Nuts are consumed by almost 40% of adult Americans on a given day.1 The broad category of “edible nuts” includes both peanuts and other culinary nuts generally referred to as tree nuts. Peanut, commonly in the form of peanut butter, is the most widely consumed edible nut in the USA. Though commonly referred to as nuts, peanuts are actually legumes, which grow underground and share more biologic properties in common with chickpeas, lentils, and beans than other edible nuts.2 Tree nuts include other culinary “true” nuts such as chestnuts and hazelnuts, as well as multiple botanical nuts not commonly used in cooking, like acorns. Also included in the tree nut category are drupe seeds, which have a fruit surrounding a stone or pit containing the nut or seed. Drupe seeds include almonds, pistachios, cashews, pecans, and walnuts. Brazil nuts, pine nuts, and Macadamia nuts are also classified as tree nuts but are actually also known as nut-like seeds.3 From this point forward, we will refer to tree nuts as an inclusive category of all culinary nuts, excluding peanut.