HRTU LIVE 2026
- September 18 & 19, 2026 • Cincinnati, Ohio • HRT Conference
SOLD OUT.
Thank you. Every seat is filled.
-
September 18 & 19, 2026
• Cincinnati, Ohio
• HRT Conference
HRTU Live 2026 Is Officially Sold Out.
We are blown away by the response.
Every seat for HRTU Live 2026 has been claimed, and we are incredibly grateful for the providers who moved fast, trusted the vision, and made this possible.
If you missed this one, we hear you. And we are already thinking about what comes next.
We will be focusing on:
- Advanced Hormone Physiology
- Peptides and Adjunctive Therapies
- Metabolic Health
- Business and Practice Design
Our promise to you:
- This will not be rushed
- This will not be shallow
- This will not be a typical conference full of sales pitches
- This is the real deal
Format:
- In-person only
- Limited attendance by design
- Long-form lectures and discussion
- Case-based thinking
- Direct access to peers who are already experienced
Get on the Waitlist.
If a seat opens up for 2026, you will be the first to know. Either way, you will get priority access to HRTU Live 2027 before it goes to the public.
No payment. No commitment. Just first access.
HRTU Live 2026 is for providers who...
• Already prescribe HRT with confidence
• Understand labs, dosing, and protocols
• Want to think beyond reference ranges
• Care about outcomes, not trends
• Want to build a real clinic that supports their life
This is not HRT University’s Master Course repeated in person.
This is what comes after.
This is a deeper layer of clinical thinking and learning that you will not find anywhere else.
Seats will be limited.
This event is sold out.
But the waitlist is open. If a seat becomes available, you will hear about it first. Either way, you will have priority access to HRTU Live 2027 before it goes to the public.
What This Conference Is
HRTU Live is an advanced clinical event focused on the topics that matter to providers who are already practicing HRT and want to stay ahead of the field.
Our speakers will cover subjects that rarely get the attention they deserve, yet show up daily in real patient encounters. These are areas where a small amount of clarity can completely change the way you diagnose, treat, and support people through hormonal healing.
You will learn about:
- Sexual health through an HRT centered lens
- Musculoskeletal health linked to hormonal shifts and how to address it
- Metabolic changes and dysfunction and how to solve for them
- Mood and cognitive fluctuations that confuse even good providers
- New research that actually matters in practice
- How to deal with legal and medical compliance
- Business practices to support growth and opportunity
What This Conference Is Not
- It is not an introduction to HRT.
- It is not a replacement for the Master Course.
- It is not where we teach protocols or walk through step by step dosing.
The Master Course is where you learn how to practice with confidence. HRTU Live is where you learn how to stay sharp, stay relevant, and stay prepared for the next wave of clinical challenges.
And even more, it’s a place to connect with other like-minded providers who deeply care about their patients and their practices and want to learn and grow together.
Why
Cincinnati
This is the home of HRTU. Starting with those early shadowing days at my clinic, Apollo Health Optimization, and eventually the creation of the Master Course. HRT University was founded here.
This is the heart of the country.
Where the ideas you have learned were first tested in real life.
Cincinnati is beautiful, authentic, practical, grounded, and focused.
It feels like the perfect place to build the next generation of hormone providers who want to rise with intention and signal, not noise.
Get On The Waitlist
This event is sold out.
But if a seat opens up, you will hear about it first. And either way, you will have priority access to HRTU Live 2027 before it goes to the public.
Join us in a room where experience is assumed and curiosity is shared.
The room is full. The waitlist is open.
Conference Speakers
Jermey Girmann
DOP-C, PMHNP-BC
View Bio
Dr. Girmann is the founder of Inertia Medical and a board-certified physician in Physical Medicine and Rehabilitation. He specializes in non-surgical musculoskeletal care, diagnostic ultrasound, image-guided procedures, and regenerative medicine. His approach integrates hormone health, metabolism, nutrition, and lifestyle to support healing and long-term resilience. He serves as Director of PM&R Musculoskeletal Services at the Cincinnati VA and as adjunct faculty at the University of Cincinnati.
Dr. Jordan Grant
MD
View Bio
Formally trained as a urologist, he worked within the traditional medical system for seven years while developing a strong passion for hormone optimization. In October 2023, he and his wife left mainstream medicine to pursue hormone and health optimization full time. They live in Arkansas with their dog, Maggie. Outside of work, his interests include philosophy, theology, travel, and cooking.
Justin Groce
MSN, M.Ed, NP-C, CSCS
View Bio
Justin is an adventurer, wannabe TikToker, amateur photographer, but most importantly, devout husband and father. He is a strength coach and nurse practitioner that has a passion for blending TRT, nutrition, and strength & conditioning to optimize his client’s health.
Courtney Walker
Esq.
View Bio
Courtney is a corporate attorney specializing in private-pay healthcare and regulatory compliance. She successfully built and exited a multi-state healthcare company where she served as in-house counsel before founding Court Approved Council. Named a Mid-South Rising Star in M&A, she helps hormone therapy, wellness, and regenerative medicine practitioners navigate regulatory complexity with collaboration and southern twang.
Jillian Martin
FNP-C
View Bio
is a double board-certified Nurse Practitioner with nearly 20 years of experience in clinical care, education, and healthcare systems. She practices as a hospitalist and is completing her DNP, focusing on the role of hormone imbalances in psychiatric disorders. Jillian co-founded Valen Medical on Cape Cod, specializing in hormone optimization across the lifespan.
