Saw palmetto
Serenoa repens
also known as Sabal, American dwarf palm
Moderate (contested)
A small palm of the southeastern US whose berries are traditionally used for prostate comfort and urinary symptoms of mild BPH.
- Supports prostate comfort in mild BPH
- May reduce urinary frequency in BPH
- Inhibits 5-alpha-reductase modestly
- Used by the Seminole and other Indigenous tribes
- Approved in Germany for symptomatic BPH
Active in Fatty acids (lauric, myristic, oleic), Phytosterols (beta-sitosterol).
Does not shrink prostate cancer — does not replace screening
Use caution with blood thinners
Use caution with hormonal medications and finasteride
Discontinue 2 weeks before surgery
Not for use in women, pregnancy, or nursing
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