The central clock in the SCN controls a variety of endocrine and metabolic functions. Neurons of the SCN undergo oscillations in depolarization, activation of the ERK/MAPK cascade and CREB activity, as well as oscillations in gene expression. In addition, several small molecules oscillate, including cAMP and calcium. While the SCN indirectly controls oscillations of humoral factors coming from other tissues such as the pineal and adrenal cortex, continuity within the SCN is mediated by loops within VIP and AVP-expressing neurons. Other tissues also maintain circadian output via positive and negative feedback loops within cells that make up different compartments of the tissue. Oscillations in humoral factors control the circadian release of factors from the periphery, such as ghrelin, leptin, insulin, and glucose and these in turn regulate CNS function. Melatonin, which is released in a circadian fashion from the pineal gland, is involved in feedback regulation of the SCN where melatonin receptors are abundantly expressed. Peripheral tissues provide positive and negative feedback to the brain by releasing soluble factors such as hormones and adipokines, including ghrelin (stomach), leptin (adipose tissue), insulin (pancreas), and glucose (liver and other tissues). Thus, the periphery may influence brain functions, and specifically SCN neurons, through a feedback mechanism.