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Saw palmetto

Also called: Serenoa repens

A palm berry that may lower the effect of androgens (male-type hormones). In women, it is sometimes used for androgen-related hair thinning or PCOS, but evidence is limited.

Commonly used for

  • Hair thinning linked to androgens (female pattern hair loss)
  • PCOS-related symptoms such as excess hair growth (limited evidence)
  • Acne linked to androgens (limited evidence)

Found naturally in

  • Saw palmetto berries, from a palm native to the southeastern US

Label red flags

  • No fatty acid or sterol standardization listed
  • Hair blends with undisclosed amounts

Check with a provider

  • Pregnancy, trying to conceive, or breastfeeding. Its anti-androgen effect could affect a developing baby.
  • Taking hormonal birth control or hormone therapy
  • Taking blood thinners, or planning surgery
  • Hair loss that is sudden, patchy, or new. Get it checked first, since thyroid, iron, and autoimmune causes are common.

Supplements that contain it

Dr. Lesher, ND

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