Editor’s Note: Each month, HerbalEGram highlights a conventional food and
briefly explores its history, traditional uses, nutritional profile, and modern
medicinal research. We also feature a nutritious recipe for an easy-to-prepare
dish with each article to encourage readers to experience the extensive
benefits of these whole foods. With this series, we hope our readers will gain
a new appreciation for the foods they see at the supermarket and frequently
include in their diets.
We would like to acknowledge ABC Chief
Science Officer Stefan Gafner, PhD, for his contributions to this project.
By Jenny
Pereza and Hannah Baumanb
a ABC Education
Coordinator
b HerbalGram Associate Editor
Overview
The
genus Corylus consists of
approximately 15 species of deciduous nut-bearing shrubs and trees in the birch
family (Betulaceae).1 Hazelnuts are acquired from C. avellana (common hazel), which is
indigenous to Europe and western Asia, and C.
cornuta (beaked hazel), which is native to the North American continent.
Filberts are acquired from C. maxima
(filbert tree), which is native to southeastern Europe.1,2 The
filbert tree grows to a height of 30 feet, while hazelnut species have a
shrub-like growth habit and reach a height of 10 feet.1,2
Corylus species have leaves that are
alternate, serrate, obovate, and hairy. Hazel trees are monecious; the slender,
greenish-yellow male catkins and smaller red-centered clusters of female
flowers appear on the same tree in late winter.1,2 The immature
clusters ripen in late summer when their fuzzy outer husks begin to open and the
hard, glossy hazelnut seeds fall to the ground.2 The nut is oblong
in shape, 1-4 cm (0.5 to 1.5 inches) long, and matures inside a partially or
fully closed husk or involucre.1,3 While sharing the same buttery
sweet flavor, filberts are slightly larger than hazelnuts and have a fringed
husk.2
Historical and Commercial Uses
Native
to northern temperate climates, hazels were some of the first shrubby trees to
migrate north over Europe after the last Ice Age.1,4 Evidence from
peat layers dated to 75000-5500 BCE indicate that hazel pollen grains
outnumbered those of any other tree during that time period.4
Charred hazelnut shells were discovered in Mesolithic and Neolithic sites in
northern Europe, which indicates that the nut was part of the residents’ diet. The
filbert has been consumed in China for more than 5,000 years and was wild
harvested by ancient Romans as food.2
The
hazel tree has a rich mythological history and was thought to possess mystical
powers.2,4 The Roman god Mercury carried a winged wand made from
hazel branches.4 Further, hazel was considered the wood of choice
for divining rods, which were used to detect underground mineral ores.2,4
For the Celts in sixth-century Britain, the hazel tree was considered a tree of
knowledge and a potently protective plant.4 Hazel twigs were brought
inside for protection against evil spirits on Midsummer’s Eve when the barrier
between the natural and supernatural worlds was considered to be most fragile. Hazelnuts
have also long been a symbol of fertility and were part of marriage feasts and
celebrations.2
The
common name “filbert” is derived from St. Philibert, a French abbot who died in
684. August 20, the saint’s feast day, coincides with the time when hazelnuts
begin to ripen.4 In 1942, the American committee on horticultural
nomenclature used the name “filbert” when referring to nuts from trees in the
genus Corylus. However, “hazelnut” is
the name used internationally.
