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Saw palmetto (Serenoa repens)
Saw palmetto (Serenoa repens)

Arecaceae · fruit

Saw palmetto

Serenoa repens

Conflicting evidenceUse with caution

Fruit extract mapped to conflicting lower-urinary-tract symptom literature in older men.

Safety first

Does not exclude prostate cancer or urinary retention. Lipidosterolic extracts have conflicting LUTS data. Not a 5-alpha-reductase drug equivalent.

Tradition vs trials

Traditional record. Southeastern North American berry later European BPH-adjacent extract.

Trial literature. Some older trials were positive; larger later trials were disappointing. This catalog tags conflicting.

Practical ranges

Educational ranges — not a prescription. Culinary use is not an extract.

  • lipidosterolic extract

    Many products provide about 320 mg/day of specified extract — that is a product convention, not a prescription

    ESCOP / NCCIHEducational range only — not a prescription. A licensed clinician individualizes product, dose, and duration.

Pregnancy, nursing, children

  • Pregnancy. Not a plant for pregnancy (androgen-adjacent marketing).
  • Nursing. Insufficient reliable data; avoid unless a clinician directs otherwise.
  • Children. Insufficient reliable data; avoid unless a clinician directs otherwise.

Contraindications

  • do not delay retention, hematuria, or cancer workup

Key interactions

  • hormonal therapies / anticoagulants · note

    Signals are mixed; still tell the urologist.

Open drug–herb checker

Used in these diagnoses