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Guidelines for Managing Food Allergies: Tree Nut Allergies



Authors as Published

Joell Eifert, Extension Specialist, Food Science and Technology, Virginia Tech; Abigail Villalba, Extension Specialist, Virginia Seafood Agricultural Research and Extension Center

Remember to ALWAYS read food labels carefully and watch for hidden allergens. Hidden allergens are ingredients derived from or containing major food allergens with common names that may be unfamiliar to consumers. Foods or ingredients to AVOID if allergic to tree nuts: (This is not an exhaustive list.)


Artificial nuts 

Brazil nut 





Chinquapin nut 



Gianduja (a chocolate-nut mixture)

Ginkgo nut 

Hickory nut

Litchi/lichee/Lychee nut 

Macadamia nut 

Marzipan/almond paste 

Nangai nut

Natural nut extract (e.g., almond, walnut)

Nut butters (e.g., cashew Nut meal, almond)

Nut meat 

Nut paste (e.g., almond paste)

Nut pieces 



Pili nut

Pine nut (also referred to as Indian, pignoli, pigñolia, pignon, piñon, and pinyon nut)



Shea nut 


May also contain tree nuts:

Black walnut hull extract (flavoring)

Natural nut extract

Nut distillates/alcoholic extracts

Nut oils (e.g., walnut oil, almond oil)

Walnut hull extract (flavoring)

Alternative food sources that provide important nutrients if avoiding tree nuts:

Protein: meats, poultry, fish, dairy products, beans, and legumes

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Publication Date

February 3, 2021