ACSM CPT Review (2023) - Exam Cost + Pros & Cons

Hello and welcome to my ultimate PTPioneer ACSM CPT review.

By the time you finish reading, you will be ready to decide whether the ACSM certified personal trainer certification is the right step towards your career in fitness.

This ACSM personal training certification review covers all aspects of the ACSM CPT, both good and bad, through the following components:

ACSM topical information: pricing, packages, prerequisites
ACSM CPT deep dive into knowledge and skills taught in the curriculum
ACSM CPT exam difficulty, preparation timelines, and study material review
Explanation of my expert review process

If you are totally lost on where to start on your personal training journey, I recommend you take my quiz to determine which CPT is right for you!

Let’s get started!


Quick Breakdown: ACSM CPT Certification

ACSM General Information

ACSM General Information

  • Exam cost: $349
  • Study material cost: $400-$1000+
  • Prerequisites: CPR/AED, High School Diploma
  • Exam passing score: Scaled 550/800
  • Exam pass rate: 66% (2018 data)
  • Average completion time: 3 to 9 months

5.4out of 10

Exercise Science Foundations4
Behavioral Coaching4
Client Health Screening7
Movement Screening7
Resistance Training7
Special Population Training4
Aerobic Fitness Training5

  • Excellent science, behavior change, and special population training content
  • Valid for 3 years
  • NCCA accredited
  • ACSM is a non-profit authority on health and fitness
  • Insufficient resistance training technique content
  • Lack of comprehensive program design framework
  • Expensive when purchasing study material from ACSM

Trainer Academy Guide
Trainer Academy Guide
  • Complete curriculum study preparation
  • Audio guide, flashcards, and mnemonics
  • 800+ practice questions
  • Highest exam pass rate
  • Exam pass refund guarantee
  • Cheaper deals than ACSM pricing
ACSM Materials
ACSM Materials
  • Curriculum study preparation
  • Includes CPT Prep course
  • 200+ practice questions
  • Facebook CPT group (free)
  • No exam pass refund guarantee
  • $600+ for study course, textbooks additional $80+
Free ACSM Study Guide
Free ACSM Study Guide
  • Curriculum material overview
  • Complete chapter breakdowns
  • 60 practice questions
  • 130 flashcards and cheat sheet
  • Free from PTPioneer

ACSM Certification Review In Video Form

ACSM personal trainer certification (CPT) Review in 2023 - Exam Cost + Pros & Cons 🤔

Introduction: What is the ACSM?

The American College of Sports Medicine was founded in 1954 as a non-profit organization to advance and integrate scientific research to provide educational and practical applications of exercise science and sports medicine.

ACSM CPT Review [year] - ACSM Cost vs Value, Is ACSM worth it? 19

Since its founding, the ACSM has grown to over 50,000 members from across the globe and offers some of the best personal trainer certifications in the industry.

For a deeper look at the top certifying organizations, you can check out my in-depth article covering the best personal training certifications.

The ACSM exercise guidelines and ACSM exercise prescription inform virtually every authoritative source on fitness, including top nutrition certification programs and virtually all of the main online personal trainer certifications.

If you need a bit of extra guidance sorting through the best fitness certifications, I recommend taking my quiz below to determine the best CPT for your fitness career goals.

ACSM physical activity guidelines and ACSM fitness assessment also form the basis for many programs across the clinical exercise field.

Their flagship ACSM CPT certification is now among the top personal fitness training certifications available for new and aspiring personal trainers.

The ACSM CPT is an NCCA accredited certification. The NCCA stands for National Commission for Certifying Agencies and is the gold standard when it comes to assessing the value of a certification.

But does the ACSM CPT live up to the hype?

Overall, yes.

The ACSM covers enough material to prepare you for the first day on the job and sets you up to earn a great personal trainer salary.

In particular, the ACSM CPT does a great job of covering screening new clients for risk factors, which is key for working with the general population and populations with specialized health needs and issues.

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However, the ACSM personal trainer certification curriculum itself does not have a sufficient exercise library and programming framework to progress clients towards intermediate and advanced levels of fitness.

Of course, there is only so much any single fitness certification can cover and you will have to commit to continuing education regardless of which personal trainer certification you choose.

