Hormone Replacement Therapy (HRT) Package
A comprehensive HRT education available for nurse practitioners, covering men's testosterone, women's hormones across all life stages, BHRT pellet insertion, and thyroid optimization in one complete package.
Retail Price: $3,393
Package Price: $2,714 (Save $679)
Includes 51 CE Hrs | 21 Rx Hrs | ANCC Accredited
Who this is for
The complete HRT education for NPs who want to own this specialty
Hormone replacement therapy is one of the most in-demand, highest-revenue specialty areas an NP can build a practice around. This package gives you comprehensive coverage of both men's and women's hormonal health — from foundational clinical knowledge through advanced HRT and procedural pellet therapy.
NPs launching a dedicated HRT practice
Every business component is included — LLC formation, pricing, marketing, telemedicine setup, compounding pharmacy sourcing, and revenue projections for each service line. Both cash-based and insurance models are covered.
NPs adding HRT to an existing practice
Whether you're in primary care, functional medicine, or a MedSpa, HRT services integrate naturally into any practice treating adult patients. Each course covers practice integration without requiring a full startup.
NPs specializing in one gender expanding to both
Currently doing men's health TRT? The women's track deepens your offering. Already treating women's hormones? The men's track opens a parallel revenue stream. The package gives you both.
NPs adding procedural income with BHRT pellets
Pellet insertion generates $300–$700+ per procedure every 3–6 months — high revenue, loyal patients, and one of the most requested hormone delivery methods. The pellet course includes instructional videos on real patients.
What's included
Comprehensive HRT education — clinical, procedural, and business
Seven courses covering the full spectrum of hormone replacement for both sexes — from foundational physiology through advanced protocols, procedural pellet insertion, and thyroid optimization.
⚡Complete TRT mastery for men
Every TRT route (injections, gels, patches, pellets, oral), advanced lab interpretation, fertility management, erectile dysfunction, novel adjuncts, HGH, and peptides across two sequential courses.
🌸 Women's hormonal health, start to finish
Three-course women's track: foundational care through perimenopause, menopause management, HRT prescribing, GSM, female sexual dysfunction, and integrative BHRT with DHEA and pregnenolone.
🔬 BHRT pellet insertion with video
The only course that includes instructional video of real pellet insertion procedures — covering full clinical protocols, dosing for men and women, supplies, insertion setup, and post-procedural care.
🦋 Thyroid optimization built in
Subclinical hypothyroidism is endemic in HRT patients. This package uniquely includes thyroid optimization — covering clinical, subclinical, and sub-laboratory hypothyroidism with compounding pharmacy guidance.
💼 Seven business blueprints
Each course includes its own business launch framework — pricing, marketing, compounding pharmacies, suppliers, telemedicine, malpractice, and revenue projections tailored to that service line.
📋 Complete documentation library
Consent forms, intake protocols, lab order forms, privacy policies, documentation templates, pellet insertion policy and procedure, post-care instructions, and clinical cheat sheets across all seven courses.
The seven courses
Three tracks. One comprehensive HRT practice.
Organized into women's, men's, and specialized tracks — each course stands alone as a complete education in its area, while building toward a full-spectrum hormone replacement practice.
Course 1: Women's Health Essentials
$499 | 4 CE Hrs | 2 Rx
Jean Marino, WHNP-BC, MSCP, IF, FNP-WH & Ann Konkoly, MSN, APRN-CNP, WHNP-BC, MSCP
The clinical and business foundation of the women's track. A practical, evidence-based course covering common women's health presentations alongside a business integration module for structuring a membership-based gynecology practice. Establishes the clinical baseline — hormonal physiology, menstrual health, gynecologic conditions, preventive care — before the advanced courses build toward HRT and menopause.
Key topics
- Female reproductive anatomy & HPO axis physiology
- Menstrual cycle, contraception & preconception counseling
- PMS, PMDD, PCOS & primary ovarian insufficiency
- Endometriosis, fibroids & abnormal uterine bleeding
- STIs, vaginitis, bladder health & pelvic pain
- Well-woman exam & cancer screening guidelines
- Membership-based practice design & recurring revenue model
Course 2: Advanced Women's Health Essentials
$499 | 4 CE Hrs | 3 Rx
Jean Marino, BC-WHNP, MSCP, IF, FNWPH
The bridge between foundational women's health and advanced HRT — focused on the highest-demand specialty area in women's health today: perimenopause, menopause, hormone therapy, and female sexual dysfunction. Taught by a Certified Menopause Practitioner with 28+ years of clinical experience and fellow designations in both women's health and sexual health. Covers menopausal hormone therapy frameworks, testosterone in women, GSM, and non-hormonal alternatives.
