I've seen promising results with saw palmetto in my practice, particularly with patients experiencing mild to moderate BPH symptoms. In my experience working with men over 50, those taking 320mg daily of standardized saw palmetto extract often report improved urinary flow and less frequent nighttime bathroom trips after 2-3 months of consistent use. While it's not a replacement for prescribed medications in severe cases, I've found it can be a helpful first-line approach for managing early BPH symptoms, especially when combined with other lifestyle changes like reducing evening fluid intake.
Pharmacist Owner at MisterPharmacist™ - Toronto's Online Pharmacy
Answered 5 months ago
Saw palmetto is a plant extract often used in supplements marketed for prostate health -- especially for men dealing with BPH (benign prostatic hyperplasia). BPH is that classic "can't fully empty the bladder / waking up to pee at 3 AM" type of situation. It's driven in part by the effects of dihydrotestosterone (DHT), a more potent form of testosterone that can enlarge the prostate. How does saw palmetto work? Saw palmetto may block 5-alpha-reductase -- the same enzyme that converts testosterone into DHT. Less DHT = Potentially less prostate growth = Fewer annoying symptoms like urinary hesitancy, urgency, weak stream, or nighttime bathroom trips. But does it actually work? The evidence is mixed. Some studies show mild improvement in urinary symptoms (similar to prescription meds like finasteride, but less powerful). Other high-quality studies found no significant benefit compared to placebo. Key Takeaways for Patients: Saw palmetto might help mild urinary symptoms of BPH -- but don't expect miracles. It's generally safe when used short-term (mild side effects like stomach upset possible). Not a replacement for medical evaluation -- especially if symptoms are severe or rapidly worsening. MisterPharmacist Pro Tip: If someone wants to try it: - Look for standardized extracts (85-95% fatty acids and sterols). - Give it 6-8 weeks to see if symptoms improve. - Always tell your pharmacist or doctor -- saw palmetto can interact with blood thinners or hormone-related medications. Final Word: Saw palmetto = May help some men with mild BPH symptoms. But if you're peeing more times per night than your newborn baby? Get checked -- nature's nice, but science saves prostates.
I learned about saw palmetto's benefits while working with older male patients who were hesitant about prescription medications for their prostate issues. In our clinic, we've observed that patients combining saw palmetto supplements with regular exercise and a diet rich in vegetables typically report better urinary function within 4-6 weeks. While I always recommend consulting with a healthcare provider first, I've found that saw palmetto can be a gentle, natural option for supporting prostate health, particularly in the early stages of BPH.
Natural Support for Prostate Health with Saw Palmetto Saw palmetto comes from the Serenoa repens plant, which has often been used to promote prostate health. It's particularly recognized for easing symptoms of benign prostatic hyperplasia (BPH). It inhibits the enzyme 5-alpha reductase that converts testosterone into DHT. Dutasteride and finasteride lower DHT levels, which can slow the growth of the prostate and relieve urinary symptoms like frequency and urgency. Individual results can differ, but many men say they experience fewer side effects than traditional meds and get substantial relief. Here at Welzo, we recommend using supplements such as saw palmetto under the guidance of a physician to ensure the safest and most effective treatment.
Saw palmetto (Serenoa repens) is rich in bioactive compounds that have been shown to inhibit 5-alpha-reductase, the enzyme responsible for transforming testosterone into dihydrotestosterone (DHT), a hormone associated with enlargement of the prostate. In clinical studies, saw palmetto has been shown to reduce urinary symptoms associated with BPH, including frequent urination, weak stream and nighttime awakenings. We've witnessed patients combine our physician-formulated low-carb, high-protein meal plans -- created specifically for supporting bariatric and diabetic health -- with targeted supplements, like saw palmetto, yielding improved urinary function and overall quality of life. In addition to alleviating symptoms, studies suggest that saw palmetto may decrease prostate inflammation and promote long-term urinary tract health. In a meta-analysis of randomized controlled trials, high-quality evidence showed that once daily 320 mg of saw palmetto extract resulted in a significant improvement in International Prostate Symptom Scores (IPSS) vs. placebo. At Ambari Nutrition, we promote a systematic approach and combine science-inspired supplements with portion-controlled, nutrient-dense meals to achieve metabolic and hormonal balance. Saw palmetto is not a cure for BPH, but rather a useful adjunct therapy when used with lifestyle changes. As always, talk to a health care provider before beginning any new supplement, particularly if you take medications such as alpha-blockers or finasteride that can interact with supplements.
Saw palmetto seems to ease some symptoms of BPH by helping regulate how testosterone converts into DHT, which can build up and overwork the prostate. It works less like a blocker and more like a volume dial. The swelling, frequent urination and nighttime wake-ups often improve when DHT pressure lowers. I have had male clients take it consistently over a 60-day cycle, and the main feedback is less urgency and fewer bathroom runs. It is subtle but steady. That kind of outcome matters more to patients than numbers--they want to sleep through the night and make it through meetings without disruption.