Quercetin vs Saw Palmetto (Serenoa repens)

Mechanism

Quercetin is a flavonoid that inhibits mast cell degranulation and histamine release, functions as a potent senolytic (selectively clearing senescent cells) when combined with dasatinib or fisetin, and activates AMPK and SIRT1 pathways. It inhibits PI3K/Akt/mTOR signaling, suppresses NF-kB, and modulates JAK-STAT inflammatory cascades. As a zinc ionophore, it facilitates zinc entry into cells, which may inhibit viral RNA-dependent RNA polymerase.

Standard Dosing

500-1000mg daily

Timing

With meals for absorption. For senolytic effect: 3-day pulse monthly on empty stomach.

Cycle Duration

ongoing for general use; pulsed monthly for senolytic protocols

Side Effects

• Headache
• Mild GI upset
• Tingling extremities at high doses
• Rare: kidney toxicity at very high doses

Contraindications

• Pregnancy/lactation at high doses
• Concurrent cyclosporine therapy

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Mechanism

Saw palmetto berry extract contains fatty acids (lauric acid, oleic acid, myristic acid) and phytosterols (beta-sitosterol) that inhibit both isoforms of 5-alpha-reductase (types I and II), reducing conversion of testosterone to dihydrotestosterone (DHT). It also exhibits anti-androgenic activity by competing with DHT at androgen receptor binding sites. Additional mechanisms include: inhibition of cyclooxygenase and 5-lipoxygenase (anti-inflammatory in prostate tissue), induction of apoptosis in prostate epithelial cells, and relaxation of bladder smooth muscle via alpha-1 adrenergic receptor antagonism.

Standard Dosing

320mg daily (standardized to 85-95% fatty acids and sterols)

Timing

With food (fat-soluble lipophilic extract). Morning or evening.

Cycle Duration

Minimum 3 months to assess response; ongoing for maintenance

Side Effects

• Mild GI discomfort
• Headache
• Dizziness
• Rare: erectile dysfunction (DHT reduction)
• Rare: liver injury (case reports)

Contraindications

• Pregnancy (anti-androgenic — teratogenic potential for male fetus)
• Hormone-sensitive conditions (complex hormone modulation)
• Children

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