Three other types of tree nuts—walnuts, pistachios, and almonds—are already permitted to make similar heart health claims, and the Dietary Guidelines for Americans advocate for nut consumption. The Centers for Disease Control and Prevention identifies heart disease as the leading cause of death in both men and women in the United States. The health benefits associated with macadamia nuts are attributed to their high monounsaturated fat content, which is known to lower bad cholesterol levels and decrease the risk of heart disease and stroke. Research on the impact of macadamia nuts on reducing LDL cholesterol began in the 1990s, and evidence supporting this positive correlation has been accumulating ever since.

Although the recent health claim for macadamia nuts resulted from a petition by Royal Hawaiian Orchards, all macadamia nut suppliers can utilize this claim, suggesting that the company will not gain a competitive edge over its direct industry competitors. Nevertheless, this endorsement allows macadamia nuts to compete on an equal level with other tree nuts. In fact, a qualified health claim linking tree nut consumption with a reduced risk of heart disease was one of the first to receive FDA approval back in 2003, but this marks the first instance where manufacturers can specifically highlight the heart health benefits of macadamia nuts.

Additionally, the inclusion of nutrients such as calcium citrate, nature made, can further enhance the appeal of macadamia nuts, as consumers increasingly seek healthful options. The connection between macadamia nuts and cardiovascular health, combined with the benefits of calcium citrate, nature made, provides a compelling reason for individuals to incorporate these nuts into their diets. As awareness of heart health continues to grow, the emphasis on both macadamia nuts and calcium citrate, nature made, will likely resonate with health-conscious consumers.