Nevertheless, the ACSM CPT does not give students a comprehensive training template the way other mainstream certifications often do.

In my opinion, this makes it take longer to become a personal trainer than other certifications, simply because you have to learn many key skills after becoming certified.

Holding any American College of Sports Medicine Certification will open doors, and most of the best gyms to work for as a trainer will accept the ACSM CPT.

If you are looking to blast through your ACSM exam prep and have the assurance of an exam-pass guarantee, I highly recommend the Trainer Academy ACSM CPT Prep Course, which includes premium materials such as flashcards, audio guides, and a refund-guarantee if you somehow fail the exam (note: Trainer Academy boasts a 99% pass rate for its students).

The ACSM CPT is generally best for individuals who plan to work with a clinical population or are using this certification as a stepping stone into the more advanced ACSM certifications such as:

  • ACSM nutrition certification
  • ACSM group fitness certification
  • Autism exercise specialist
  • ACSM strength and conditioning certification
  • ACSM certified health fitness specialist
  • ACSM certified inclusive fitness trainer
  • ACSM clinical exercise physiologist

In the next section, I will take you on a brief tour of the ACSM CPT curriculum before we discuss the different ACSM study material options.


ACSM CPT Content Coverage: the Good and the Bad

The ACSM is certainly a top-tier personal fitness training certification.

While the overall content is fairly comprehensive, the ACSM CPT does a better job of covering some topics and is weaker in other areas.

Knowing these strengths and weaknesses is important for determining whether the ACSM CPT is the right certification for you.

Industry overview and exercise science in the ACSM CPT

Like most general fitness training certifications, the ACSM CPT curriculum begins with a broad overview of the health and fitness industries and state of modern health.

ACSM CPT Review [year] - ACSM Cost vs Value, Is ACSM worth it? 21

This includes the ACSM’s guidelines regarding code of conduct and scope of practice for all those who hold an ACSM certificate.

From there, the content branches into exercise science and anatomy.

In this section you will learn the muscles, organs, and joints in the human body.

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But how useful is this knowledge really when it comes to personal training?

Although in practice you do not need to know a ton of the nitty-gritty biochemistry and anatomy, this knowledge can be helpful in two major ways:

  • Guiding more detailed exercise program development
  • Explaining to clients the rationale for your program

While not every client will pester you for the reasons you choose each exercise, occasionally, you will have a client who is interested in the science behind your program.

Having enough knowledge base to competently explain to your client the basis for your programming will go a long way towards building your clients’ confidence in you as a trainer and health professional.

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The ACSM does a phenomenal job of covering the following science topics:

  • In depth muscle, bone, and joint anatomy
  • Overview of the cardiovascular, nervous, respiratory, and digestive systems
  • Nutritional guidelines for the health and fitness professional
ACSM CPT Review [year] - ACSM Cost vs Value, Is ACSM worth it? 23

In fact, the ACSM is among the more in-depth certifications when it comes to the scientific foundations of fitness training.

Coaching your clients through behavioral change with the ACSM skillset

After the exercise science component, the next section focuses on the behavioral change component of fitness coaching.

This is a key skill set for being a successful trainer and comes into play the moment you begin a consultation with a new client.

In some cases, this behavioral change-focused interview-style begins the moment someone asks you about fitness when they hear you are a trainer – before they even step foot into your gym.

Furthermore, proper behavioral change results in clients staying motivated inside and outside of the gym.

Regardless, the ACSM provides an excellent framework as well as real-world client case studies to demonstrate the different motivational interviewing and behavioral change topics.

ACSM CPT Review [year] - ACSM Cost vs Value, Is ACSM worth it? 24

The ACSM CPT discusses specific skillsets for coaching change, including the following:

  • Active listening
  • Empathy
  • Developing rapport
  • Appreciative inquiry
  • Motivational interviewing

Each skill has a few paragraphs or pages as well as case studies to illustrate how to put these methods to use.

Why does this matter?

Simply put, many clients have mental hurdles to overcome as they begin their fitness journey.

Early on, coaching clients through these barriers is often more important than the initial programming itself – because simply getting your clients moving is the first major step!

As your client psychologically adapts to regular exercise, programming and technique coaching becomes a bigger focus of most training sessions.

