Several claims were made about the possibility of Sierna repens (saw palmetto), a natural remedy originating from the American Dwarf palm tree, to shrink the prostate, and to relieve symptoms of enlarged prostate (BPH), and the related urinary tract problems. But is this exaggeration, or did you see palmetto work to actually reduce the prostate?
The simple answer to the question is yes, because pametto has shown its usefulness to treat BPH (including symptoms of the urinary tract) and prostatitis, and how effective they can be in curing prostate cancer is too early to be seen. But why did the palmetto work here?
Saw palmetto for BPH and prostatitis
A systemic review and meta-analysis that evaluate data from 27 research studies and 5 800 participants has been published in April 2018. The most recent study is the effect of saw palmeto on BPH. In all the studies examined, 160 mg lipidosterol extract Serenoa repens was used in proprietary saw palmetto oil.
The reviewers indicated after an evaluation:
• The saw palmetto replacement was correlated with less vacuums and an increase in peak urinary flow in contrast to placebo
• The two showed similar increases in peak urinary flow in comparison with BPH tamsulosine
• Contrast with alpha blockers, both showed similar changes on IPSS (International Prostate Symphony).
The impact of the saw palmetto on BPH and sexual dysfunction in a 82 member team was documented in a pilot study in April 2012. The men had taken a capsule of 320 mg daily during the 8-week open examination. The men’s foreign prostate symptoms (IPSS) decreased from 14.4 to 6.9 at the end of the procedure, while the sexual function inventory change increased between 22.4 and 31.4. In the Urolife BPH QoL-9 scale (162.7 to 105.0), quality of life also showed an increase. The first study showing an improved BPH and sexual dysfunction with saw palmetto is reported. (Mermaid)
A long-term saw palmetto research (24 months) in 120 men with mild or moderate lower BPH-related symptoms in the urinary tract was performed. The men had a statistically significant improvement in their IPSS, quality of life, urinary residual volume, prostate volume and sexual function after taking 320 mg of saw palmetto a day. (The Holy Fathers)
Saw palmetto compared to Flomax results
What if you compare saw palmetto to conventional BPH, like tamsulosine (Flomax)? The results of this comparison in 704 men have been reported in a 1-year study published in European urology. All palmetto and tamsulosin have contributed to similar symptom changes, but people who have taken tamsulosin have a higher chance of ejaculation and less prostate volume change.
A head to head analysis for men with chronic prostatitis between saw palmetto v Flomax was also good. A maximum of 157 people were distributed randomly with chronic prostatitis for either 160 mg saw palmetto twice a day or six weeks with 0.4 mg tamsulosine. At the end of the course, men were strengthened in their Chronic Prostatitis Symptom Index (CPSI) by similar measures in both classes, while men taking saw palmetto were further advantaged: a greater reduction in pain levels. (Participation 2012) (Kravchick)
Saw palmetto as combination treatment for BPH
Saw palmetto also performs well in conjunction with other supplements chosen. In a 2017 Cochrane study of saw palmetto as solo therapy, the authors concluded that “the overall body of evidence involves favorable clinical experience reactions of patients, the influence of placebo effects, early promising results… and possible synergistic impacts when paired with other therapies.” (Yes)
A clinical trial of 257 men with lower urinary tract (LUTS) symptoms linked to BPH can be seen as an example. People have been given the random assignment either to take placebo or in a mixture of palmetto extract from the 160 mg saw and 120 mg of punching nettle root extract daily for 24 weeks. At the end of the study (week 96), researchers reported a 53% increase in the IPS, a 19% improvement in the flow of urine and a 44% decrease in urine residual volume. (Archives) (Archives)
Saw palmetto and prostate cancer
Although some work has been carried out, the ability to use saw palmetto in the fight against prostate cancer is still largely unknown. Two Italian studies have in particular reported cell death (apoptosis) of prostate cells treated with the extract. The Fred Hutchinson Cancer Research Center was not as optimistic as another research. Information for the analysis were collected from 35,239 men involved in the VITAL project. The researchers examined the use and incidence of prostate cancer by men and found no association for the use of saw palmetto. (Brasky)-( Brasky)
Taking saw palmetto to shrink the prostate
Research shows that the effective dose of saw palmetto is 320 mg daily. The advantages can be improved by sicking palmetto in combination with other herbal remedies, such as QC and curcumin. The side effects associated with the application of saw palmetto are generally mild.