StackTerminal.Health

BETA

Saw Palmetto

Berry extract traditionally used for benign prostatic hyperplasia (BPH) & hair loss; evidence is mixed.

mens healthhormonesdaily

Evidence last reviewed: 04 Apr 2026

Evidence
1 record
1 recordBest grade:Low

The evidence for saw palmetto's effectiveness in alleviating BPH symptoms is mixed, with some studies suggesting benefits while a large NIH-funded trial found no significant improvement over placebo. The overall strength of evidence is low, and further research is needed to clarify its role.

BPH symptoms / urinary flow
Men with mild-moderate BPH · Meta-analyses (conflicting)
Low

Some meta-analyses show benefit; large NIH-funded RCT found no improvement vs placebo. Effect remains debated.

Dose: 320 mgDuration: 4–12 weeks
Well tolerated; may affect PSA levels — inform clinician if tested.
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Forms & usage
How to take it

Take 320 mg of saw palmetto extract daily, preferably with meals.

Lipophilic extract (85–95% fatty acids)
Extract form required; raw berry ineffective.
Safety & trade-offs2
Note

May suppress PSA (prostate-specific antigen) levels, potentially masking prostate conditions — always inform your doctor if PSA testing is planned

Hormones

Possible hormonal effects — theoretical concern for hormone-sensitive conditions

High  Moderate   Low / note

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