Consulting and screening clients to reduce the risks of injury

ACSM CPT Review [year] - ACSM Cost vs Value, Is ACSM worth it? 25

The initial client consultation is the first crucial step towards helping people reach their fitness goals.

Given the ACSM’s heavy focus on disease-prevention, risk-reduction, and exercise as a treatment protocol, the CPT curriculum places a heavy emphasis on the initial screening process.

This component of training involves subjective and objective reports from your clients, including medical information when appropriate, to assess where they fall in terms of various risk factors such as blood pressure, cholesterol, and other metrics.

A key piece of paperwork in this phase is the Physical Activity Readiness Questionnaire (PAR-Q), which is a standardized form that screens your clients for their level of cardiovascular risk.

This initial knowledge helps you develop safe and effective programs specific to the needs of each client.

ACSM CPT Review [year] - ACSM Cost vs Value, Is ACSM worth it? 26

You must also have clearance from your clients’ healthcare professionals if they have a history of cardiac diseases.

After these health history screens, you will learn how to conduct fitness and movement assessments.

If you are certified through ACSM testing your clients’ fitness is recommended.

Fitness assessments involve your client performing activities to get baseline levels of strength, endurance, flexibility, and similar measurements.

Movement assessments focus on qualitative aspects of a client’s fundamental movement patterns.

The movement assessments can reveal underlying muscle imbalances and similar issues which must be addressed through corrective exercise.

Unfortunately, this is a place where the ACSM falls short.

There are simply not enough different movement screens covered nor an effective framework for programming and progressing clients through corrective exercises based on the findings.

It is rare for a previously sedentary client to have no muscle imbalances, and the lack of a clear, comprehensive corrective exercise framework is a major shortcoming of the ACSM CPT.

Program design and resistance exercise technique for client results

Following the exercise science and screening, the ACSM finally dives into the meat-and-potatoes (or perhaps chicken breast and broccoli) of personal training: exercise technique and program design.

Sadly, this is another major weak section in the ACSM CPT curriculum.

Most mainstream fitness organizations have substantial exercise libraries in both the textbooks as well as a video portal with demonstrations.

While the ACSM does have some exercise videos on their website, when it comes to the textbook and the CPT curriculum itself, there is a serious lack of both total numbers of exercises discussed as well as the finer points of exercise technique.

While no fitness certification can cover every exercise or variation, the ACSM barely provides enough to put basic fitness routines together. When it comes to personal training tips for beginners, the ACSM is sorely lacking.

ACSM CPT Review [year] - ACSM Cost vs Value, Is ACSM worth it? 27

Similarly, the discussion of program design is all over the place across multiple chapters.

Furthermore, there is no major framework for daily, weekly, and monthly progressions in terms of overall program progression or advancing your client through specific exercise techniques.

Although the curriculum covers ACSM resistance training guidelines, they can easily confuse newer trainers when they try to put together comprehensive programming.

ACSM CPT Review [year] - ACSM Cost vs Value, Is ACSM worth it? 28

Unless you come in with a background in proper exercise technique and program design, the ACSM CPT does not adequately prepare you for programming and technique coaching.

It also does not cover how to implement the ACSM stretching guidelines in conjunction with resistance training.

I personally find ACSM could benefit from more programming tips for beginner personal trainers.

Learning cueing to help clients build a mind-muscle connection is also very important for personal training, and this is not something the ACSM covers whatsoever.

ACSM aerobic training for improved cardiovascular health

Given the ACSM’s focus on improving public health outcomes, it is not surprising that its aerobic programming section is detailed and comprehensive.

In fact, the ACSM aerobic exercise guidelines are the basis for many other fitness certification aerobic training protocols.

Aerobic training heavily focuses on keeping your clients in a specific heart rate range based on their needs and background.

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Setting aerobic training goals typically involves various age calculations for determining target heart rate ranges.

The ACSM effectively teaches you these skills, allowing you to customize your clients’ aerobic programming as needed.

One downside to the ACSM aerobic training coverage is the lack of technique discussion for running or other aerobic training modes.

ACSM CPT Review [year] - ACSM Cost vs Value, Is ACSM worth it? 29

Although the ACSM briefly discusses standard walking gait analysis in earlier sections, there is no mention of various kinetic checkpoints during running phases.

