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What nuts have the highest oxalates?

5 min read

Over 85% of kidney stones are calcium oxalate stones. If you are concerned about oxalate intake due to kidney health, knowing which nuts have the highest oxalates is crucial for making informed dietary choices. This guide breaks down the oxalate content of common nuts to help you choose wisely.

Quick Summary

This article details which nuts contain the most oxalates, with almonds and pine nuts among the highest. It discusses the health implications of high oxalate intake, particularly for kidney stone formation, and provides strategies like soaking, boiling, and portion control to reduce oxalate consumption effectively.

Key Points

  • Highest Oxalate Nuts: Almonds consistently show the highest oxalate content, with pine nuts and cashews also ranking high.

  • Oxalate and Kidney Stones: High oxalate intake can contribute to the formation of calcium oxalate kidney stones, especially in susceptible individuals.

  • Lower Oxalate Options: Macadamia nuts, pecans, and walnuts are significantly lower in oxalates and are safer alternatives for those managing their intake.

  • Reduce Oxalates Through Preparation: Soaking and boiling nuts can help reduce their soluble oxalate content by leaching the compounds into the water.

  • Pair with Calcium: Eating high-oxalate nuts with calcium-rich foods can reduce oxalate absorption in the gut.

  • Moderation is Key: Portion control is a simple but effective strategy for managing oxalate intake from high-oxalate nuts.

  • Nutrient Absorption: High oxalate levels can bind with and reduce the absorption of essential minerals like calcium and magnesium.

In This Article

Understanding Oxalates in Nuts

Oxalates, or oxalic acid, are naturally occurring compounds found in many plants, including nuts. When absorbed by the body, oxalates can bind with minerals like calcium to form crystals. For most people, this process is harmless. However, for individuals with a history of kidney stones or other related health conditions, high oxalate intake can pose a risk by contributing to the formation of calcium oxalate stones.

The soluble oxalate content is particularly relevant, as this is the fraction most easily absorbed by the body. It's important to remember that oxalate content can vary depending on factors like growing conditions, preparation, and serving size. Below is a breakdown of common nuts and their relative oxalate levels.

Nuts with the Highest Oxalate Content

While many nuts are packed with healthy fats, vitamins, and minerals, some carry a significantly higher oxalate load than others. Individuals on a low-oxalate diet should pay particular attention to these varieties.

Almonds

Almonds are consistently cited as one of the nuts with the highest oxalate content. Studies indicate that a 3.5-ounce (100g) serving of almonds can contain up to 369 mg of oxalate. This places them in the very high category, and excessive consumption has been linked to health issues, including oxalate nephropathy in some cases.

Pine Nuts

Pine nuts, with their buttery texture and rich flavor, are another high-oxalate nut. Research shows that pine nuts can have a high level of soluble oxalate. A 3.5-ounce (100g) serving can contain approximately 185 mg of oxalates.

Cashews

Despite being a popular and nutritious snack, cashews also have a high oxalate content. A 3.5-ounce (100g) serving of cashews can contain around 249 mg of oxalates. It's especially important to be mindful of portion sizes with cashews, as large quantities can lead to a significant intake of oxalates, as demonstrated in a case study of a woman who developed kidney injury from excessive cashew consumption.

Hazelnuts

Hazelnuts are another nut to watch out for if you're managing your oxalate intake. They contain a notable amount of oxalates, with raw hazelnuts holding around 181-222 mg per 3.5-ounce (100g) serving, according to different studies.

High-Oxalate Nuts vs. Low-Oxalate Nuts Comparison

For those needing to monitor their oxalate intake, choosing lower-oxalate options can be a smart strategy. The table below compares the approximate oxalate content of high-oxalate nuts with some of their lower-oxalate counterparts.

Nut Type Approx. Oxalate Content (mg per 3.5 oz / 100g) Oxalate Level Key Characteristics
Almonds ~369 Very High Rich in vitamin E, magnesium, and fiber.
Cashews ~249 High Good source of copper and iron.
Pine Nuts ~185 High High in monounsaturated fats.
Hazelnuts ~181 High Packed with healthy fats and vitamin E.
Walnuts ~62 Low High in omega-3 fatty acids.
Pecans ~4-64 Low Good source of healthy fats and manganese.
Macadamia Nuts ~42 Very Low Rich in monounsaturated fats.

Strategies for Minimizing Oxalate Impact

Even with high-oxalate nuts, moderation and preparation can make a difference in your total oxalate load. Here are some strategies to consider:

  • Soaking: Soaking nuts in water for several hours can help reduce their soluble oxalate content. It's crucial to discard the soaking water afterwards to remove the leached oxalates.
  • Boiling: Boiling is an effective method for reducing oxalate levels in foods, including nuts. Similar to soaking, the key is to throw away the boiling water.
  • Pairing with Calcium: Consuming high-oxalate nuts alongside calcium-rich foods can help minimize absorption. Calcium binds to oxalates in the gut, preventing them from being absorbed into the bloodstream. Try pairing almonds with yogurt or a small amount of cheese.
  • Portion Control: Simply limiting your portion size of high-oxalate nuts is one of the most effective strategies. Instead of a large handful, stick to a small, controlled amount.

