Online HRT and BHRT Training for Licensed Providers
Online BHRT Course for Healthcare Providers
Jointly Accredited HRT and BHRT training designed to strengthen clinical judgment, improve lab interpretation, and build structured hormone treatment plans across male, female, and thyroid systems.
95+ Structured Lessons, 24+ Hours of Training, 30 Jointly Accredited CE Hours | 12 Pharmacology Hours, Male • Female • Advanced Female • Thyroid Integration
The Clinical Framework Behind Confident Hormone Practice
The HRT University Master Course is a comprehensive online hormone replacement therapy (HRT) and bioidentical hormone replacement therapy (BHRT) training program designed specifically for licensed healthcare providers.
Most hormone education separates male, female, and thyroid into isolated topics and relies on protocol memorization.
This program is different.
Built on endocrine and metabolic principles, you will learn a structured clinical framework that teaches you how to think clearly and systematically across systems, not just follow templates.
You will learn how to:
- Assess symptom patterns within endocrine and metabolic context
- Interpret comprehensive labs beyond standard reference ranges
- Design stepwise hormone treatment plans
- Adjust therapy when labs and presentation do not align
- Manage both foundational and complex cases with confidence
THE Master Course Curriculum
The HRT University Master Course is organized into six integrated modules that build from endocrine foundations to advanced case management. The curriculum spans adult male care, female care across the lifespan, advanced female conditions, thyroid optimization, and metabolic integration.
Foundations of Hormone and Metabolic Physiology
7 lessons • 2+ hours of training
The metabolic and endocrine framework that supports every male, female, and thyroid protocol in the Master Course.
- Pro-metabolic and endocrine physiology principles
- Mitochondrial function and hormone synthesis pathways
- Glucose, lipid, and steroid metabolism integration
- Lab interpretation grounded in physiology and symptom patterns
- Designing structured HRT plans from first principles
Male Hormone Replacement Therapy
19 lessons • 5+ hours of training
Structured diagnosis and long-term management of adult male hormone dysfunction.
- Testosterone replacement therapy including TRT protocols and dosing
- Estradiol and DHT metabolism and optimization
- Fertility preservation, HCG, and testicular support
- Cardiometabolic impact of testosterone therapy
- Lab monitoring and structured dose adjustments
Female Hormone Replacement Therapy Across the Lifespan
19 lessons • 4+ hours of training
Comprehensive hormone care from reproductive years through perimenopause and menopause.
- Menstrual cycle physiology, lab interpretation, and hormonal birth control considerations
- Progesterone physiology, deficiency patterns, dosing, and side effects
- Estradiol production, administration strategies, and risk management
- Female testosterone integration including dosing and monitoring
- Myth-busting frameworks and structured clinical decision making
Advanced Female Hormone Therapy
28 lessons • 6+ hours of training
Structured management of complex female hormone cases beyond foundational care.
- PCOS including diagnosis, labs, myths, and treatment strategies
- Endometriosis and adenomyosis with structured clinical frameworks
- PMDD and pro-metabolic treatment models
- Postpartum depression, anxiety, and OCD integration
- GLP-1 agonist microdosing, libido, sexual health, fertility, breast health, and hormonal hair loss
Thyroid Replacement and Optimization
17 lessons • 3+ hours of training
Comprehensive diagnosis and structured management of hypothyroidism and Hashimoto’s within a metabolic framework.
- Hypothyroidism patterns including primary, secondary, and functional causes
- Thyroid lab interpretation including TSH, T4, T3, TPO antibodies, and imaging
- T4 monotherapy versus combination therapy and desiccated thyroid extract
- T3 integration, dosing strategies, and clinical decision making
- Hashimoto’s diagnosis, treatment planning, and long-term monitoring
Adjunct Hormone and Metabolic Support
5 lessons • 1+ hour of training
Strategic integration of supportive hormones to enhance outcomes in male and female HRT care.
- Progesterone applications in both men and women
- DHEA and pregnenolone integration
- Oxytocin protocols and clinical use
- Melatonin and sleep optimization
- Adjunct layering within structured hormone treatment plans
Read reviews from healthcare providers who completed our HRT training.
About Nico
Nico Misleh, MSN, APRN, FNP-C Board Certified Family Nurse Practitioner Founder of Apollo Health Optimization and HRT University®
I am a board certified Family Nurse Practitioner specializing in hormone replacement therapy and metabolic optimization.
Early in my career, I saw how often providers struggled to find structured, physiology based HRT education. I spent years piecing together knowledge from courses, research, and clinical experience, wishing it existed in one cohesive system.
That is why I created HRT University®.
This program was built to give healthcare providers a clear, defensible framework for practicing HRT with confidence. My goal is simple. Help you think through hormone therapy with structure, interpret labs with clarity, and manage both foundational and complex cases responsibly.
If you are ready to elevate your clinical reasoning and integrate HRT into your practice with confidence, you are in the right place.
ACCREDITATION
In support of improving patient care, this activity has been planned and implemented by HRT University. Pinnacle Conference, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Earn 30 CEU hours, including 12 hours of pharmacology, as you advance your knowledge in hormone replacement therapy and patient care.
