NOW Saw Palmetto Extract With Pygeum - 1 Week In

Welcome to our community. Please fill in the following template as a way of introducing yourself, and helping others to understand your background and situation.

Where are you from (country)? USA

How did you find this forum (Google search – if so, what search terms? Via link from a forum or website – if so, what page? Other?) Google

What is your current age, height, weight? 6’2” 173 Pounds

What specific drug did you use (finasteride, dutasteride, saw palmetto, isotretinoin/Accutane, fluoxetine, sertraline, citalopram, leuprorelin, etc…)? NOW Saw Palmetto Extract With Pygeum and Pumpkin Seed Oil

What dose did you take (eg. 1 mg/day, 1 mg every other day etc.)? Morning and night last Saturday and Sunday morning (recommended dosages)

What condition was being treated with the drug? Hair loss

For how long did you take the drug (weeks/months/years)? 1.5 days

How old were you, and WHEN (date) did you start the drug? 28

How old were you when you quit, and WHEN (date) did you quit? 28

How did you quit (cold turkey or taper off)? Cold turkey

How long into your usage did you notice the onset of side effects? Saturday night

What side effects did you experience that have yet to resolve since discontinuation? Penis shrinkage, penis wrinkles, impotence, panic attacks, muscle shaking, muscle weakness, very low temperature, palms and feet always sweating, hard to workout and hard to sweat when working out, skin taking long time to heal, absorbs lotion and sunscreen instantly, scared, but able to think and speak clearly, feel emotionally distant at times though and not laughing as much as I used to

Check the boxes that apply. You can save your post first, then interactively check/uncheck the boxes by clicking on them. If your symptoms change, please update your list.

X Loss of Libido / Sex Drive
X Erectile Dysfunction
X Complete Impotence
X Loss of Morning Erections
X Loss of Spontaneous Erections
X Loss of Nocturnal Erections
Watery Ejaculate
Reduced Ejaculate
Inability or Difficulty to Ejaculate / Orgasm
Reduced Sperm Count / Motility

X Emotional Blunting / Emotionally Flat
Difficulty Focusing / Concentrating
X Memory Loss / Forgetfulness
X Stumbling over Words / Losing Train of Thought
Slurring of Speech
Lack of Motivation / Feeling Passive / Complacency
X Extreme Anxiety / Panic Attacks
Severe Depression / Melancholy
Suicidal Thoughts

X Penile Tissue Changes (narrowing, shrinkage, wrinkled)
Maybe a little, hard to tell Penis curvature / rotation on axis
X Testicular Pain
Testicular Shrinkage / Loss of Fullness
X Genital numbness / sensitivity decrease
X Weight Gain
Gynecomastia (male breasts)
Muscle Wastage
X Muscle Weakness
X Joint Pain
Dry / Dark Circles under eyes

X Prostate pain (being treated by Urologist with Doxycycline Mono 100 MG (seems to be working)
X Persistent Fatigue / Exhaustion
X Stomach Pains / Digestion Problems
Constipation / “Poo Pellets”
Vision - Acuity Decrease / Blurriness
Tinnitus (ringing or high pitched sound in ears)
Hearing loss
Increased hair loss
Frequent urination
X Lowered body temperature

X Other Skin is very odd, feels like it’s tightening and always somewhat moist. Heart palpitations for a few days, now seem to be gone. Couldn’t sleep at all for a few days. Getting 4-6 hours now. Some days feel good like nothing happened (with the exception of penis stuff), other days depressed and worried. Don’t know if nervous, tired, or what but sometimes have trouble with balance and keeping hands still.

What (if any) treatments have you undertaken to recover from your side effects since discontinuation of the drug? Saw general doctor, dermatologist, and urologist. Was offered Klonopin and Xanax for nerves. I declined. Took the aforementioned Doxycycline Mono for prostate pain. Discontinued all hair loss products and all supplements, even vitamins. Just eat organic green vegetables, whey protein shakes and salmon.