Conclusion

Understanding which nuts have the highest oxalates, particularly almonds, cashews, and pine nuts, is essential for those managing their intake. While these nuts offer significant nutritional benefits, moderation and mindful consumption are key to mitigating potential health risks, especially kidney stone formation. By utilizing strategies such as soaking, boiling, and pairing with calcium-rich foods, you can continue to enjoy nuts as part of a balanced diet while staying within safe oxalate limits. Always consult with a healthcare professional or registered dietitian for personalized advice, particularly if you have a history of kidney stones or other medical conditions. Remember that a varied diet, not reliant on any single high-oxalate food, is often the healthiest approach.

For more in-depth information on managing your oxalate intake for kidney health, refer to the Kidney Stone Diet website.

Potential Health Risks of High Oxalate Intake

Beyond kidney stones, excessive oxalate intake may pose other health risks for some individuals, though more research is ongoing. High oxalate levels can interfere with the absorption of essential minerals like calcium and magnesium, which can impact bone health over the long term. In rare cases, the accumulation of oxalates throughout the body can lead to a condition called oxalosis, which can affect organs like the kidneys and bones. Digestive issues, such as cramping and bloating, have also been reported by some individuals sensitive to oxalates. By being aware of the oxalate content in nuts and other foods, you can better manage your intake and minimize these risks.

Oxalate Content Variations

It's worth noting that the listed oxalate content is approximate and can vary due to several factors. The soil composition where the nuts were grown, the species of the tree, and the processing methods (e.g., roasting vs. raw) can all influence the final oxalate levels. For example, studies have shown that roasted nuts can have a different oxalate content compared to their raw counterparts. Moreover, the form of oxalate, whether soluble or insoluble, also plays a role in how much is absorbed by the body. Soluble oxalates are more readily absorbed, while insoluble oxalates, bound to minerals, pass through the digestive system more easily.

The Role of Gut Bacteria

Interestingly, the gut microbiome plays a role in breaking down oxalates. A specific type of bacteria, Oxalobacter formigenes, consumes oxalates in the gut, which helps to reduce the amount absorbed by the body. Individuals with a lower population of these beneficial bacteria may be more susceptible to the effects of high-oxalate foods. Factors such as antibiotic use and diet can influence the health and diversity of these gut bacteria. Maintaining a balanced and varied diet rich in fiber can help support a healthy gut microbiome.

Navigating a Low-Oxalate Diet

If you need to follow a low-oxalate diet, it's not about avoiding all nuts entirely but rather making smart substitutions and modifications. Opt for lower-oxalate nuts like macadamias, pecans, and walnuts, and keep portion sizes in check. For high-oxalate nuts like almonds, consider using them sparingly as an ingredient rather than as a primary snack. Additionally, remember that overall dietary patterns, not just individual foods, are most important for managing oxalate intake. A balanced diet with adequate calcium from various sources is your best defense against potential issues related to oxalates.

The Bottom Line

While almonds, cashews, and pine nuts have the highest oxalate levels among common nuts, they can still be part of a healthy diet in moderation for most people. For those susceptible to kidney stones or other oxalate-related issues, using preparation methods like soaking and boiling, controlling portion sizes, and pairing with calcium are effective strategies. Prioritizing lower-oxalate nuts like macadamias and walnuts can also help reduce your overall oxalate load. Consulting a healthcare professional is recommended for a personalized dietary plan.

Frequently Asked Questions

Among commonly consumed nuts, almonds have the highest oxalate content, with estimates suggesting around 369 mg per 3.5 ounces (100g).

Yes, for individuals prone to forming calcium oxalate kidney stones, a diet high in oxalates from foods like certain nuts can increase their risk.

No, there is a wide range of oxalate content in nuts. Macadamia nuts, pecans, and walnuts are examples of nuts that are lower in oxalates.

Yes, soaking nuts in water for several hours can help to reduce their soluble oxalate levels. It is important to discard the soaking water afterwards.

For most people, high-oxalate foods are not an issue in moderation. However, individuals at risk for kidney stones should limit their total daily oxalate intake to under 100 mg. Portion control and consultation with a healthcare provider are recommended.

Calcium binds to oxalates in the digestive tract, forming an insoluble compound that is less likely to be absorbed and more likely to be excreted from the body.

Processing methods like roasting can alter the oxalate content of nuts, though the specific effect can vary. Some studies show different oxalate levels for raw vs. roasted nuts.

Most people do not need to avoid high-oxalate nuts completely. Moderation and a balanced diet are key. If you are at high risk for kidney stones, a healthcare professional may advise more stringent limitations.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.