Saw palmetto extract is a popular supplement in the United States and Europe, often taken in the hopes of promoting prostate and urinary tract health. The extract is derived from the fruit (druse) of Serenoa repens, also known as the dwarf palm or cabbage palm, which is native to the Atlantic and Gulf coast states. The small palm plant grows along sandy shores or in thickets in pine woods. The fruit was used as a food source by Native American tribes in the region, but was also provided as a traditional therapy for urinary and reproductive maladies by the Creek, Choctaw, Mikasuki, Timucua and other tribes. In addition, the Seminoles used it as an antiseptic and the Mayans drank the juice of the fruit as a tonic.