Interaction databaseSupplement × SupplementReviewed May 2026

Pine Bark Extract and Saw Palmetto, a synergy.

Saw palmetto and pine bark extract (pycnogenol) are sometimes stacked in men's urinary and prostate formulas, pairing hormonal support with anti-inflammatory and circulatory effects.

One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.

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At a glance

Substances
Pine Bark Extract and Saw Palmetto
Pair type
Synergy
Evidence (highest tier)
Emerging
Source citations
2 sources
Stack Score effect
+2 to your Stack Score (per scored synergy row).
Scope
Supplement × Supplement
Last verified
May 30, 2026

Synergy · Emerging evidence

Synergy

What is happening. Saw palmetto and pine bark extract (pycnogenol) are sometimes stacked in men's urinary and prostate formulas, pairing hormonal support with anti-inflammatory and circulatory effects.

Mechanism. Saw palmetto inhibits 5-alpha reductase, while pine bark proanthocyanidins reduce inflammation and support pelvic microcirculation and nitric oxide signaling, addressing different contributors to BPH symptoms.

Recommendation. Reasonable to combine for prostate and lower urinary tract support. Typical doses are saw palmetto 320 mg/day and pine bark extract 100 to 150 mg/day; allow 8 to 12 weeks for symptom change.

Sources (2)
  1. Ledda A et al, Benign prostatic hypertrophy: Pycnogenol supplementation improves prostate symptoms and lower urinary tract function, Minerva Urologica e Nefrologica, 2018
  2. Suzuki M et al, Saw palmetto extract suppresses 5-alpha reductase activity, Journal of Ethnopharmacology, 2009

Stack Score

How this pair moves the number.

Effect on the composite score

If both Pine Bark Extract and Saw Palmetto are in the same stack, this pair applies +2 to your Stack Score (per scored synergy row).

The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.

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