Cassie Lane
DNAP, CRNA
Suzanne Jagger
DNP, CRNA, MBA
View Bio
are the co-founders of Injectables EDU and successful Med Spa owners. Their mission is to bring both medical expertise and entrepreneurial insight to the aesthetics field. At Injectables EDU, they lead comprehensive training programs for RNs and NPs, combining neurotoxin and filler education with proven business strategies to help providers launch and scale their practices. As national speakers and educators, Cassie and Suzanne are recognized for their ability to simplify complex concepts while delivering practical tools for growth. Their work centers on empowering nurses to build sustainable businesses and shape the future of aesthetics.
Nico Misleh
MSN FNP-C
View Bio
Nico is the owner and founder of HRT University and Apollo Health Optimization and a nationally recognized educator in hormone replacement therapy, functional medicine, and cash-based clinic growth. A nurse practitioner by training and a teacher by instinct, Nico works at the intersection of biology, psychology, and business, helping medical providers move beyond rigid protocols and into true clinical mastery. Through HRT University, he has educated hundreds of providers on male and female HRT, adjunct hormones, and sustainable practice design, with a philosophy rooted in first principles, metabolic health, and the belief that hormones are foundational to health, longevity, and human potential. At HRTU Live 2026, Nico brings a teaching style that blends deep physiology, real world clinical decision making, and personal transformation to help providers reconnect with why they entered medicine in the first place.
Evan Renfroe
Founder of Maximized Media | Video Systems for Clinics
View Bio
Evan Renfroe is the founder of Maximized Media and creator of Video Systems for Clinics. He works with cash pay clinics to replace inconsistent marketing efforts with a clear, repeatable video system designed to build trust, authority, and steady patient growth.
Ryan Eten
Founder of Spade Creative
View Bio
Ryan Eten is the founder of Spade Creative, helping founders build brands from the inside out. He clarifies convictions, aligns culture, and turns identity into a visible brand that attracts the right talent, customers, and growth.
Julie Edwards
APN, FNP-c
View Bio
Julie Edwards is the founder of Maris Integrative Health and a seasoned clinical executive leader with a reputation for building and scaling programs, translating vision into measurable outcomes, and building systems that last. Whether working with patients or leading teams, she approaches every challenge with strategic vision, thoughtfulness, and commitment to the growth of the people around her.
Hotel Accommodations
Reserve Your Room
HOTEL ACCOMMODATIONS
RESERVE YOUR ROOM
HRTU Live 2026 will be held at the Marriott River Center in Covington, Kentucky, just across the river from Cincinnati.
Marriott River Center
10 W Rivercenter Blvd, Covington, KY 41011
(859) 261-2900
https://www.marriott.com/en-us/hotels/cvgdr-cincinnati-marriott-at-rivercenter/overview/
For attendees who are unable to secure a room at the Marriott, the Embassy Suites by Hilton Cincinnati RiverCenter is located right next door and is just a one minute walk to the conference venue.
Embassy Suites by Hilton Cincinnati RiverCenter
https://www.hilton.com/en/hotels/cvgcves-embassy-suites-cincinnati-rivercenter/
Event Schedule
Agenda
| 8:00 AM | Breakfast + Event Check-In |
| 9:00 AM to 9:50 AM | Welcome + Opening Session Nico Misleh, FNP-C |
| 9:55 AM to 10:40 AM | Clinical Session Dr. Jordan Grant |
| 10:40 AM to 11:00 AM | Break |
| 11:05 AM to 11:50 AM | Clinical Session Courtney Walker |
| 11:50 AM to 1:00 PM | Lunch |
| 1:00 PM to 2:00 PM | Clinic Owner Round Table |
| 2:05 PM to 2:50 PM | Clinical Session Jillian Martin |
| 2:50 PM to 3:10 PM | Break |
| 3:10 PM to 3:55 PM | Clinical Session Julie Edwards APN, FNP-C |
| 4:10 PM to 5:55 PM | Speaker Panel Q&A + Wrap-Up Nico Misleh, FNP-C Dr. Jeremy Girmann, Dr. Jordan Grant, Courtney Walker, Julie Edwards APN FNP-C |
| 8:00 AM | Breakfast |
| 9:05 AM to 9:50 AM | Clinical Session Nico Misleh, FNP-C |
| 9:55 AM to 10:40 AM | Clinical Session Jillian Martin |
| 10:40 AM to 11:00 AM | Break |
| 11:05 AM to 11:50 AM | Business Session Cassie Lane |
| 11:45 AM to 1:00 PM | Lunch |
| 1:00 PM to 1:45 PM | Business + Growth Session Justin Groce |
| 1:50 PM to 2:35 PM | Clinical Session Dr. Jeremy Girmann |
| 2:35 PM to 3:00 PM | Break |
| 3:00 PM to 4:00 PM | Speaker Panel Q&A Nico Misleh, FNP-C, Justin Groce, Dr. Jordan Grant, Cassie Lane, Jillian Martin |
| 4:05 PM to 5:00 PM | Closing Remarks Nico Misleh, FNP-C |
| 6:00 PM to 9:00 PM | Reception |
Schedule and speakers are subject to change. Final agenda distributed to registered attendees prior to the event.
Book Recommendations
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When Brains CollideMichael D. Lewis
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You Are Not Broken: Stop "Should-ing" All Over Your Sex Lifeby Kelly Casperson
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Quiet ExplosionsDocumentary on Amazon


