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But be careful, treatment with saw palmetto only relieves the symptoms, additional medical care is still necessary. Keto XP Reviews - Saw palmetto is also very well tolerated and has hardly any side effects. Appearance and origin of Saw Palmetto The saw palmetto (Serenoa repens) rarely gets higher than 1-2 meters and belongs to the palm family (Palmae). It spreads like a bush over its creeping sprout (rhizome). The palm fronds are large, fan-shaped, sawn at the edge and colored gray-green. The long petioles are trimmed with teeth. In the dense, bulb-like inflorescences, egg-shaped, approximately 3 cm large, lonely berry fruits develop, which turn black when ripe. The dwarf palm prefers barren sandy soils and a dry and hot climate. The saw palmetto is native to the coastal regions of the southern United States.