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Prostate treatment - saw palmetto beats pharmaceuticals

Eating plant-based foods has been recognized for years as important for good health. But modern research has pinpointed those chemicals in plants - "phytochemcials" or "phytomedicines" - which are the source of their protective and disease-preventing compounds.

Saw palmetto - among other phytomedicines to treat men's enlarged prostate, or benign prostatic hyperplasia (BPH) - is one of the big success stories of this modern research. (You can learn about BPH here.)

Other "phytomedicines" - effective in prostate treatment have been discovered, and the blending of these with saw palmetto can magnify their benefits.

Saw palmetto is a dwarf palm. Its medicinal properties are found in the oily compounds in its berries. They inhibit the actions of testosterone on the prostate which cause prostate enlargement and the consequent interference with urinary flow. Improvements can take from six to eight weeks to three to four months. Further improvements may be seen throughout the first twelve months.

A 1998 study by Harvard researchers found that saw palmetto extract was effective in the treatment of BPH. (Wilt T.J., Ishani A., Stark, et.al. Saw Palmetto Extracts for treatment of benign prostatic hyperplasia. JAMA, 380:160-169, 1998.) Another study conducted in Germany found that taking 160mg of Saw Palmetto twice-daily reduced night time urination in 73% of the men tested. (Bach D., Ebeling L. Long-term drug treatment of benign prostatic hyperplasia - results of a prospective 3-year multicultural study using Sabal extract IDS 89. Phytomedicine, 3:105-11, 1996.)

During the German trial involving 309 men, the use of saw palmetto resulted in a significant increase in urinary flow rate (6.1 ml per second). There was also a 50% decrease in residual urine volume. Finasteride (in the USA, the pharmaceutical drug Proscar? ) showed a 30% decrease in symptom scores over three years, but urine flow improved only slightly, and residual urine volume was almost unchanged.

(Residual volume is important. If too much urine remains in the bladder it becomes infected. It may not be able to be cleared unless the bladder is completely emptied. Bacteria may spread to cause serious illness. If urine back ups into the kidneys it can lead to kidney failure, which can be fatal.)

The study also showed that 10.7% of finasteride patients discontinued treatment because of side effects, compared to only 1.8% of those taking saw palmetto. And more than 80% of the men involved in the saw palmetto study reported it had made a 'good' to 'very good' difference in their quality of life.

The approved dosage of saw palmetto is 160mg to be taken twice a day. Saw palmetto is approved by the German government as a treatment for BPH, as are pumpkin seeds (Cucurbita pepo L., Cucurbitaceae). In France, it is used along with pygeum africanum.

The main active ingredient in both saw palmetto and pygeum africanum is beta-sitosterol. The effectiveness of 30mg of beta-sitosterol taken twice daily in improving bph symptoms was reported in 1995 in the UK medical journal, The Lancet. In addition beta-sitosterol-alone and in combination with other plant sterols (a sterol is a naturally occurring substance found in plants) - has been found to reduce blood levels of cholesterol.

To read about the startling benefits for prostate sufferers of the tomato-based natural chemical lycopene, go here.

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