Hazelnut
species are valuable as hedgerow and ornamental plants, with their dangling
catkins announcing the arrival of spring and decorative autumn foliage as
winter approaches.1 Corylus
species are deep rooted and prefer well-drained soil and full sun for optimal
nut production. Ideal climates are those that offer mild winters, warm springs,
cool summers, and a nearby body of water to moderate temperatures.4
Hazelnuts
are wild-harvested or cultivated commercially in temperate countries including
Spain, France, Italy, and Turkey.3 Hazelnuts are the seventh leading
nut crop globally, with an average annual production of 475,000 tons.2,5
Harvesting occurs in autumn, and the hazelnuts are either sold fresh, with
their husks intact, or dried.3 In Turkey, where hazelnuts have been
cultivated for more than 2,500 years, annual production ranges from 350,000-600,000
tons, which accounts for approximately 70% of global commercial hazelnut
production.2 According to the 2016 Food and Agriculture Organization
statistics, Turkey is the largest producer of hazelnuts followed by Italy, the
United States, and Azerbaijan.5
Commercially
grown hazelnuts are a popular dessert nut, often used roasted and salted in cookies,
tortes, and confectionery, such as pralines.3-5 Chocolate-hazelnut
spreads, like Nutella, are popular, as is the hazelnut liqueur known as Frangelico.2,4
Oil produced from common hazel is used not only in food products but also in
soaps and perfumes.1 Corylus
trees are considered softwoods and yield a reddish white timber that is used
for small items like tool handles and walking sticks.
Phytochemicals and Constituents
Hazelnuts
are nutrient dense and contain significant amounts of protein, healthy fats,
and fiber. They also are considered one of the richest sources of vitamin E (α-tocopherol)
and folate (folic acid) of all tree nuts.4,6
Although
a 3.5-ounce serving of hazelnuts contains 582 calories, it also supplies
approximately 16 grams of protein, 13.6 grams of fiber, and 54 grams of
heart-healthy fats, of which 82% are monounsaturated fatty acids (MUFAs) and
11% are polyunsaturated fatty acids (PUFAs).2 Additionally, a 3.5-ounce
serving of hazelnuts provides 89% of the recommended daily intake (RDI) for
vitamin E and provides an array of B vitamins including 53% of the RDI for
thiamine (B1), 49% of the RDI for pyridoxine (B6), 29% of
the RDI for niacin (B3), and 19% of the RDI for riboflavin (B2).
Of all nuts, hazelnuts have the highest content of folate, which plays an important
role in proper cell differentiation and a healthy circulatory system.7,8
Hazelnuts
are important sources of macro- and trace minerals. These include potassium, an
vital mineral for healthy nervous systems and a normal heart rate; phosphorus, which
is integral for bones and energy production; copper, which aids in red blood cell
production, iron absorption and bone health; magnesium, which maintains healthy
nerve and muscle function, and in conjunction with calcium, helps to keep a
steady heartbeat; zinc, which is necessary for the function of at least 100
different enzymes, is involved in many physiological functions, most notably
the maintenance of a healthy immune system; iron, which is essential for the
production of blood; bone-fortifying calcium; and chromium, which is involved
in lipid metabolism and works with insulin to regulate glucose levels in the
body.2,8
While
hazelnuts are abundant sources of antioxidant vitamins (e.g., tocopherols,
folates) and polyphenols (e.g., flavan-3-ols, proanthocyanidins, flavonols), research
shows that most of these compounds are located in the cuticle, or papery husk,
of the hazelnut and are lost when hazelnuts are peeled or roasted.9
Additionally, like other tree nuts, hazelnuts contain phytic acid, which
impairs the absorption of many minerals inherently present in the hazelnut (including
calcium, magnesium, zinc, copper, and iron) by forming mineral chelates that
are not readily absorbed in the gastrointestinal (GI) tract.10 Evidence
suggests that the biggest impact of phytic acid on human nutrition is the
reduction of the bioavailability of zinc. Diets high in phytic acid can produce
significant mineral deficiencies over time, resulting in conditions like
rickets and osteoporosis.11 Phytic acid also inhibits the action of
important digestive enzymes including tyrosinase, trypsin, pepsin, lipase, and
amylase in the GI tract.10
Individuals
with healthy gut flora that include beneficial probiotic strains such as Lactobacillus naturally produce higher
levels of phytase, an enzyme which helps reduce levels of phytic acid.
Sprouting nuts and seeds activates phytase, reducing or even eliminating phytic
acid.11 In addition to sprouting, soaking or roasting nuts and seeds
will reduce the overall negative impacts of phytic acid on nutrient absorption
and enzyme inhibition.
