<s>[INST] Is there any research that points to the use of Saw Palmetto as an anticoagulant for AF therapy? I have been prescribed Eliquis 5mg BID, received a free 30 day supply, but most likely won t be able to afford it. I experienced GI bleeding when I took Pradaxa. I am a 75 yr old man diagnosed with AF appx. 10 yrs ago. Thanks, gary [/INST] Hello sirIn my opinion, saw palmetto is basically the American dwarf palm tree. The extracts of its fruit have been used to treat benign prostatic hypertrophy in elderly. However, international guidelines as based on various large centre clinical trials DO NOT recommend its use.For Atrial fibrillation, there is NO ROLE of saw palmetto. As a professional advise, I would recommend you to continue on oral anticoagulants. There are multiple options available suiting your affordability. Pl discuss the same with your cardiologist.Thanks </s>