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Which nuts are highest in oxalates? A nutritional guide

4 min read

A single ounce of roasted almonds can contain over 120mg of oxalates, making it one of the most concentrated sources among nuts. While nuts are a nutritious dietary staple, those with a history of kidney stones or other related conditions must consider which nuts are highest in oxalates to manage their intake effectively.

Quick Summary

Certain nuts like almonds, Brazil nuts, pine nuts, and cashews are rich in oxalates. People prone to kidney stones should moderate their consumption of these nuts and prioritize lower-oxalate options such as macadamia nuts, walnuts, and pecans.

Key Points

  • Almonds, Brazil nuts, and pine nuts are highest in oxalates: These nuts contain the highest concentrations of oxalates and should be consumed in moderation by those at risk for kidney stones.

  • Macadamia nuts and walnuts are low-oxalate alternatives: For a kidney-friendly option, macadamia nuts and walnuts are excellent choices due to their significantly lower oxalate levels.

  • Oxalates can increase kidney stone risk: For susceptible individuals, excess dietary oxalate can lead to the formation of calcium oxalate kidney stones, so managing intake is important.

  • Boiling or soaking can reduce oxalate content: To decrease the oxalate level in nuts, boiling them and discarding the water is an effective method.

  • Pairing with calcium limits absorption: Consuming high-oxalate nuts with calcium-rich foods helps the calcium bind to oxalates in the gut, reducing absorption into the body.

  • Consult a professional for personalized advice: It is crucial to consult a healthcare provider or dietitian for guidance on managing dietary oxalates, especially with a history of kidney issues.

In This Article

What are Oxalates and Why Do They Matter?

Oxalates, or oxalic acid, are naturally occurring compounds found in many plant-based foods, including fruits, vegetables, and nuts. For most healthy individuals, oxalates are harmless and are simply passed through the body as waste. However, for people susceptible to forming calcium oxalate kidney stones, a high intake of oxalates can be problematic. When excess oxalate is excreted in the urine, it can bind with calcium to form crystals, which can then accumulate to form kidney stones. Managing dietary oxalate intake is crucial for these individuals to help prevent new stone formation.

Highest Oxalate Nuts: A Detailed Overview

When it comes to nuts, the oxalate content can vary significantly. Certain varieties are notably high and should be limited by those on a low-oxalate diet. The most commonly cited nuts with high oxalate levels are:

  • Almonds: Consistently reported as one of the nuts with the highest oxalate content. A 100g serving of roasted almonds can contain nearly 470mg of oxalates. This high concentration also applies to almond butter, flour, and milk, which should be considered when managing intake.
  • Brazil Nuts: These nuts also rank very high in oxalate content. Research indicates Brazil nuts contain over 490mg of soluble oxalate per 100g, a highly bioavailable form.
  • Pine Nuts: Pine nuts have been identified as having some of the highest levels of intestinal soluble oxalate, with one study showing 581mg per 100g.
  • Cashews: While their oxalate content can be moderate to high, a 100g serving of roasted cashews contains around 262mg. Like almonds, consuming large quantities of cashews should be limited on a low-oxalate diet.
  • Hazelnuts: Raw hazelnuts have been measured at 222mg of oxalate per 100g.
  • Peanuts: Although botanically a legume, peanuts are frequently consumed as a nut and have a significant oxalate level. Roasted peanuts can contain around 147mg of gastric soluble oxalate per 100g.

Low-Oxalate Nuts: Kidney-Friendly Choices

Fortunately, not all nuts are high in oxalates. Several varieties can be enjoyed in moderation as part of a balanced diet, even for those needing to watch their oxalate intake. These nuts include:

  • Macadamia Nuts: This is one of the best choices for a low-oxalate diet. Raw macadamia nuts contain approximately 42mg of oxalate per 100g.
  • Walnuts: Containing significantly fewer oxalates than almonds, walnuts are a good option. A 100g serving has about 62mg of oxalate.
  • Pecans: Pecans are another lower-oxalate option, with approximately 64mg per 100g of raw nuts.
  • Pistachios: Roasted pistachios have a low oxalate content, with around 77mg per 100g.

Comparison of Oxalate Levels in Common Nuts

To provide a clear picture, here is a comparison of common nuts and their typical oxalate content per 100g. Note that these values can vary based on growing conditions, processing, and testing methods.