The
bark, shells, and leaves of C. avellana
are being investigated as a potential source of taxol, a compound originally
isolated from the bark of an evergreen tree known as the Pacific yew (Taxus baccata, Taxaceae) which is used
to treat a wide variety of cancers.12 Corylus species are the first angiosperms discovered to contain
taxol and taxanes, which may provide a more sustainable, consistently reliable
source of taxol and related anticancer compounds and ease the demand for
slow-growing Taxus species. Using
biotechnological production methods to grow in vitro cultures, Corylus species may be able to produce
taxol more efficiently and at lower cost.
Modern Research and Potential Health
Benefits
Evidence
suggests that consuming mixed nuts is associated with a decreased risk of
cardiovascular disease (CVD) .13 Due to its high MUFA content as
well as the presence of amino acids such as arginine, the hazelnut shares many
of the same cholesterol-lowering benefits as other tree nuts.2 Comparatively,
hazelnuts are the second most abundant source of MUFAs among nuts and are rich
sources of vitamin E, phytosterols, polyphenols, folate and fiber, all of which
provide numerous health benefits which may help preventing chronic diseases
such as CVD, type 2 diabetes mellitus (DM2), and cancer.13,14
Cardiovascular Benefits
Hazelnuts
contain tocopherols and phytosterols, L-arginine, caffeic acid, epicatechin,
and quercetin, all of which have potential anti-atherogenic effects.13
Tocopherols are forms of vitamin E, a fat-soluble antioxidant compound that
stabilizes and protects cell membranes.7 Phytosterols, structurally
similar to the body’s cholesterol, compete with dietary cholesterol for
absorption and thus reduce overall cholesterol levels.9 Hazelnuts
are rich sources of the amino acid arginine. Arginine is involved in nitric
oxide synthesis which regulates vascular tone and blood pressure, reduces
plaque formation in arteries and prevents low-density lipoprotein (LDL)
oxidation.9,13 The flavonoids caffeic acid, epicatechin, and
quercetin each contribute to hazelnut’s antioxidant and anti-inflammatory
benefits.13
Hazelnut-enriched
diets are associated with lower LDL and total cholesterol levels. In a
systematic review, nine clinical studies were analyzed for overall effects of
hazelnut consumption on blood lipids and body weight. Participants (N = 425)
aged 18 to 55 years completed hazelnut intervention diets lasting between 28-84
days with daily doses ranging from 29 to 69 grams, with an average of 45 grams
daily.13 In all studies, there was consistent evidence that
hazelnut-enriched diets lowered LDL concentrations while not significantly
affecting high-density lipoprotein (HDL) cholesterol levels. In addition to
hazelnut’s low saturated fat and high MUFA content, the micronutrients and
bioactive compounds found in hazelnuts — specifically magnesium, copper,
vitamin E, tocopherols, and phytosterols — may also be involved in reducing LDL
cholesterol levels.
An
eight-week randomized, single blind, controlled, three arm, parallel-group
intervention study of 66 children and adolescents with hyperlipidemia investigated
the effects of hazelnut intake on lipid profiles and fatty acid composition of
red blood cells (RBCs).14 Participants were divided into three groups:
group 1 consumed unpeeled hazelnuts, group 2 consumed peeled hazelnuts, and
group 3 (the control group) received only dietary advice and no hazelnut
supplementation. Study results indicated that both hazelnut groups showed significantly
increased levels of MUFAs and oleic acid and a favorable MUFAs/saturated fatty
acids ratio, while no such effects were observed in the control group. It
appears that the high oleic acid content in hazelnuts modulated the fatty acid composition
of RBC membranes.
