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A 2009 review found that saw palmetto is the most popular botanically derived 5 alpha reductase (5aR) inhibitor. Another meta-analysis looked at both oral and topical saw palmetto.
Saw palmetto extract has been studied in clinical trials as a possible treatment for people with prostate cancer and for men with lower urinary tract symptoms associated with BPH. [1] [3] As of 2023, there is insufficient scientific evidence that saw palmetto extract is effective for treating cancer or BPH and its symptoms.
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Saw palmetto is a fan palm, with the leaves that have a bare petiole terminating in a rounded fan of about 20 leaflets. The petiole is armed with fine, sharp teeth or spines that give the species its common name. The teeth or spines are easily capable of breaking the skin, and protection should be worn when working around a saw palmetto.
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