Cortisol and DIGIN Framework Quiz
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Questions and Answers

What does DIGIN stand for?

  • Intestinal permeability (correct)
  • Digestion (correct)
  • Enteric Nervous System (correct)
  • Gastrointestinal Flora (correct)
  • Immune regulation (correct)
  • What is the function of cortisol?

    Stimulates liver to convert amino acids to glucose, mobilizes fatty acids, increases coagulation, suppresses part of immune response.

    Prolonged cortisol can lead to __________ __________.

    Fat deposits

    Which hormones are involved in the Sterogenic Pathway?

    <p>Pregnenolone</p> Signup and view all the answers

    What are key functions of DHEA?

    <p>Precursor for testosterone and estrogen, reverses immunosuppression from cortisol, stimulates bone remodeling.</p> Signup and view all the answers

    What symptoms are associated with adrenal depletion?

    <p>Depression</p> Signup and view all the answers

    Symptoms of too much adrenaline include __________ and __________.

    <p>Weight loss, anxiety</p> Signup and view all the answers

    What is cortisol steal?

    <p>Increased cortisol may decrease the production and activity of progesterone, estrogen, DHEA, and testosterone.</p> Signup and view all the answers

    What is associated with gluten sensitivity in thyroid disease?

    <p>HLA DQ2</p> Signup and view all the answers

    What are factors that inhibit thyroid hormone?

    <p>Stress, infection, trauma, radiation, medication.</p> Signup and view all the answers

    What nutrients are critical for ATP synthesis via the electron transport pathway?

    <p>Riboflavin (B2)</p> Signup and view all the answers

    What symptoms can occur due to zinc deficiency?

    <p>Fatigue, loss of immune function.</p> Signup and view all the answers

    Excess iron can cause DNA damage.

    <p>True</p> Signup and view all the answers

    Which of the following symptoms are signs of inflammation?

    <p>Heat</p> Signup and view all the answers

    Study Notes

    DIGIN Framework

    • D-Digestion, I-Intestinal permeability, G-Gastrointestinal Flora, I-Immune regulation, E-Enteric Nervous System

    Cortisol Functions

    • Stimulates liver to convert amino acids to glucose
    • Increases glucagon in the liver
    • Mobilizes fatty acids in blood
    • Enhances coagulation
    • Suppresses parts of the immune response

    Prolonged Cortisol Effects

    • Promotes fat deposits and increases blood pressure
    • Increases protein breakdown and bone demineralization
    • Leads to immune suppression, memory loss, depression, and elevated blood sugar levels

    Sterogenic Pathway

    • Cholesterol (CHL) ➔ Pregnenolone ➔ 17-OH Pregnenolone ➔ Progesterone ➔ 11-Deoxyprogesterone

    DHEA Functions

    • Precursor for testosterone and estrogen
    • Reverses immunosuppression from excessive cortisol
    • Stimulates bone remodeling and lowers cholesterol levels
    • Enhances muscle mass and aids in T4 to T3 conversion
    • Accelerates recovery from acute stress

    General Adaptation Syndrome Stages

    • Stage 1: Asymptomatic arousal with increased cortisol and DHEA
    • Stage 2: Chronic stress with elevated cortisol and decreased DHEA, leading to stress-related symptoms
    • Stage 3: Adrenal depletion with decreased cortisol and DHEA, resulting in fatigue and depression

    Adrenal Dysfunction Symptoms

    • Fatigue, memory loss, over-reaction to stress, and high adrenaline symptoms

    Adrenaline Symptoms

    • High levels: weight loss, anxiety, palpitations, hypertension, glucose fluctuations
    • Low levels: orthostatic hypotension, lack of focus, non-restful sleep

    Cortisol Steal Concept

    • Increased cortisol may inhibit production and activity of sex hormones (progesterone, estrogen, DHEA, testosterone)

    HPA Axis Conditions

    • Conditions associated with elevated cortisol: chronic diseases, melancholic depression, panic disorders
    • Conditions associated with depressed HPA axis: atypical depression, PTSD, fibromyalgia

    Thyroid Function and Stress

    • Hypothalamic release of TRH stimulates TSH from the pituitary gland, leading to thyroid hormone production

    Thyroid Dysfunction Factors

    • Influenced by stress, inflammation, dietary factors, gluten sensitivity, and metals

    Key Nutrients for Thyroid Health

    • Zinc, selenium, iron, iodine, vitamins D and A are essential for thyroid regulation

    Medication Interference with T4-T3 Conversion

    • Common medications hindering conversion include beta-blockers, estrogen replacements, and lithium

    Oxidative Stress and Energy Production

    • Necessary for energy production but excessive oxidative stress can harm the body
    • Key nutrients for ATP synthesis: riboflavin (B2) and niacin (B3)

    Protective Measures Against Oxidative Damage

    • Antioxidants, such as vitamin C, E, and alpha-lipoic acid, help inhibit inflammation and oxidative damage.

    General Adaptation Syndrome Overview

    • Symptoms develop through three stages: arousal, adaptation, and exhaustion, corresponding to cortisol and DHEA levels

    Chelation and Detoxification Strategies

    • 5 R program: Remove, Replace, Re-inoculate, Repair, and Rebalance

    Neurodegenerative Disease Markers

    • Cystine to cysteine ratio and oxidative damage indicated by 8-hydroxy-deoxyguanosine levels

    Mitochondria Health

    • Key in energy production and hormone synthesis, with dysfunction primarily affecting the brain and skeletal muscle

    Arsenic Exposure Risks

    • Commonly found in meat, fish, wine, water, and rice; early signs may include neuropathy

    Meditation Benefits

    • Proven to increase serotonin levels in the central nervous system

    Summary of Inflammatory Signs

    • Presence of tumor, rubor (redness), calor (heat), dolor (pain), and loss of function.

    Manganese Toxicity

    • Linked to Parkinson-like symptoms, including tremors, irritability, and mood changes

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    Description

    Test your knowledge on the DIGIN framework related to digestion, intestinal permeability, and how cortisol affects the body. This quiz covers the functions of cortisol, its prolonged effects, and the steroidogenic pathway. Challenge yourself and see how well you understand these critical concepts in physiology.

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