Metabolic-Related Benefits
In
the United States, 25-30% of the population is considered obese, whereas in
Europe, 12-14% of the population is obese.9 According to recent
estimates, by 2030, the incidence of DM2 will increase from 285 million people
worldwide to 439 million.6 DM2 accounts for 90-95% of diabetic cases
and is a major risk factor for CVD. Individuals who have an increased waist
circumference, dyslipidemia (high triglycerides, high LDL-cholesterol and low
HDL cholesterols), or are diagnosed with metabolic syndrome are at significantly
greater risk for CVD and DM2.9 Fortunately, there is mounting
epidemiological evidence that shows an inverse, dose-dependent response between
nut consumption and incidence of CVD.6
A
2013 randomized, controlled trial investigated the effects of hazelnut
consumption on fasting blood sugar (FBS) and lipid profiles in patients with
DM2.6 The 50 eligible participants were assigned to a control group
or intervention group. In the intervention group, 10% of total daily calorie
intake was replaced with an average of 29 grams of hazelnuts (depending on the
energy intake of each participant) for eight weeks. Blood samples were
collected from fasting patients at the end of the study. Results indicated that
the most significant benefit experienced by the hazelnut intervention group was
stabilization of HDL levels. In this study, replacing 10% of daily calories
with hazelnuts had no significant effects on FBS, TC, TGs, or LDL
concentrations.
A
2017 two-week randomized dietary intervention trial explored the potential
effects of flavanols from cocoa powder (from cacao, Theobroma cacao, Malvaceae), hazelnut, and combinations of both on
blood pressure and metabolic profile. Sixty-one healthy participants were
divided into six groups and received one of six breakfasts which included varying
amounts of unpeeled hazelnut paste, cocoa powder, both, or a breakfast with
neither active ingredient.9 Results indicated that the intake of
unpeeled hazelnut paste in healthy individuals improved blood lipid profiles by
reducing LDL cholesterol and increasing HDL cholesterol. When hazelnut paste
and cocoa were combined, there was evidence of a reduction in vascular
reactivity as well as improved blood lipid profiles. The effects of hazelnut
and/or cocoa breakfast intervention improved vascular flow and vascular
reactivity more so than affecting lipid profiles.
Antioxidant
Benefits
As
stated previously, hazelnuts are a major food source of vitamin E, an important
fat-soluble antioxidant that strengthen and protects cell membranes. Other
antioxidant compounds present in hazelnuts are phenolic compounds including
gallic acid, epicatechin, caffeic acid, p-hydroxybenzoic
acid, and quercetin.13 Additionally, the copper content in hazelnuts
is crucial for the production of superoxide dismutase (SOD), an important
antioxidant enzyme responsible for neutralizing free radicals that can damage
healthy cell membranes and tissues.2,8
Vitamin
and nutrient deficits become more common after the age of 70. This can be
problematic since lower vitamin E and magnesium levels are associated with
increased frailty and incidence of age-related diseases, such as Alzheimer’s
disease.7 In an effort to explore ways in which foods may contribute
to improvements in vitamin E and magnesium status, a 16-week dietary
intervention study by Michels et al. (2018) investigated the effects of 57 grams
of hazelnuts daily to older adults. Blood and urine samples were taken at the
beginning and end of the study to assess blood levels of magnesium, lipids,
glucose, insulin, C-reactive protein, and urinary vitamin E metabolites. Upon
conclusion of the clinical study, blood level of magnesium had increased by 10%
while blood levels of α-tocopherol did not significantly increase. These
results differ from those of a clinical trial by Tey et al. in 2011 of 46
healthy participants who completed a randomized dietary intervention of consuming
30 grams daily of ground, sliced, or whole hazelnuts to assess absorption
differences.15 Not only were there significant improvements in blood
lipid profiles but there was also a significant increase in blood levels of
α-tocopherol concentrations. Further studies are needed to confirm the extent
to which hazelnuts improve vitamin E status.