Key topics
- Hormonal physiology across the female lifespan
- Stages of reproductive aging & perimenopause transitions
- Diagnosing perimenopause & menopause
- Hormone testing: methods, timing & interpretation
- Menopausal hormone therapy frameworks & protocols
- Testosterone in women: indications & prescribing
- GSM / VVA: evaluation & treatment
- Female sexual dysfunction: diagnosis & management
- Non-hormonal options for menopausal symptoms
Course 3: The Advanced Women's Health & HRT Course
$499 | 8 CE hrs | 3 Rx
Jenni Gallagher, APRN & Justin Allan, MSN FNP
A deep-dive into advanced hormone replacement through a functional and integrative medicine lens — covering the complete steroid hormone cascade including DHEA, pregnenolone, and the full range of BHRT options. Goes well beyond standard HRT education to address complex conditions uniquely common in women: fibromyalgia, chronic fatigue, interstitial cystitis, Hashimoto's thyroid, and inflammation — all through real patient case studies.
Key topics
- Steroid hormone cascade: DHEA, pregnenolone, testosterone, estrogen, progesterone
- DHEA: optimal levels, correction & prescribing
- Estrogen: types, dosing plans & estrogen dominance
- Progesterone prescribing & lab follow-up
- BHRT summary: symptom-guided hormone therapy
- Endometriosis, PMS/PMDD: integrative treatmentFibromyalgia & chronic fatigue: differentiation & management
- Iron/ferritin & female endocrine connections
- Hashimoto's: thyroid optimization protocols
- Interstitial cystitis & low-dose naltrexone
- 5 complex patient case studies
Course 4: Men's Health Essentials: TRT & Clinic Success
$799 | 16 CE Hrs | 5 Rx
Dr. Brendan Tennefoss, DNP, AGPCNP-BC, ACHPN, AFMC
The most comprehensive foundational TRT course built for NPs — 16 hours covering every clinical and business aspect of men's health from diagnosis through clinic launch. The anchor of the men's track, covering every TRT delivery route, the full lab panel, erectile dysfunction, prostate health, peptide therapies, GLP-1 integration, and a complete practice launch blueprint including telehealth, pricing, AI tools, and marketing.
Key topics
- Testosterone physiology & hypogonadism diagnosis
- Every TRT route: injections, gels, patches, pellets, oral
- Aromatase inhibitors, SERMs, clomiphene & hCG
- Lab panels: testosterone, SHBG, estradiol, LH, FSH, PSA
- Fertility & reproductive health considerations
- Prostate health: BPH, prostatitis & PSA screening
- Erectile dysfunction: PDE5 inhibitors & alternatives
- Peptides: ipamorelin, BPC-157, sermorelin, growth hormone
- GLP-1s, weight management & sleep apnea with TRT
- Real-world case studies & clinical decision-making
- Clinic launch: LLC, telehealth, pricing, AI & marketing
Course 5: The Advanced Men's Health & Testosterone Course
$499 | 6 CE Hrs | 3 Rx
Justin Groce, MSN, NP-C, CSCS & Justin Allan, MSN FNP
Designed for NPs who have TRT foundations and want to elevate their clinical offering. This 4.5-hour course covers sophisticated clinical and business topics: advanced lab interpretation, testosterone formulation nuances, male infertility management, novel adjunct therapies (nandrolone, oxandrolone, HGH, semaglutide, NAD+), complex side effect management, and post-cycle therapy. Comes with a specialty alopecia treatment protocol that generates $700–$1,000 per round.
Key topics
- Advanced lab: 17-OH-progesterone, cystatin-C, DHEA-S, IGF-1, ferritin
- Managing high and low SHBG in TRT patients
- Testosterone cypionate vs. propionate vs. enanthate — dosing nuances
- Fertility maintenance: gonadorelin, hCG, HMG, kisspeptin-10
- Male infertility: evaluation, diagnosis & treatment
- Novel adjuncts: cabergoline, nandrolone, oxandrolone, stanozolol
- HGH (Omnitrope), semaglutide & NAD+ prescribing
- Side effect management: acne, alopecia, hematocrit, gynecomastia
- Post-cycle therapy & treatment weaning
Course 6: The Bioidentical Hormone Pellet Course
$499 | 7 CE Hrs | 3 Rx
Dr. Heather Quaile, DNP, WHNP-BC, AFN-C, CSC, IF, FAANP & Justin Allan, MSN FNP
The only HRT delivery method that requires procedural training — and the one generating the highest revenue per visit in most HRT practices. BHRT pellets generate $300–$700+ per procedure every 3–6 months, creating a loyal, recurring patient base. This course covers full clinical protocols for both men and women — including dosing, lab interpretation, and adverse event management — with instructional videos of real pellet insertion procedures performed by Dr. Quaile. A DEA license is required for testosterone pellets.
