There are many potential causes of adrenal insufficiency, including: This means that the adrenals cannot make enough cortisol. Without CRH, the pituitary gland cannot make ACTH. This occurs when the brain cannot produce enough corticotropin-releasing hormone (CRH). Without ACTH, the adrenals do not receive a signal to make cortisol. This occurs when the pituitary gland does not make enough of a hormone called adrenocorticotropin (ACTH). This condition develops when the adrenal gland itself does not function well and cannot make enough cortisol.
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