“…In contrast, the adrenal medulla can be directly stimulated by the sympathetic efferent nerves, resulting in the secretion of epinephrine and/or norepinephrine (Goldstein, 2010). Adrenalectomy has been used to examine the role of these hormones in (1) neuronal regulation of the HPA-axis (Helmreich et al, 1996;Kaminski and Watts, 2012;Weidenfeld and Feldman, 2000), (2) regeneration of adrenals over time (Rebuffat et al, 2007), and (3) endogenous corticosteroid biogenesis (Bykowski et al, 2007;Freel et al, 2007). Surgical removal of adrenal medulla can allow one to examine the role of epinephrine whereas total bilateral adrenalectomy (ADREX) can be used for examining the roles of epinephrine and cortical steroidal hormones.…”