Many men in Syracuse who experience discomfort from an enlarged prostate have been using saw palmetto and other natural remedies instead of drugs to treat their condition due to concerns about discomfort which may be associated with standard drug treatments for this condition. Natural health care remedies for the prostate can be purchased conveniently from Harold Mandel, MD Online at Prostate health.
There has however been some controversy about the benefits of saw palmetto extract for the treatment of the symptoms of an enlarged prostate. Many men who prefer natural remedies to drugs have been using saw palmetto to treat prostate problems for years. But, Todd Neale has reported for MedPage Today “Saw Palmetto No Help for Enlarged Prostate.” A randomized, placebo-controlled trial has shown that doses of saw palmetto extract up to three times the standard did not reduce lower urinary tract symptoms which were associated with benign prostatic hyperplasia (BPH).
However, the researchers have acknowledged that these findings, which are based on the use of a single extract, may not be generalizable to other products. Still, the researchers said “Nevertheless, a recent series of negative trials using different saw palmetto extract preparations makes it increasingly unlikely a dose of some preparation will be identified that is better than placebo.” This study has been reported on in the September 28 issue of the Journal of the American Medical Association.
Extracts which are made from the berries of the saw palmetto dwarf palm tree which are popular remedies for treating lower urinary tract symptoms from BPH can be easily purchased without a prescription. Many men are worried that there may be a loss of sexual ability with prostate medications and they are more comfortable with herbal treatments. A 2002 Cochrane review which included 21 clinical trials discovered that saw palmetto extracts significantly reduced nocturia, increased self-rated improvement, and improved peak uroflow. However, a new review in 2009 found that only the effect on nocturia remained significant. There have been questions raised about the efficacy of saw palmetto in other studies.
The largest of these studies, the STEP study, discovered that a standard dose of 320 mg/day did not have any significant positive effects. However, despite such negative results, Aaron Katz, MD, director of the Center for Holistic Urology at Columbia University in New York City, has said that he uses saw palmetto extracts in his practice and that it is his professional opinion that this can help many men with mild lower urinary tract symptoms. The bottom line from this study therefore is that this particular saw palmetto extract is not helpful when it is used alone. Generally, holistic clinicians such as Dr Katz use saw palmetto along with other extracts, including those from stinging nettles or the bark of the Pygeumafricanum, an African evergreen.
Mandel News Service