There are about 40 published studies on saw palmetto berries, which reduce levels of substances that our bodies use to make hormones such as testosterone and estrogen. While we associate testosterone with men and estrogen with women, both men and women have testosterone and estrogen in their bodies, just in different levels.

For men, too much of a substance called dihydrotestosterone (DHT) has been blamed for a disorder called benign prostatic hyperplasia (BPH). Estrogen may also have something to do with it. In BPH, cells in the prostate gland (a tiny gland that lies behind the urethra) grow too quickly. The gland swells and presses on the urethra, so that it feels as if you constantly need to urinate. Finasteride is a common prescription drug that reduces DHT in order to slow or stop the progression of BPH.

Recently, researchers concluded that saw palmetto could be as effective as finasteride in relieving certain symptoms of BPH such as urine flow, which is reduced in BPH, and the constant feeling that you have to urinate. Saw palmetto relieves symptoms of Stage I and II BPH. Common symptoms include frequent need to urinate, a delay before you are able to urinate, dripping after urinating, and having to get up numerous times throughout the night to urinate. The majority of men over 60 are considered to have urinary symptoms attributable to BPH, which can disturb sleep, affect self-confidence, cause constant low-grade anxiety or even pain, and may progress to infections in the bladder or kidneys.

One difference between the finasteride and saw palmetto, however, is that finasteride can shrink the size of the prostate, and saw palmetto can't. For this reason, if you have chosen to try saw palmetto for your BPH symptoms, it is very important to do so under the guidance of a health care provider, and to keep regular appointments with him or her so that your progress can be monitored.

Saw palmetto berries were not always used for BPH; Native Americans ate them as part of their diet, and they were also used to increase libido.

Saw palmetto is a fan palm that can reach heights of 10 feet in warm climates. In the United States, it grows in the warm climates of the southeast, from South Carolina to Mississippi and throughout Florida. Lush, green leaves fan out from thorny stems. The plant bears white flowers, which develop yellow olive-like berries. The berries, when ripe, turn bluish-black and are dried for medicinal use.

Saw palmetto's active ingredients are fatty acids and plant sterols. However, most likely the fatty acids and sterols are not the only part of the berries that affect hormone production, and it will take more scientific study before we know exactly how saw palmetto works.

The berries also contain high-molecular-weight polysaccharides, which are usually associated with either anti-inflammatory or immune-stimulant effects.

You can buy saw palmetto as crude dried berries, tea, powdered capsules, tablets, liquid tinctures, and liposterolic extracts. Look for products that say on the labels that they are standardized and contain 85% to 95% fatty acids and sterols.

Pediatric

There are no reports to date about the use of saw palmetto in children. Therefore, use of this herb in children is not recommended at this time.

Adult

The recommended dosages for Stages I and II BPH is 160 mg, two times per day, of a fat-soluble saw palmetto extract, which has been standardized to contain 85% to 95% fatty acids and sterols.

Saw palmetto is a very mild herb. Side effects are very rare and mild stomach complaints are the only recorded reactions. The American Herbal Products Association gives saw palmetto a class 1 safety rating, which means that it is safe when used as directed.

You should not try to self-diagnose, or self-medicate, BPH. Saw palmetto only relieves the symptoms of BPH, despite the fact that it alters DHT production and testosterone levels. It will not shrink the prostate. Your health care provider should monitor the course of BPH.

Saw palmetto should not be used during pregnancy or breast-feeding.

No noteworthy interactions (positive or negative) between saw palmetto and conventional medications are known to have been reported in the literature to date. However, because the way that saw palmetto works in the body is similar to the way finasteride works, it has been recommended that this herb not be used in combination with finasteride or other medications used to treat BPH.

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