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Can Saw Palmetto Reverse Hair Loss And Shrink The Prostate? |
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Saw Palmetto for Overall Good Health
The value of the small palm tree Serenoa repens –otherwise known as
saw palmetto- which is endemic to the south-eastern United States has been known
long before any records of it were available. The pre-Columbian peoples of
Florida –as well as the later Creek immigrants- made use of the plant as a
source for a variety of products such as oil, wax, fiber, medicine, food, as
well as for other implements such as fans and ornamentation. The fruit was
considered an important food source for its indigenous peoples, though not all
considered it palatable. In fact, in an account by Jonathan Dickinson, a Quaker
merchant stranded on Florida’s east coast in 1696, he and his companions
compared the taste of the fruit to "rotten cheese steeped in tobacco."
The most significant use of saw palmetto, however, is the production of
remedies to treat a variety of ills. Among the various conditions herbal
remedies from the plant are said to heal include urinary tract infections, renal
disorders, prostate enlargement, diarrhea, bronchitis, asthma, and many others.
The plant was listed in the United States Pharmacopoeia from 1900 to
1920, as well as in the National Formulary from 1926 to 1952. It was
also found under the Extra Pharmacopoeia of Great Britain and the British
Pharmaceutical Codex for its use as a treatment for chronic bronchitis,
cystitis, and for stimulating the urinary tract.
The value of saw palmetto as a treatment for hair loss in particular has been
recognized in modern medical literature as early as 1898. Dr Edwin M. Hale of
Chicago, in his monograph detailing the plant’s history, botany, pharmacology,
and therapeutic applications, listed ‘alopecia’ among various conditions such as
urinary incontinence and respiratory congestion that saw palmetto possesses
medicinal use for. This early recognition of the plant’s potential to combat
hair loss, however, did not immediately translate to intensive study and
research on its aspect as such. This is primarily because the plant was known
more for treating prostate enlargement.
Saw palmetto and Benign Prostatic Hyperplasia
It was a fortuitous coincidence however, that much focus was given to saw
palmetto as a treatment for prostate enlargement, because it led to further
inquiry as to its ability to treat hair loss. The abnormal growth of the
prostate gland due to benign prostatic hyperplasia is caused by an influx of
high amounts of androgens to the gland. The androgen dihydrotestosterone binds
itself to the prostate's cytoplasmic receptors, initiating RNA and DNA
synthesis, inducing a proliferation of proteins which causes inflammation. The
anti-androgenic properties of saw palmetto alleviate the inflammatory effects of
BPH by inhibiting the enzyme 5-alpha-reductase's capacity to transform
testosterone into the more potent DHT.
In addition to those, the plant's extract seems to have an antagonistic
effect on testosterone receptors, compounding its efficacy in dealing with the
condition. Both BPH and androgenetic alopecia are androgen dependent conditions.
Moreover, BPH and AGA share common hormonal pathways, suggesting a connection
between prostate problems and androgenetic hair loss. As such, it is speculated
that saw palmetto’s effectiveness in treating BPH is what gives it its ability
to treat alopecia.
Saw palmetto and Androgenetic alopecia
As in prostate enlargement in benign prostatic hyperplasia,
dihydrotestosterone plays a key role in hair loss due to androgenetic alopecia.
Though DHT is a natural by-product of our body’s growth processes –being a
metabolite involved in our physical development- it also has an undesirable
characteristic of attaching to and accumulating at our hair follicles. It
interrupts our hair's growth processes, shortening the duration of the anagen or
growth phase –resulting in continuously diminishing hair follicles. Each
succeeding growth cycle will cause hair follicles to shrink and the resulting
strands of hair will become finer and finer. Eventually, these will fall out,
and will no longer be replaced, resulting in baldness. Certain individuals with
a genetically predetermined sensitivity to DHT's effects are more susceptible to
AGA.
Saw palmetto extract –particularly the fat-soluble, liposterolic fraction of
its fruit extract-combats hair loss by inhibiting the enzyme 5-alpha-reductase’s
ability to convert testosterone into DHT. It also decreases the uptake of DHT by
hair follicles by blocking its testosterone receptors.
