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Saw palmetto is most commonly used to treat an enlarged prostate. The prostate gland is a walnut-sized gland that is part of the male reproductive system. It is located between the urethra and the bladder. As a man ages, the prostate grows—but sometimes it can grow too big and put pressure on the bladder. This causes symptoms like frequent urination, trouble starting a urine stream, weak urine stream, or inability to empty the bladder. It works by slowing the production of the enzyme 5-alpha reductase which converts testosterone into another hormone that can cause an enlarged prostate.

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