TAKE A PEEK
INSIDE THE MASTER COURSE
Investment in the HRT University Master Course
What Is Included
- 6 integrated clinical modules from foundational through advanced hormone care
- 97+ structured training lessons
- 24+ hours of on-demand clinical instruction
- 30 Jointly Accredited CE Hours including 12 Pharmacology Hours
- Lab reference and dosing guides
- Liability documentation frameworks for male and female HRT
- 14+ customizable consent forms and patient handouts
- Complete HRT troubleshooting and signs and symptoms guide
Yours today for $2,800
This is a complete clinical framework designed to strengthen your decision-making, refine your lab interpretation, and expand your hormone services with confidence.
- Access to 30 CEU hours (12 Pharmacology CEUs)
- Optional access to join our paid monthly membership
FREQUENTLY
ASKED QUESTIONS
Does this course provide CEUs and how are they granted?
Yes! This course is jointly accredited for 30 CE hours, including 12 pharmacology hours. To receive your CE certificate, you must complete all coursework and pass the final exam with a score of 80% or higher, then complete the CE survey at the link provided inside the course. Your certificate will be sent directly to your email and stored in your Learn at Pinnacle account.
Who is this course designed for?
The Master Course is designed for licensed healthcare providers, including physicians, nurse practitioners, physician assistants, and other qualified clinicians who are legally permitted to prescribe and manage hormone therapy within their scope of practice.
Are refunds issued for this course?
Try the first module risk free for 7 daysWe want you to feel completely confident investing in your education, your clinic, and the future patients you will serve. When you join the HRT University Master Course, you get immediate access to Module 1: Intro to HRT so you can experience the teaching style, the structure, and the foundation of the program for yourself.
If you go through Module 1 and decide the course is not for you, simply contact us within 7 days of purchase and we will provide a full refund. No hoops. No awkward conversations.
To keep the integrity of our program and protect our clinical intellectual property, refunds are only granted if:• Your request is submitted within 7 days of purchase• You have accessed only the Intro to HRT module• You have not accessed or downloaded clinical templates, resources, or additional modulesOnce you access content beyond Module 1 or download any material, the course becomes yours in full with lifetime access. This protects the value of our education and ensures fairness for all students.
Can I access it from my phone / download the content?
Yes, you can download the Kajabi app and log into your portal to access the content.
How long does the Master Course take to complete?
You take this course at your own pace. We recommend taking your time and not rushing through the material.
Course Breakdown:
Module | Total Time |
Intro to HRT | 2 hrs |
Male HRT | 5.5 hrs |
Female HRT | 6 hrs |
Advanced Female HRT | 6 hrs |
Thyroid Hormone Replacement | 3 hrs |
Adjunct Hormones | 1.5 hrs |
Total | ~24 hrs |
Self Pacer:
| Completion Goal | Weekly Hours | |
|---|---|---|
| 2-Week Intensive | ~12 hrs/week | |
| 4-Week Intensive | ~6 hrs/week | |
| 6-Week Standard | ~4 hrs/week | |
| 8-Week Moderate | ~3 hrs/week | |
| 12-Week Gentle | ~2 hrs/week |
Is this course right for me if I am new to HRT or already practicing?
Yes. The Master Course is designed for licensed healthcare providers at multiple stages.
If you are new to HRT, the course walks you through a clear, step-by-step clinical framework grounded in endocrine and metabolic principles so you can build confidence from the foundation up.
If you already provide HRT, this program strengthens your lab interpretation, dosing strategy, troubleshooting, and clinical reasoning so you can manage more complex cases with clarity.
Your ability to prescribe HRT depends on your professional license and state regulations. This course provides the education and clinical framework, but it does not grant prescriptive authority.
What is included in the Master Course, and are modules sold separately?
The Master Course is delivered as one integrated clinical training program. Modules are not sold separately, as each section builds upon the others to create a cohesive framework.
The course focuses on clinical hormone education. It does not include business or marketing training.
Do you offer payment plans or a Veterans discount?
Yes. Flexible payment options are available at checkout.
We are proud to offer a Veterans discount exclusively for those who have personally served or are actively serving in the United States military. To receive your discount code, please email info@nicomislehnp.com. To validate the discount, you will need to provide proof of military service with official documentation. Accepted documents include a valid DD-214, military ID card, or a state-issued ID with a veteran designation. The discount does not extend to spouses or family members of veterans.
What's included in the monthly membership?
At $49/month, you’ll get access to:
• Pearl, our AI clinical mentor trained on the HRT University curriculum. Ask case-based and topic-specific questions and receive individualized responses grounded in our structured framework.
• Access to the private member community for peer discussion, feedback, and shared clinical insight.
• Exclusive members-only lectures featuring advanced training and deeper clinical applications.
• Live weekly Q and A sessions, case studies, and protocol reviews to workshop complex patient scenarios in real time.
• Nico’s updated research library organized by clinical subject and refreshed regularly.
Membership can be added during enrollment or at any time within the course.
What Is Pearl?
Pearl is HRT University’s built-in, AI-powered mentor, available 24/7 inside your membership portal via the brown chat icon. She’s trained on all HRTU content, including modules, transcripts, Nico’s clinical notes, and the Second Opinion newsletter, giving you instant, accurate support as you learn.
With Pearl, you can:
- Ask clinical questions
- Get clear explanations of complex concepts
- Be directed to the exact module you need
- Receive real-time learning support
Pearl was created to give providers the mentor Nico wished he had when starting out, patient, reliable, and always available. She’s included only in the monthly membership-which can be added to the purchase of the Master Course.
I have more questions!
No worries! You can email the team at info@nicomislehnp.com and we’ll get back to you within 1-2 business days.