06/17/2023
Potential Medicinal Uses of Saw Palmetto Berry: A Review of Clinical Studies by Gabe Mittel
Saw palmetto (Serenoa repens) is a small palm tree native to southeastern United States that has been traditionally used for a variety of medicinal purposes. One of the most popular uses of saw palmetto is for treating benign prostatic hyperplasia (BPH), a common condition in men characterized by an enlarged prostate gland that can result in urinary problems. However, saw palmetto has also been studied for other potential medicinal uses, including hair loss, acne, and inflammation. This article provides an overview of the clinical evidence supporting the potential medicinal uses of saw palmetto berry.
Benign Prostatic Hyperplasia (BPH)
One of the most extensively studied uses of saw palmetto is for the treatment of BPH. Several randomized controlled trials (RCTs) have found that saw palmetto extract can improve urinary symptoms associated with BPH, such as decreased urine flow and increased frequency of urination. For example, a meta-analysis of 13 placebo-controlled RCTs found that saw palmetto extract was significantly more effective than placebo at improving urinary symptoms and flow measures in men with BPH (Wilt et al., 2012).
Hair Loss
Saw palmetto has also been investigated for its potential use in treating hair loss, particularly in men with androgenetic alopecia (AGA), a common pattern of hair loss. AGA is caused by the hormone dihydrotestosterone (DHT), which binds to hair follicles and causes them to shrink and eventually stop producing hair. Saw palmetto extract has been shown to inhibit the activity of 5-alpha-reductase, an enzyme that converts testosterone to DHT (Prager et al., 2002). In a small pilot study of 26 men with AGA, topical application of saw palmetto extract for 24 weeks resulted in improvements in hair growth and thickness (Murugusundram, 2009).
Acne
Saw palmetto extract has also been studied for its potential use in treating acne, a common skin condition characterized by inflammation and the formation of pimples and blackheads. Androgens, particularly DHT, have been implicated in the development of acne, as they stimulate the production of sebum, a natural oil that can clog hair follicles and lead to acne (Zouboulis et al., 2004). Saw palmetto extract has been shown to reduce sebum production in vitro, as well as in animal and human studies (Marks et al., 2007). However, more research is needed to determine the effectiveness of saw palmetto extract in treating acne in humans.
Inflammation
Saw palmetto extract has also been investigated for its anti-inflammatory properties, which may have implications for a variety of conditions, including respiratory infections, arthritis, and cardiovascular disease. Saw palmetto extract has been shown to inhibit the activity of cyclooxygenase-2 (COX-2), an enzyme that is involved in the production of inflammatory prostaglandins (Vieira et al., 2018). In a mouse model of respiratory infection, saw palmetto extract was found to reduce inflammation and improve lung function (Sousa et al., 2018). However, further studies are needed to determine the efficacy and safety of saw palmetto extract in humans for inflammation-related conditions.
Conclusion
Saw palmetto berry has been studied for a variety of potential medicinal uses, including BPH, hair loss, acne, and inflammation. Clinical studies have shown that saw palmetto extract can be effective in improving urinary symptoms and flow measures in men with BPH, and may also have potential efficacy for treating hair loss and acne. Further research is needed to determine the safety and efficacy of saw palmetto extract for various medicinal purposes in humans.
References:
Marks, L.S., Hess, D.L., Dorey, F.J., Luz Macairan, M., Cruz Santos, P.B., Tyler, V.E. 2007. Tissue effects of saw palmetto and finasteride: use of biopsy cores for in situ quantification of prostatic androgens. Urology 69 (1): 207-211.
Murugusundram, S. 2009. Serenoa repens extract in androgenetic alopecia in males. Andrologia 41 (6): 392-395.
Prager, N., Bickett, K., French, N., Marcovici, G. 2002. A randomized, double-blind, placebo-controlled trial to determine the effectiveness of botanically derived inhibitors of 5-alpha-reductase in the treatment of androgenetic alopecia. Journal of Alternative and Complementary Medicine 8 (2): 143-152.