If you have pre or post-drug blood tests, what hormonal changes have you encountered since discontinuing the drug (please post your test results in the “Blood Tests” section and link to them in your post)? I actually had a physical in March and will be using that as a baseline. Just took hormonal blood tests yesterday with my GP. Waiting on results. Asked to see Endocrinologist.

Anything not listed in the above questions you’d like to share about your experience? Initially Saturday night felt popping pain in testicles and lots of stomach grumbling. Sunday morning stopped, so took one more dose. Stomach pain came back, so quit cold turkey. Monday and Tuesday had penis shrinkage, wrinkles, and no sensation there, but just assumed that normal. Got worried on Wednesday and saw doctor. Found small varicocle on left testicle and cyst. Might have already been there. Not sure. First few days lot of pain in pelvic region and lower back. Since starting antibiotic, that has gone away.

Tell us your story, in your own words, about your usage and side effects experienced while on/off the drug. Not much else to say here. Just trying to remain positive and healthy. It’s depressing and very hard to be hit with all at once. Hoping if I work hard and eat right, I’ll be in the 3 month beat it category. Any advice or thoughts would be greatly appreciated. Thank you.

Quick Update:

Heart palpitations are gone
Panic attacks are mostly gone
No more shaking or trembling
Blood Pressure Lowered
Temperature Higher (Usually at least 98 now)
Brain fog is mostly gone
Testicular pain gone
Emotional blunting has slightly improved, a few belly laughs

Sudden Diffuse Hair Loss On Scalp
Skin Incredibly Drier, no razor burn anymore, no acne (using lotions and extra sunscreen)
Now have minor Tinnitus
Palms and feet still usually sweaty
Still no deep sleep, although able to rest a little easier than before
Stomach still acting odd
Still have joint noises and muscle weakness
No ED improvements

Based on what I’m sharing, what do you guys think? Is the fact that everything is so sudden a good sign? Do people truly spontaneously recover after 2-3 months? My symptoms started 10 days ago. Hopefully will get blood test results today. Any advice or thoughts would be greatly appreciated.

Yea man you will mostly likely recover within a few months imo. Just relax and dont take anything else for now.


Thank you for saying that, Koranolio. It’s very encouraging. Had a few steps back recently, but I understand it’s a zig zag recovery.

Brain fog seems to come and go. Hearing is very sensitive, hard to hear conversations sometimes, but can hear noises far away. Very odd. Hard to sweat when working out, but palms and feet always sweaty. Skin getting stretch marks where it didn’t used to before. Still incredibly dry skin overall. Some lower back pain, hard to run (legs will start to hurt), and a little trouble with fine motor skills. Can’t really get solid sleep, seems to be in 1/2 hour to hour increments, wake up, go back to sleep.

Doing my best to remain calm and ride it out.
Hormone blood test came back normal. Was told all good. Still waiting on free testosterone test though.

Should I wait it out without seeing an Endocrinologist and/or Neurologist?

Have people been hit this much early on to have it repair itself quickly? Just curious. Thank you again.

Imo you wouldn’t benefit from seeing a neurologist/endocrinologist for the time being atleast. They won’t be able to do much anyway, and would need to believe you in the first place.

Yes people have been hit like that from only a few pills. The majority of them recover within a few months.


Thank you again for your quick and kind response, Koranolio. A combination of your kind words and how I feel today have me very optimistic.

My Tinnitus has reduced by about 50%. I woke up with my first morning erection in two weeks. Admittedly, wasn’t my best and didn’t last long, but it did indeed happen. I would also say my brain is about 75% normal. Not having as much difficultly as before and my “internal voice” appears to be back.

Skin still very dry, but seeing what looks like the return of a little acne, which makes me happy (never thought I’d say that!) Stretch marks and skin indentations still happening, but they disappear or reduce quickly.

I actually got a full night of uninterrupted sleep last night too. That and my palms and feet are sweating a lot less.

