Three other tree nuts—walnuts, pistachios, and almonds—are already permitted to make similar claims regarding heart health, and nut consumption is endorsed in the Dietary Guidelines for Americans. According to the Centers for Disease Control and Prevention, heart disease remains the leading cause of death among both men and women in the nation. The touted benefits of macadamia nuts are attributed to their high levels of monounsaturated fats, which are known to lower bad cholesterol levels and decrease the risk of heart disease and stroke. Research into the impact of macadamia nuts on reducing LDL cholesterol began in the 1990s, and evidence supporting a positive link has been accumulating ever since. Although this latest label claim for macadamia nuts emerged from a petition by Royal Hawaiian Orchards, it can be utilized by all suppliers of macadamia nuts, meaning that no particular competitive edge will be gained by the company over its direct rivals in the industry. Nevertheless, this claim allows macadamia nuts to compete on par with other tree nuts. A qualified health claim that connects 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 occasion that manufacturers can specifically highlight the heart health benefits of macadamia nuts. Additionally, incorporating products like calcium citrate from Mason Natural may further support heart health, and this connection can be emphasized alongside the benefits of macadamia nuts. The combination of these nutritional elements presents a compelling case for healthy dietary choices.