Nut Oxalate Content (mg/100g) Oxalate Category Primary Source
Almonds (Roasted) ~469 High Clinical Nutrition Research
Brazil Nuts ~492-557 High ScienceDirect
Pine Nuts (Raw) ~198-581 High Clinical Nutrition Research, ScienceDirect
Cashews (Roasted) ~262 High Clinical Nutrition Research
Hazelnuts (Raw) ~222 Moderate-High Clinical Nutrition Research
Peanuts (Raw) ~142 Moderate-High Clinical Nutrition Research
Pecans (Raw) ~64 Low Clinical Nutrition Research
Walnuts ~62 Low Dr. Berg
Pistachios (Roasted) ~77 Low ScienceDirect
Macadamia Nuts (Raw) ~42 Low Clinical Nutrition Research

Strategies for Reducing Oxalate Intake from Nuts

If you love nuts but need to limit your oxalate intake, these tips can help reduce the oxalate load from certain varieties:

  • Choose Lower-Oxalate Nuts: The simplest strategy is to focus on low-oxalate nuts like macadamia nuts, walnuts, and pecans.
  • Soaking and Boiling: Soaking and boiling nuts can effectively reduce their soluble oxalate content. The oxalates leach into the water, so it is crucial to discard the liquid afterward. Some studies show soaking can reduce oxalate content by over 40%.
  • Pair with Calcium-Rich Foods: Eating calcium-rich foods alongside high-oxalate foods is a very effective strategy. Calcium binds to oxalate in the gut before it can be absorbed into the bloodstream. This prevents it from reaching the kidneys, where it could form stones. For example, pairing almonds with a serving of yogurt or cheese can help mitigate oxalate absorption.
  • Practice Portion Control: For nuts high in oxalates, limiting portion sizes is a sensible way to manage intake without completely eliminating them from your diet.

Conclusion: Informed Choices for a Balanced Diet

For most people, the oxalate content in nuts is not a concern, and the health benefits of including nuts in the diet far outweigh any potential risks. Nuts provide healthy fats, protein, and essential minerals. However, for individuals with a history of kidney stones or other medical conditions affecting oxalate metabolism, paying attention to which nuts are highest in oxalates is an important aspect of managing their diet. By being mindful of which nuts to moderate and which to prioritize, it is possible to enjoy the nutritional benefits of nuts while minimizing the risk of adverse health effects. Always consult with a healthcare professional or registered dietitian for personalized dietary advice, especially concerning medical conditions like hyperoxaluria.

For more information on dietary management for kidney health, consult resources from trusted organizations like the National Kidney Foundation.

Frequently Asked Questions

No, high-oxalate nuts are not inherently bad for everyone. For most healthy individuals, the oxalate content is not a concern, and the nutritional benefits of nuts are very valuable. Oxalate restriction is primarily necessary for people with a history of calcium oxalate kidney stones or other medical conditions affecting oxalate metabolism.

Yes, processing can affect oxalate content, though not always as significantly as boiling or soaking. Roasting is not as effective as boiling at reducing oxalates. Some studies have found variations in oxalate levels between raw and roasted nuts, and depending on the analysis method, roasted nuts like almonds can show high oxalate concentrations.

Yes, eating nuts (or other high-oxalate foods) with a calcium-rich food like dairy can reduce oxalate absorption. The calcium binds with the oxalate in the intestine, preventing its absorption into the bloodstream and subsequent excretion by the kidneys, thus lowering the risk of kidney stone formation.

Based on available research, macadamia nuts have one of the lowest oxalate contents among commonly consumed nuts, with approximately 42mg per 100g for raw macadamia nuts.

You do not necessarily have to avoid all nuts. Instead of eliminating nuts entirely, it is recommended to focus on moderation and choosing lower-oxalate options like macadamia nuts, walnuts, pecans, and pistachios. Pairing higher-oxalate nuts with calcium-rich foods and drinking plenty of water can also be beneficial.

Yes, nut butters, such as almond butter, will also have a high oxalate content since they are made from high-oxalate nuts. Nut-based milks and flours are also concentrated sources. Reading labels and understanding the base ingredients is key.

Drinking plenty of fluids, especially water, is crucial for managing oxalate levels. High fluid intake helps to dilute the concentration of oxalates and calcium in the urine, which helps prevent crystals and kidney stones from forming.

References

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Medical Disclaimer

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