I’m not sure about saw palmetto. I did take it for a while (like a month or more) and could not tell a significant difference. I started suffering from an enlarged prostate about a year ago. I didn’t know at the time that’s what it was… I just knew I was having to strain hard to urinate, and I was having to do it multiple times, especially at night. I was already to scheduled to see a urologist at Mayo because I had a biopsy that came back 3+3. I thought I would be talking about treatment options for that, but after having an MRI, the urologist was much more concerned about my large prostate. It was causing my bladder to be extended since I could not fully empty it. I ended up having a HoLep procedure where they ran a tube up and used a laser to hollow out about half of my prostate. They did a biopsy on all of the material extracted, and it came back benign, thankfully! Now, I can go like I did when I was in my 20s! Lol. As for the prostate cancer, I am on active surveillance. I know this did not really answer your question, but you may want to look into the HoLep procedure. If you would like to know more about it from a patient’s perspective, just let me know.

@jackwk, you may wish to read this related discussion:
- Experience with Saw Palmetto?
https://connect.mayoclinic.org/discussion/experience-with-saw-palmetto/
Mayo Clinic recommends these treatments for enlarged prostate or benign prostatic hyperplasia (BPH)
https://www.mayoclinic.org/diseases-conditions/benign-prostatic-hyperplasia/diagnosis-treatment/drc-20370093
See these BPH-related discussions:
https://connect.mayoclinic.org/search/discussions/?search=bph