It is safe as long as you do not buy Chinese made brand names.
In general, saw palmetto is safe but has been associated with rare cases of allergies. Other common side effects of saw palmetto include stomach cramps, nausea, vomiting, bad breath and constipation. Experts recommend taking saw palmetto with food to avoid the nausea. The lipidosterolic extract is felt to be safe and has much fewer side effects. Other rare side effects of saw palmetto include yellow discoloration of skin and liver damage. Since saw palmetto can enhance bleeding, people undergoing surgery or dental work should stop this herb at least 7-12 days before the procedure.
Some men do report breast tenderness, decreased libido and testicular discomfort after taking saw palmetto for a long time. Because of safety concerns the product PC SPES is no longer available in North America
Saw palmetto is not recommended for women.
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