Given the various risks associated with improper running technique in particular, this should have been covered in this section.

Nevertheless, given the availability of low-impact modalities such as cycling, stair steppers, and elliptical machines, you can still safely use the ACSM aerobic training guidelines with many clients.

Helping special populations through the ACSM guidelines

Special populations include individuals with both lifestyle-induced health problems such as obesity and diabetes as well as genetic and other diseases such as cancer. Additional special populations include older adults and children.

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Since the ACSM is a non-profit public health-focused organization, it is logical that the special population guidelines are comprehensive.

The guidelines for special populations training are very helpful for keeping your special needs clients safe as they work to improve their health.

It is worth mentioning that if your career goals involve working with special populations, you will need far more education than what is provided in the ACSM CPT.

Nevertheless, for a general fitness certification, the ACSM gives good attention to working with special populations.

Thinking long-term: ACSM business skills for personal trainers

You might be surprised at the ACSM business skills section.

Despite the organization’s public health focus, the ACSM does a substantially effective job at covering business skills for personal trainers.

ACSM CPT Review [year] - ACSM Cost vs Value, Is ACSM worth it? 31

The ACSM business skills section discusses the following:

Personal training is a business at the end of the day.

While most of us trainers enter the industry to help people live healthier, happier lives, at the end of the day you must treat training as a business first and foremost if you plan to make a decent living in the fitness industry.

This is especially true if your goals include opening your own fitness studio or starting your own gym.

Furthermore, financial success as a personal trainer hinges on your ability to sell personal training sessions.

After all, being a good personal trainer requires you to actually have clients to train.

Despite the reasonably good business skills coverage, you will still need to learn a number of additional skills to be a good trainer.

This type of skill includes things like setting up personal training contracts, deciding on your personal training approach to social media, learning time management for you personal training sessions, and being able to get creative with your workouts to keep clients engaged.

Advanced business skills include things like using consumer preference data to obtain and retain clients, effectively dealing with client cancellations, and becoming a great online fitness coach. However these skills go well above any basic personal training certification on the market.

Summary: ACSM CPT Content

The ACSM does a great job covering the following topics:

  • Exercise science
  • Behavioral change
  • Client risk factor screening
  • Aerobic training
  • Special populations
  • Business skills

The ACSM is weak on the following components:

  • Corrective exercise
  • Exercise technique
  • Programming and periodization

ACSM Certification Requirements

The requirements to sit for the ACSM test are fairly straightforward:

You must be 18, hold an adult CPR/AED certification, and you must have a minimum education of a high school diploma or GED.

ACSM CPT Review [year] - ACSM Cost vs Value, Is ACSM worth it? 32

ACSM Study Materials: Quality and Price

Trainer Academy Guide
Trainer Academy Guide
  • Complete curriculum study preparation
  • Audio guide, flashcards, and mnemonics
  • 800+ practice questions
  • Highest exam pass rate
  • Exam pass refund guarantee
  • Cheaper pricing than ACSM materials
ACSM Materials
ACSM Materials
  • Curriculum study preparation
  • Video and written curriculum included
  • Textbook purchased separately
  • 200+ practice questions
  • No exam pass refund guarantee
  • $300+ for textbook and prep course (exam not included)
Free ACSM Study Guide
Free ACSM Study Guide
  • Curriculum material overview
  • Complete chapter breakdowns
  • 60 practice questions
  • 130 flashcards and cheat sheet
  • Free from PTPioneer

The way to become a personal trainer through the ACSM training certification is by passing your ACSM exam.

The ACSM provides several major resources for studying and passing the ACSM CPT exam.

The base information is primarily covered in the ACSM Resources for the Personal Trainer textbook.

The ACSM personal trainer book covers all the curriculum ACSM fitness content discussed earlier in the article.Content aside, the textbook is well laid out with diagrams, boxes, and case studies that break up the text.

Nevertheless, if you are not someone who can study effectively from textbooks, studying directly from the ACSM textbook may prove difficult.

Additional information about specific exercise screening protocols are covered in the ACSM Guidelines for Exercise Testing and Prescription, but this information is less emphasized on the exam.

