Tree Nut Allergies

Nut allergies are a significant problem in the United States and around the world, which is why regulatory agencies in many countries require the proper labeling and safety requirements preventing cross-contact to be followed. Tree nuts include:

AlmondsChestnutsNangai nuts
BeechnutsGinko nutsPecans
Brazil nutsHazelnuts (Filberts)Pine nuts
Bush nutsHickory nutsPistachios
ButternutsLichee nutsShea nuts
CashewsMacadamia nutsWalnuts

Note that peanuts are not considered a tree nut. Also, while the FDA lists coconuts as a type of tree nut, coconuts are actually a fruit, and coconut allergies are rare and unrelated to tree nut allergies.

Following these guidelines can help with preventing an allergic reaction to tree nuts.

Tree Nut Allergies Guidelines

  • 1 People who are allergic to one tree nut are likely allergic to other types as well.
  • 2 Tree nut proteins are found in many products, including sauces (pesto, BBQ sauce, etc.), cookies, candies, chocolates, granola and energy bars, flavored coffee, and more.
  • 3 Many nut oils used for cooking are made from tree nuts.
  • 4 Some alcoholic beverages may contain nut flavoring and should be avoided.
  • 5 Alternatives to tree nuts include seeds (sunflower seeds, pumpkin seeds, etc.), beans (especially chickpeas), and pretzels.
  • 6 Read product labels every time you shop as ingredients and “may also contain” lists can change.

Tree Nut Allergies Checklist

  • Understand what nuts are considered tree nuts.
  • Check ingredient and “may also contain” lists for tree nuts.
  • Avoid cooking with oils and other products made of tree nuts.
  • Always carry an epinephrine auto-injector to counteract unintentional exposure to tree nuts.