Key topics
- Foundations of BHRT & indications for pellet therapy
- Men's testosterone pellets: diagnosis, dosing & monitoring
- Low testosterone lab interpretation & pellet dose adjustment
- Women's BHRT: indications, contraindications & lab interpretation
- Female pellet dosing, DHEA & complementary supplements
- Consultation process, follow-up & dose adjustment protocols
- Pellet insertion setup, supplies & procedure steps
- Instructional video of real pellet insertion with Dr. Quaile
- Post-procedure care & patient FAQs
- LLC formation, mobile & telemedicine considerations
- Pellet suppliers, compounding pharmacies & pricing
Course 7: The Thyroid Optimization Course
$399 | 6 CE Hrs | 2 Rx
Justin Groce, MSN, NP-C, CSCS & Justin Allan, MSN FNP
Thyroid dysfunction is endemic in HRT patients — subclinical hypothyroidism mimics hormone deficiency symptoms (fatigue, low libido, weight gain, brain fog, cold intolerance), frequently confounds HRT outcomes, and is often missed by conventional TSH-only screening. This course teaches you to evaluate and treat the thyroid cases that standard medicine misses, using a functional medicine approach that identifies clinical, subclinical, and sub-laboratory hypothyroidism. Essential for any HRT practice.
Key topics
- Thyroid physiology: TSH, T3, T4, reverse T3, TBG, deiodinases
- Clinical vs. subclinical vs. sub-laboratory hypothyroidism
- Hashimoto's: antibody evaluation & management
- Comprehensive lab panels & functional target values
- Patient selection & refractory case management
- Pharmaceutical treatments: levothyroxine, liothyronine, desiccated
- Nutraceutical support for thyroid optimization
- Hyperthyroidism: evaluation & referral criteria
- Compounding pharmacies for custom thyroid formulations
- Cash & insurance models, telemedicine delivery
Package Pricing Breakdown
Seven courses across three HRT tracks. Save $679 compared to purchasing individually.
Frequently asked questions
Common questions
Do I need to offer both men's and women's HRT to benefit from this package?
No — many NPs use this package to specialize in one gender initially and add the other as their practice grows. The three tracks are independent and each course has lifetime access. Start with the track most relevant to your current patient population and expand from there.
Do I need prior HRT experience to start this package?
Not necessarily. The Women's Health Essentials and Men's Health Essentials courses are both designed to start from zero clinical experience with HRT. The Advanced courses in each track build on that foundation. If you already have experience, you can begin with the advanced or specialized courses.
Does the pellet course include hands-on training?
The course includes instructional video of Dr. Quaile performing pellet insertion on real patients — one of the most valuable learning tools available for this procedure. The insertion itself is technically simple (comparable to starting an IV), and the course provides everything you need to feel confident. Additional hands-on supervised practice in a live patient setting is also recommended before your first independent insertion.
Do I need a DEA number for these services?
Yes — testosterone (covered in both the TRT and BHRT pellet courses) is a Schedule III controlled substance requiring an active DEA license. Thyroid hormones, estrogen, and progesterone are not controlled substances and do not require a DEA license.
Why is thyroid optimization included in an HRT package?
Because thyroid dysfunction is endemic in HRT patients. Subclinical hypothyroidism produces symptoms — fatigue, weight gain, low libido, brain fog, cold intolerance — that directly overlap with hormone deficiency symptoms. Without thyroid optimization skills, an HRT provider will frequently misattribute thyroid-driven symptoms to hormone deficiency, leading to incorrect dosing and suboptimal patient outcomes. Thyroid optimization is an essential component of comprehensive HRT practice.
How long do I have access to all seven courses?
Lifetime access. All courses are pre-recorded and accessible indefinitely — revisit any module as your practice evolves, as guidelines update, or whenever you need to reference specific protocols or clinical decision-making frameworks.
Are the CE hours accepted by my certifying body?
Yes. The Elite Nurse Practitioner is ANCC accredited. All 51 CE hours (including 21 pharmacology hours) apply to ANCC, AANP, and all Boards of Nursing recertification requirements.