredited with Pinnacle Conference, LLC by the ACCME, ACPE, and ANCC. One activity carries credit for the whole care team.

Programs built around how you practice

Two accredited courses, two training pathways and one in-person event, with credit shown for each license and each clinical area mapped to the modules that teach it.

I am a

I treat

I am a

I treat

All programs and clinical areas.

Hand drawing the HPG axis on a glass board

Foundational · Self-paced

All five domains

The Master Course

The full hormone curriculum: metabolic foundations, male and female HRT, thyroid, and adjunct hormones. Three years of access.

Credit: 30 CE credits, including 12 pharmacology
Format: On demand, 6 modules, 97+ lessons

Master Course details

Focused · Self-paced

Metabolic and GLP-1

GLP-1 Optimization

Semaglutide, tirzepatide and retatrutide: how each works, which to choose, how to titrate, how to protect lean mass, and how to plan for stopping.

Credit: 6 CE credits (6 RX)
Format: On demand, 7 modules

GLP-1 course details

Providers seated in the HRTU Live conference room

Advanced · In person

For providers already prescribing

HRTU Live

Two days in Nashville, dates to be announced. Long-form lectures, case discussion and time with experienced peers, building on the Master Course rather than repeating it.

Credit: Announced with each year’s agenda
Status: 2026 sold out. 2027 dates go to the waitlist first.

2027 waitlist

Training pathways inside the Master Course

Included with the Master Course, not sold separately. Each pathway maps the modules for one specialty.

Modules 03 and 04 · 47 lessons Women’s HRT Training Perimenopause and menopause, progesterone and estradiol prescribing, female testosterone, PCOS, endometriosis, PMDD and postpartum. Women’s pathway details Module 02 · 19 lessons Men’s TRT Training HPG axis physiology, hypogonadism, labs with optimal ranges, estradiol and DHT, erythrocytosis, dosing protocols and fertility. Men’s pathway details

Most clinicians were never formally trained in hormone therapy.

You learned fragments. Lab ranges. Isolated protocols. Opinions that conflict. In practice the questions are different: symptoms that do not match labs, patients who do not respond as expected, hormones interacting with thyroid, insulin, cortisol, and sleep.

HRT University® exists to organize that complexity so you can practice with steadiness. Every course, article, and live event is built around four commitments.

Live clinical education, in the same room

HRTU Live brings providers together for physiology-based teaching and practical application. Two days with the faculty, the cases, and the colleagues you otherwise only meet online.

Built by a practicing clinician. Run by a team.

HRT University was created by Nico Misleh, MSN, FNP-C, after seeing the gap between fragmented hormone education and real clinical demands. Today it is built and taught by a team: clinicians who still see patients, educators who shape how the material is taught, and the people who answer your questions inside the course and meet you at HRTU Live.

Nico Misleh, MSN, FNP-C.

Founder

Cherrell Misleh, BSN-RN

Co-Founder and Chief Strategy Officer

Jillian Martin, FNP-C, PMHNP-BC

Director of Clinical Education

Allie Moses

Director of Operations

Chase Hardesty

Customer Success

What providers say about
HRT University

Questions providers ask first

The short answers. Each program page carries the full detail, and the team answers the rest.

Do I need hormone experience before I start?

No. The Master Course begins with metabolic and endocrine physiology and builds from there. You do need clinical experience and a license to prescribe. Providers already prescribing use the course to replace fragments with a framework.

Which program should I take first?

If you treat hormones at all, the Master Course. If your question is specifically GLP-1 selection, titration, or discontinuation, start with GLP-1 Optimization. The two are designed to work in either order.

Is this a certification?

It is jointly accredited continuing education, and the certificate reflects completed CE credit. It is not board certification. Your scope of practice is set by your license, not by a course.

Who is eligible for credit?

Nurse practitioners, physician assistants, physicians, and pharmacists. Pinnacle Conference, LLC is jointly accredited by the ACCME, ACPE, and ANCC, so one activity carries credit for the whole care team. The Master Course carries 30 CE hours including 12 pharmacology; GLP-1 Optimization carries 6 CE hours (6RX).

Can I buy only the women’s or men’s training?

No. Both are pathways through the Master Course rather than separate courses. Estrogen, progesterone, and testosterone interact with thyroid, cortisol, and insulin, so the metabolic, thyroid, and adjunct modules make the women’s and men’s content work rather than pad it out.