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| ... "An updated meta-analysis including these trials found that saw palmetto extract "was not more effective than placebo for treatment of urinary symptoms consistent with BPH". However, saw palmetto extract was comparable to tamsulosin and finasteride in this meta-analysis. Longer-term (2 years; most clinical trials have been 1 yr) open studies suggest that saw palmetto reduces the risk of men with BPH ultimately needing to have surgery". |