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Interestingly, there have been mixed reports on the impact of HRT on IGF-1 concentrations in post-menopausal women, confounded by the different formulations (estrogen or estrogen plus progestin) and modes of delivery with oral estradiol decreasing IGF-1 concentrations and the androgenic synthetic progestin causing an increase ( FIGURE 1 Androgens Although androgens are known to stimulate the GH/IGF-1 axis in men there is scant information in the literature about the impact of androgens on the GH/IGF-1 axis in women, which may be a significant factor especially during the post-menopausal period