In terms of ACSM CPT study guides and other resources, the ACSM has the following options:

  • Online practice questions through PrepU – $64.99 for 3 months of access)
  • ACSM CPT Prep course – $270.00
  • ACSM CPT Facebook Group – free
  • ACSM’s Resources for the Personal Trainer Textbook – $79.99
  • ACSM Guidelines for Exercise Testing and Prescription textbook – $87.19
  • Exam only – $349.00
  • Exam retake – $175.00
  • ACSM membership – $10-$240 annually depending on tier

The ACSM Prep course includes ACSM webinars, an ACSM workshop, and an ACSM practice exam.

While these are all useful resources, none of the packages are bundled for a discount.

This means that each ACSM CPT test prep must be purchased separately, in addition to the base exam fee, which quickly adds up.

The ACSM PrepU questions are decent quality but the subscription model is not great.

The good news is study materials for the ACSM personal trainer exams are widely available from third-party companies.

Common ACSM test prep materials include:

  • ACSM online learning
  • ACSM practice test
  • ACSM exam questions & answers

If you want to begin preparing for the ACSM exam before dropping a ton of money on materials, you can check out my free ACSM study guide and practice exam.

ACSM CPT Review [year] - ACSM Cost vs Value, Is ACSM worth it? 33

Third-party study guides are a good alternative to spending this amount of money to prepare for the exam.

My students report great success by preparing with the Trainer Academy ACSM MVP CPT Study Package, which includes excellent premium flashcards, study guide, practice exams, and an exam-pass guarantee.

In particular, the ACSM personal trainer practice exams provided by Trainer Academy are a key tool.

Every time you take an ACSM personal trainer practice test, you are getting ‘reps’ in that will help you on the real ACSM personal trainer test.

Any good ACSM personal trainer study kit package should include an ACSM personal trainer study guide and ACSM test questions.

Overall, the resources directly from the ACSM are decent in quality but very overpriced for the value provided. Purchasing every resource offered adds up to nearly $1000 in terms of the total cost to get certified.

For the latest ACSM pricing, you should check directly on the main website.

ACSM Exam Difficulty: How hard is the ACSM CPT exam?

ACSM CPT Review [year] - ACSM Cost vs Value, Is ACSM worth it? 34

Most students report that the ACSM exam is relatively easy for most individuals taking the exam who adequately prepare. It is definitely among the easiest personal training certifications.

However, you must still ensure you prepare adequately for the exam, as the ACSM pass rate in 2020 for first-time test takers was 69%.

When it comes to ACSM exam information, your biggest focus should be completing a full ACSM preparation through a guided study program.

As soon as you pass your ACSM exam you should look at getting your personal trainer liability insurance to protect against any financial liability in the unlikely event of a client injury.

ACSM Continuing Education

ACSM CPT Review [year] - ACSM Cost vs Value, Is ACSM worth it? 35

Continuing education credits (also known as CEUs or CECs) are a key part of being a personal trainer, and virtually all certifications require you to take additional coursework to keep your certification valid.

For ACSM recertification you must complete 45 CEC hours every 3 years.

You can choose from a variety of CEU options including accredited courses from the ACSM as well as reputable third-parties.

Note that sometimes you can find free ACSM CECs, or at the very least, cheap CEUs for personal trainers that apply towards your ACSM recertification.

The top CEC options with separate certifications directly from the ACSM are:

  • ACSM Certified Exercise Physiologist (ACSM Ep C)
  • ACSM Certified Clinical Exercise Physiologist (different from the above) (ACSM CEP)
  • ACSM Group Exercise Instructor
  • ACSM Exercise Specialist

Additional popular ACSM CECs online include:

  • ACSM exercise is medicine
  • ACSM health coach
  • ACSM health fitness specialist
  • ACSM health fitness instructor

Virtually every ACSM CEU course will be a great addition to your personal trainer resume.

I recommend really thinking about your long term specialization goals when selecting CEUs.

Common specializations include becoming a strength and conditioning coach, getting a health coach certification, becoming a nutrition coach, and even looking at corrective exercise certifications.

Other niche specialties include prenatal fitness, personal training for seniors, group exercise, and water aerobics instructor.

Even if you want to be a sport coach for a specific sport, it’s worth at least getting your personal trainer certification and any relevant CEU certifications.