Studies on Saw palmetto and alopecia
Though the number of studies on saw palmetto as a treatment for alopecia is
limited, the findings of these studies are, nonetheless, generally supportive of
the claims of its effectiveness. In 1999, Nelson Prager from the Clinical
Research and Development Network in Colorado and his associates conducted a
test to determine the effectiveness of botanically-derived DHT inhibitors in
treating AGA. Their findings were later published in The Journal of
Alternative and Complementary Medicine three years later. In this
randomized, double-blind, controlled study, a small group of men from 23 to 64
years of age with mild to moderate AGA were given either an active soft gel
capsule containing 200 mg of saw palmetto extract (with a standardized
liposterolic content of 85-95%) and 50 mg of beta-sitosterol, or a placebo
simply containing soybean oil. After a period of about 5 months, it was found
that 60% (6/10) of those who took the active capsule showed improved hair
density, compared to the 11% (1/9) of the placebo group. Furthermore, when the
participants self-assessed the condition of their bald areas, 0% (0/10) in the
treatment group reported that their conditions worsened, while 33% (3/9) of the
placebo group did so.
A number of adverse effects observed were also included in the study.
Complaints of light-headedness, frequent urination, and heightened sensations
were reported by three individuals from the placebo group. From the treatment
group, three subjects reported gastrointestinal distress in the form of appetite
loss, diarrhea, and flatulence; while one subject reported worsened acne. The
latter complaint from the treatment group was ruled out as irrelevant, however;
while the former complaints on gastrointestinal distress were considered to be
either possibly or unlikely related to the treatment.
Despite the small subject population, the study of Prager and his associates
nevertheless showed that an orally administered saw palmetto treatment was
reasonably effective in improving hair quality and in suppressing hair loss due
to androgenetic alopecia. Other studies have also been conducted to
determine the efficacy of topically applied saw palmetto products in combating
hair loss.
In 2004, during the Fourth Intercontinental Meeting of Hair Research
Societies held in Berlin, Germany, a study on the efficacy of saw palmetto
extract in shampoo and lotion bases was presented by C. Fasculo. A subject
population consisting of 28 women and 34 men, with ages ranging from 18 to 48
years of age, made use of the treatment over a period of three months. The
results showed that the treatment accounted for a 35% increase in hair density,
as well as a 67% increase in sebum reduction –suggesting that the
topically-applied saw palmetto treatment can possibly reduce the likelihood of
hair loss due to scalp infections by Demodex mites, as well.
Antonella Tosti also presented a comparative study on topically applied saw
palmetto treatments in 2008, during the 13th Annual Meeting of European Hair
Research Societies –this time, held in Genoa, Italy. The study compared the
effectiveness of a shampoo with a 0.5% concentration of ketoconazole, taurine,
and saw palmetto extract with another containing simply a 1% concentration of
ketoconazole in treating patients with dandruff and seborrhoeic dermatitis. The
former shampoo containing saw palmetto extract was shown to give better results
as compared to the latter, suggesting that it can help prevent hair loss caused
by such conditions.
T. Wilt, together with his associates conducted a test in 2000 to compare the
efficacy of saw palmetto extract in dealing with benign prostatic hyperplasia
with finasteride. It was found that incidences concerning sexual side effects
such as erectile dysfunction, altered libido, and ejaculatory disturbance
resulting from the use of the drug were less prevalent in the use of the
extract, suggesting that saw palmetto extract might be a safer alternative to
conventional medical products. Nevertheless, cases have been reported
–however uncommon they might be- wherein the use of saw palmetto extract
resulted in adverse effects ranging from mild gastrointestinal distress and
muscle pain to reduced sexual performance and bleeding. Such incidents suggest
that further research on saw palmetto ought to be done in order to ascertain its
safety and efficacy.
Is Saw Palmetto Worth Trying?
Given all such benefits and detriments, saw palmetto remains a popular remedy
in combating hair loss, and is available in several different forms, under
several different brand names with varying degrees of efficacy and safety. Some
are available in pill form while others are sold as liquid extracts; some are
ingested orally while others are applied topically; some are marketed as herbal
health supplements, and some are found as an active ingredient in various
natural products.
As with any and all treatments for hair loss, if ever one considers making
use of saw palmetto products for treating hair loss, getting one’s self
well-informed by reading up on related literature, as well as by obtaining
informed opinions about the product from doctors and other reputable sources
before deciding would be advised.
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