The endocrine system includes glands that secrete hormones directly into the bloodstream to regulate distant target tissues and organs. The major glands are the pituitary, thyroid, parathyroid, adrenal, pancreas, gonads, thymus, and pineal. The pituitary gland regulates other endocrine glands by secreting hormones like growth hormone, TSH, and ACTH. The thyroid regulates metabolism and produces thyroxine and triiodothyronine. Disorders include hypothyroidism and hyperthyroidism. The pancreas produces insulin to regulate blood sugar levels, and diabetes occurs when there is insufficient insulin. Sex glands like the ovaries and testes produce hormones like estrogen, progesterone and test