ACSM CPT Review [year] - ACSM Cost vs Value, Is ACSM worth it? 36

Additionally, landing a personal training internship through the ACSM is a great way to build up your personal trainer bio.

The ACSM has an official journal with scientific ACSM articles covering the latest topics and research in health and fitness.

In fact, the ACSM journal is one of the greatest benefits of being an ACSM member.

Finally, the ACSM annual meeting is a great way to network with other professionals. Whether you want a job at the gym or plan to work for yourself as an in-home trainer, networking is vital.

If you’re a full-time student, you have access to the ACSM student membership option.

Review Methodology

We based our expert review of the ACSM CPT based on the following criteria:

  • Experienced trainers’ opinion on the curriculum
  • Critical review of quality and pricing
  • Typical reported difficulty of the ACSM exam
  • Review framed based on comparable entry-level fitness certifications

ACSM Certification FAQ


The ACSM exam is a well-known fitness certification designed as your first step into the fitness industry.

The curriculum is overall adequate, however it does have a few weaker components that you should consider brushing up on prior to your first training session with a real client.

The study materials available from the ACSM are high quality but overpriced, and third party study guides are a more economical and practical choice when preparing for the exam,

The exam itself is of average-to-easy difficulty compared to industry standards for well-prepared students.

The ACSM CPT certification is best suited for newer trainers who plan to have a career in clinical exercise programming.

However, the ACSM has many great CEU programs for many different careers in the fitness industry.

Overall, the ACSM CPT is a good choice as your first personal training certification and is a great entry point into the fitness industry.

Tyler Read

Tyler Read, BSc, CPT. Tyler holds a B.S. in Kinesiology from Sonoma State University and is a certified personal trainer (CPT) with NASM (National Academy of sports medicine), and has over 15 years of experience working as a personal trainer. He is a published author of running start, and a frequent contributing author on Healthline and Eat this, not that.

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All content published on PTPioneer is checked and reviewed extensively by our staff of experienced personal trainers, nutrition coaches, and other Fitness Experts. This is to make sure that the content you are reading is fact-checked for accuracy, contains up-to-date information, and is relevant. We only add trustworthy citations that you can find at the bottom of each article. You can read more about our editorial integrity here.

11 thoughts on “ACSM CPT Review 2023 – ACSM Cost vs Value, Is ACSM worth it?”

  1. PTPioneer User

    I am from india,i want to do actual course where I can attend theory and practical session so I can understand concepts easily,but confused in ACSM and ACE. plz suggest

  2. PTPioneer User

    Hi Tyler I am trying to decide on who I should go with for my Cot certification.I am going to be working with the general population hopefully at a Ymca.I have been working out since I was seventeen and now am Sixty one.Please give me your recommendation thanks

    1. Tyler Read - Certified Personal Trainer with PTPioneer

      Hey Donnie,
      I personally think that the ACE general personal trainer certification is the best for the general population. Especially if you are planning on working at the YMCA as they are are a very reputable certification with them.

  3. PTPioneer User

    Hii i m from india stays at kandivali Maharashtra and want to do sports nutrition course could u pls help me with the details of acsm course details

    1. Tyler Read - Certified Personal Trainer with PTPioneer

      Hello, I recommend checking out the ISSA sports nutrition certification as everything can be done online. With ACSM you will need to go into a testing center I believe and I am not sure if they have any in India although I am not 100% sure on that you will have to check. I hope this helps answer your question.

  4. PTPioneer User
    Christina Catalano

    Hi I am a DPT and I am considering the NASM or ACSM. Which one would be best for a DPT and do you know which specific cert the ACSM is best for a PT? Are there multiple certs for the NASM or just the one?

    Thank you!

  5. PTPioneer User

    I’ve been considering a personal trainer certification for some time now, although I didn’t think I would go for the ACSM CPT. However, I’m hoping to begin work at the rec center in my college, which requires personal trainers to be ACSM certified. Grateful for your thorough writing on the ACSM as well as all of the other notable PT certifications.

    1. Tyler Read - Certified Personal Trainer with PTPioneer

      Definitely, the American Council on sports medicine is a fantastic certification. The only thing they really lack is and easier to understand textbook and study materials. But, they are one of the highest recognized and most in-depth certifications out there so you can’t really go wrong.

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