Saw palmetto extract may decrease the effectiveness of estrogen products by reducing estrogen levels in the body via its antiestrogenic effects.  It can interfere with the use of birth control pills that contain estrogen as an active ingredient. As a result, it is recommended that an additional form of birth control, such as a condom, be used to prevent pregnancy in patients taking birth control pills with saw palmetto extract. In addition, saw palmetto extract can also interfere with hormone replacement therapy by reducing the effectiveness of estrogen pills. The combination of saw palmetto extract with estrogen products should be used with caution. 
Testosterone Propionate Many consider propionate to be the mildest testosterone ester, and the preferred form for the dieting/cutting phases of training. Some will go so far as to say that propionate will harden the physique, while giving the user less water and fat retention than one typically expects to see with a testosterone.
During a typical cycle one will see action that is consistent with a testosterone. Users sensitive to gynecomastia and water retention may therefore need to add an anti-estrogen like Arimidex, Femara or Aromasin. Those particularly troubled by gynecomastia may find that a combination of Nolvadex and Proviron works especially well at preventing/halting this occurrence.