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Adrenals are very important endocrine organs located on top of the kidney on both sides. When the anal gland is not working if it is an acute dysfunction patient can present with hypo-tension or inability to maintain the blood pressure, repeated vomiting, not being able to keep any food down and Low blood pressure could be a feature of acute adrenal insufficiency. So when you look at the chronic Ordinance efficiency the symptoms can be a little bit more complex actually patient usually complains of loss of appetite and weight loss and also loss of libido, reduced sexual thoughts and feelings and also reduced hair growth especially in the pubic and axilary region can be a feature of Adrenal insufficiency. In primary Adrenal insufficiency dark pigmentation of the skin is a Cardinal features so you can have pigmentation the Nakul around the nipples so these are sign of primary Adrenal insufficiency. Salt craving can be there due to aldosterone deficiency, so these are some of the features of chronic Garden insufficiency.