Nico Misleh, MSN, FNP-C is a board-certified Family Nurse Practitioner, national speaker, and visionary thought leader in hormone replacement therapy and cash-based medicine. He is the founder of HRT University and his clinic, Apollo Health Optimization, where he helps medical providers integrate evidence-based hormone care into sustainable, patient-centered practices.


Nico is known for challenging outdated narratives around hormones and translating complex physiology into clear, clinically actionable frameworks. He speaks nationally on HRT, clinical decision-making, and the future of primary care, with a focus on empowering DPC and cash-based providers to practice with confidence, clarity, and integrity.