IFMCP Certification Exam Questions with Correct Answers Latest Update 2025/2026
DIGIN - Answers D-Digestion
I-Intestinal permeability
G-Gastrointestinal Flora
I-Immune regulation
E-Enteric Nervous System
The function of Cortisol - Answers Stimulates the liver to convert AA to glucose to supply energy
to muscles of flight.
-Increase Glucagen in liver
-Mobilize FA in blood
-Increase coagulation
-Suppresses part of immune response
Prolong Cortisol - Answers Stimulates Fat deposits
Increase BP
Increase protein breakdown
Demineralization of bone
Suppression of immune system
Memory Loss
Depression
Increase Blood sugar
Sterogenic Pathway - Answers CHL-Pregnelone- 17-OH Pregnenelone- Progesterone- 11 Dexy-
progesterone
Function of DHEA - Answers Precursor for Testosterone and Estrogen
Reverses immuno suppression caused by excessive cortisol levels
Stimulate bone depositions and remodeling
Lower total CHL and LDL level
,Increase muscle mass
Involved in conversion of T4-T3
Accelerates recovery from acute stress
Stage one - Answers Arousal
Both Cortisol and DHEA increased but recovered
Asymptomatic
Adaptation Syndrome Stage two - Answers Adaptation
Cortisol chronically elevated but DHEA decreases
sx; stress, anxiety, mood swings, depression, anger
Stage three - Answers Adrenal depletion
Adrenal insufficiency decrease cortisol and DHEA decreased
Depression and Fatigue
Adrenal Cortisol dysfunction symptoms - Answers Fatigue
Memory loss of brain fog
Depression
Over-reaction to stress
Any Sx of high adrenaline
Symptoms of too much adrenalin - Answers Weight loss
Anxiety
Palpitation tremors
Cold hand and fee
Systolic HTN
Glucose Fluctuation
Symptoms of low Adrenaline - Answers Orthostatic HTN
Lack of focus
, Sleepiness, non restful sleep
Cortisol Steal - Answers Cortisol increase may decrease the manufacture and activity of
progesterone, estrogen, DHEA and Testosterone
Cortisol Steal in Women - Answers Less progestone and initially (estrogen dominance)
Estrogen Dominance
Breast CA
Fibroid
Endometreosis
Long term estrogen cant support demands
Stress- hot flashes -decrease libido
Conditions associated with arousal of HPA Axis and elevation of Cortisol - Answers Sever
Chronic Disease
Melancholic Depression
Anorexia
Panic Disorders
OCD
Chronic excessive exercise
Malnutrition
DM II
Hyperthyroid
Central obesity
Conditions associated with depressed HPA axis - Answers Depression Atypical
SAD
Post Par Depression
PTSD
Panic Attack/GAD
DIGIN - Answers D-Digestion
I-Intestinal permeability
G-Gastrointestinal Flora
I-Immune regulation
E-Enteric Nervous System
The function of Cortisol - Answers Stimulates the liver to convert AA to glucose to supply energy
to muscles of flight.
-Increase Glucagen in liver
-Mobilize FA in blood
-Increase coagulation
-Suppresses part of immune response
Prolong Cortisol - Answers Stimulates Fat deposits
Increase BP
Increase protein breakdown
Demineralization of bone
Suppression of immune system
Memory Loss
Depression
Increase Blood sugar
Sterogenic Pathway - Answers CHL-Pregnelone- 17-OH Pregnenelone- Progesterone- 11 Dexy-
progesterone
Function of DHEA - Answers Precursor for Testosterone and Estrogen
Reverses immuno suppression caused by excessive cortisol levels
Stimulate bone depositions and remodeling
Lower total CHL and LDL level
,Increase muscle mass
Involved in conversion of T4-T3
Accelerates recovery from acute stress
Stage one - Answers Arousal
Both Cortisol and DHEA increased but recovered
Asymptomatic
Adaptation Syndrome Stage two - Answers Adaptation
Cortisol chronically elevated but DHEA decreases
sx; stress, anxiety, mood swings, depression, anger
Stage three - Answers Adrenal depletion
Adrenal insufficiency decrease cortisol and DHEA decreased
Depression and Fatigue
Adrenal Cortisol dysfunction symptoms - Answers Fatigue
Memory loss of brain fog
Depression
Over-reaction to stress
Any Sx of high adrenaline
Symptoms of too much adrenalin - Answers Weight loss
Anxiety
Palpitation tremors
Cold hand and fee
Systolic HTN
Glucose Fluctuation
Symptoms of low Adrenaline - Answers Orthostatic HTN
Lack of focus
, Sleepiness, non restful sleep
Cortisol Steal - Answers Cortisol increase may decrease the manufacture and activity of
progesterone, estrogen, DHEA and Testosterone
Cortisol Steal in Women - Answers Less progestone and initially (estrogen dominance)
Estrogen Dominance
Breast CA
Fibroid
Endometreosis
Long term estrogen cant support demands
Stress- hot flashes -decrease libido
Conditions associated with arousal of HPA Axis and elevation of Cortisol - Answers Sever
Chronic Disease
Melancholic Depression
Anorexia
Panic Disorders
OCD
Chronic excessive exercise
Malnutrition
DM II
Hyperthyroid
Central obesity
Conditions associated with depressed HPA axis - Answers Depression Atypical
SAD
Post Par Depression
PTSD
Panic Attack/GAD
