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Among saw palmettos benefits are supporting healthy testosterone levels, urinary function, sexual function, hair health and promoting a decrease in various prostate-related concerns. How does saw palmetto work? The key to saw palmetto's benefits lies in its ability to support the inhibition of an enzyme known as 5-alpha reductase, which is responsible for converting testosterone to DHT. In doing so, saw palmetto supports healthy testosterone levels, which in turn leads to many wellness benefits within the male body. 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