Hormones act through specific receptors and pathways to regulate target tissues. Water-soluble hormones bind to cell membrane receptors and use second messengers like cAMP to trigger intracellular effects. Lipid-soluble hormones like steroids diffuse into cells, bind intracellular receptors, and form complexes that regulate gene expression. Hormone levels are maintained through feedback loops, with negative feedback inhibiting further hormone release and positive feedback amplifying it. Hormones are cleared by metabolic degradation, binding to tissues, and excretion by the liver and kidneys.