The pituitary gland descends from the hypothalamus at the base of the brain, and acts in close association with it. The pituitary is often referred to as the “master gland” because its messenger hormones control all the other glands in the endocrine system, although it mostly carries out instructions from the hypothalamus. In addition to messenger hormones, the pituitary also secretes growth hormone, endorphins for pain relief, and a number of key hormones that regulate fluid levels in the body. Located in the neck, the thyroid gland releases hormones that regulate growth, metabolism, and appetite. In hyperthyroidism, the thyroid secretes too much of the hormone thyroxine, causing agitation, bulging eyes, and weight loss. One cause of hyperthyroidism is Graves' disease, an autoimmune disease in which one’s own body attacks itself. In hypothyroidism, reduced hormone levels cause sufferers to experience tiredness, and they often complain of feeling cold. Fortunately, thyroid disorders are often treatable with medications that help reestablish a balance in the hormones secreted by the thyroid. The adrenal glands sit atop our kidneys and secrete hormones involved in the stress response, such as epinephrine (adrenaline) and norepinephrine (noradrenaline). The pancreas is an internal organ that secretes hormones that regulate blood sugar levels: insulin and glucagon. These pancreatic hormones are essential for maintaining stable levels of blood sugar throughout the day by lowering blood glucose levels (insulin) or raising them (glucagon). People who suffer from diabetes do not produce enough insulin; therefore, they must take medications that stimulate or replace insulin production, and they must closely control the amount of sugars and carbohydrates they consume. The gonads secrete sexual hormones, which are important in reproduction, and mediate both sexual motivation and behavior. The female gonads are the ovaries; the male gonads are the testes. Ovaries secrete estrogens and progesterone, and the testes secrete androgens, such as testosterone. Endocrine Gland Associated Hormones Function Pituitary Growth hormone, releasing and inhibiting hormones (such as thyroid stimulating hormone) Regulate growth, regulate hormone release Thyroid Thyroxine, triiodothyronine Regulate metabolism and appetite Pineal Melatonin Regulate some biological rhythms such as sleep cycles Adrenal Epinephrine, norepinephrine Stress response, increase metabolic activities Pancreas Insulin, glucagon Regulate blood sugar levels Ovaries Estrogen, progesterone Mediate sexual motivation and behavior, reproduction Testes Androgens, such as testosterone Mediate sexual motivation and behavior, reproduction Table 3.2 Major Endocrine Glands and Associated Hormone Functions Dig Deeper Athletes and Anabolic Steroids Although it is against Federal laws and many professional athletic associations (The National Football League, for example) have banned their use, anabolic steroid drugs continue to be used by amateur and professional athletes. The drugs are believed to enhance athletic performance. Anabolic steroid drugs mimic the effects of the body’s own steroid hormones, like testosterone and its derivatives. These drugs have the potential to provide a competitive edge by increasing muscle mass, strength, and endurance, although not all users may experience these results. Moreover, use of performance-enhancing drugs (PEDs) does not come without risks. Anabolic steroid use has been linked with a wide variety of potentially negative outcomes, ranging in severity from largely cosmetic (acne) to life threatening (heart attack). Furthermore, use of these substances can result in profound changes in mood and can increase aggressive behavior (National Institute on Drug Abuse, 2001). Baseball player Alex Rodriguez (A-Rod) spent the latter part of his playing career at the center of a media storm regarding his use of illegal PEDs. Rodriguez excelled while using the drugs; his success played a large role in negotiating a contract that made him the highest paid player in professional baseball. A subsequent scandal and suspension tarnished his reputation and, according to a statement he made once retired, cost him over $40 million. Even lower-profile athletes, particularly in cycling and Olympic sports, have been revealed as steroid users. What are your thoughts on athletes and doping? Why should the use of PEDs be banned or not banned? What advice would you give an athlete who was considering using PEDs?