Anyway, that’s it for now. Will focus on getting better and will visit again once some time has passed.

Many many thanks to YOU again, Koranolio! Take care.


I know you’re struggling right now. It’s likely you have minor/moderate anxiety attacks from time to time due to the constant worry burned into your head, but to let you know, most of my symptoms after my crash 4 weeks ago have mostly gone away. I’m only suffering from genital numbness and minor tissue damage right now, but I’m still carrying on hope because how far I went from my baseline to nearly a month later. Some of my initial symptoms post-crash were:

  • Loss of morning, nocturnal, spontaneous erections
  • Huge reduction in libido
  • Erectile dysfunction
  • Heart palpitations
  • Minor brain fog and fatigue
  • Severe anxiety/depression

My erections have improved significantly and my libido has returned to pre-finasteride state more or less (I get horny everyday even after fapping the day before). I would think I’m one of the lucky ones with just genital numbness, but I also believe that most people tend to recover within a few months as Koranolio mentioned. Just don’t take any supplements or do anything drastic for right now. Your body is trying to fix itself and you providing a lot of different nutrients/hormones into the system would just make it overwhelmed. It’s also possible your erectile dysfunction is partially due to the constant worrying. I think if you try to keep your mind off of this and refrain from visiting this site (maybe visit every once per 4 days), your physical and psychological symptoms will improve at a faster pace as you’re putting less cortisol into your system due to stress.

I’m not downplaying your symptoms. Not at all. I know the struggle you’re going through because I’m still in my early phase as well. I’ve been worrying constantly that my numbness may be permanent, but I also can’t tell what’s happening in my body right now. Some people have told me their symptoms spontaneously resolved overnight after many months of suffering, others have not completely recovered but improved far beyond what was their baseline. The human body is very much so like the cryptocurrency market, you never know what will happen… so it’s best to minimize stress and think positive to give your body a fighting chance.

I took 7 doses of topical Finasteride at 0.5 mg (systemic absorption was basically 0.05 mg per application). We both are short-term users just for perspective.

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Thank YOU very much for the reply, Bruce! You’re absolutely right, its all very unpredictable. Out of curiosity, did you ever experience any penis shrinkage, wrinkles, or axis rotation? Not much pain down there, but my testicles are constantly moving and everything just looks and feels weird. Constantly shriveled up, very rarely full of blood, but it does happen. I must say mentally, I’m doing better. However, like you said, its tough due to the stress of the situation. Definitely no more shaking or crazy blood pressure. Unfortunately, my skin seems to be getting dryer and I keep seeing white flakes (all over, face and body). What’s odd is that as my skin gets worse, my stomach/back aches seem to improve. Much less gastric distress. Just trying to focus on life and keep moving forward. Not much else we can do besides avoiding the site for a bit (which I will do, just wanted to give you a reply). I wish YOU nothing but the best and a speedy recovery. Thank YOU again for taking the time to write your note.

P.S. I’m a little over two weeks in. All started April 3rd.

Any update ?
By d way how much mgs u took saw palmetto ?

I’m glad you’re doing better mentally! I also had a period of relief from anxiety/depression, but it tends to creep up at weird times. Just find ways to manage it. Talking to someone about your problem makes you realize how much anxiety does the talking; getting that pain out will make you think more reasonably.

Out of curiosity, did you ever experience any penis shrinkage, wrinkles, or axis rotation?

No, I haven’t had those problems. I think penile shrinkage is largely due to not having the erections from what I can understand. I’d advise speaking to your doctor; I know some doctors allow you to message them for non-urgent questions – if not maybe have another checkup in a few weeks.

Honestly, the best you can do right now is to be patient. I also struggle HEAVILY on this part, but doing anything rash and not staying positive are incredibly counterintuitive. Having a good mindset, remaining calm, and thinking happy/positive allow your body to maximize performance (it’s a proven science). If anything, it would give yourself a better chance and could potentially improve recovery time.