Centuries ago saw palmetto was used by the Mayans to treat a variety of infections. Even the berries of the plant were widely consumed to relieve cough and fever.
At the moment saw palmetto is an accepted licensed product in many European countries but in North America it is classified as a health supplement. Its use in America is empirical and one does not need a prescription.
There is some evidence that saw palmetto does inhibit enzymes that make the hormone, testosterone, and there are other reports which indicate that the herb may also have a direct action of androgen receptors.
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