Other small but significant
positive outcomes from the 2018 study included an improvement in participants
in the ideal range of LDL cholesterol (< 100 mg/dL) from 28% at study onset
to 44% at study conclusion, as well as an increase in the number of
participants (31% to 51%) who reached and maintained healthier blood glucose
concentration levels (< 100 mg/dL) at the conclusion of the 16-week hazelnut
dietary intervention.7
Consumer Considerations
Despite
the continued demand for high-quality and healthy vegetable oils, there is an
increased incidence of refining lower-quality products in order to produce cheap
consumer goods.16 Lower-quality hazelnuts often are used to produce
hazelnut oil and are subject to refining, bleaching, and deodorizing.5,17
During the edible oil refining process, undesirable compounds, such as free
fatty acids, waxes, pigments, metal ions and oxidation products are removed but
there is an unfortunate caveat: The process of refining cooking oils alters
levels of bioactive compounds and can also lower the overall oxidative
stability of the refined oil.5 For example, lutein and zeaxanthin,
the main carotenoids present in hazelnut, are lost completely during the bleaching
and deodorization steps of refining hazelnut oil with only a partial loss of
antioxidant-rich phenolic compounds and tocopherols.
The
process of refining foods to create cooking oils not only results in a loss of
valuable phytochemicals but also causes the formation of chloropropanol and its
glycidyl esters, and trans fatty acids — all potentially harmful substances
that may have a negative, cumulative impact on health.5 Among the
varieties of commercially produced cooking oils, cold-pressed oils retain more
of their nutritional properties than expeller-pressed oils, which expose
beneficial compounds to further degradation due to excessive heat during
processing. With the frequency in which edible oils are consumed, cleaner, more
innovative technologies and strategies are needed to enhance consumer health.
Hazelnuts
are available commercially raw or roasted, packaged whole with skins removed,
finely ground into hazelnut meal, or in the form of hazelnut butter or paste.2
Due to their high content of delicate MUFAs, it is best to store shelled nuts
in air-tight bags in a cool, dark place or in the refrigerator or freezer and consume
them within eight months.2,18 Consumers should avoid purchasing
pre-chopped nuts that are not vacuum-sealed to avoid accidentally ingesting
rancid nuts. Hazelnut oil should be stored in the refrigerator for optimal
freshness and shelf life.
The moisture
content of nuts can be an indicator of shelf life. The low moisture content of
hazelnuts (4-6% moisture in raw; 2-3% moisture in roasted) combined with its
high vitamin E content provides an innate resistance to oxidation and bacterial
contamination.2 When stored as in-shell nuts at ambient
temperatures, hazelnut quality is maintained for approximately eight months
after harvest.18
Food-induced
allergies, which produce a specific immunological response in sensitized
individuals, are on the rise in adult and pediatric populations.19 Tree
nuts are included on a list of 14 groups of specific substances or products
associated with allergic reactions or intolerances that are required in the
United States to be listed when present in commercially prepared products. Hazelnut
is the most studied tree nut regarding potential allergic impact in sensitized
individuals. Since the primary means of preventing allergic reactions is
avoidance of the offending substance, proper food labeling is crucial in
safeguarding allergic individuals.
Nutrient Profile20
Macronutrient Profile: (Per 1 ounce
hazelnuts [approx. 21 whole nuts])
178 calories
4.24 g protein
4.73 g carbohydrate
17.22 g fat
Secondary Metabolites: (Per 1 ounce
hazelnuts [approx. 21 whole nuts])
Excellent source of:
Manganese: 1.75 mg (76.1% DV)
Vitamin E: 4.26 mg (28.4% DV)
Very good source of:
Thiamin: 0.18 mg (15% DV)
Magnesium: 46 mg (11% DV)
Good source of:
Vitamin B6: 0.16 mg (9.4% DV)
Dietary Fiber: 2.7 g (9% DV)
Folate: 32 mcg (8% DV)
Iron: 1.33 mg (7.4% DV)
Phosphorus: 82 mg (6.6% DV)
Also provides:
Potassium: 193 mg (4.1% DV)
Vitamin K: 4 mcg (3.3% DV)
Niacin: 0.51 mg (3.2% DV)
Calcium: 32 mg (2.5% DV)
Riboflavin: 0.03 mg (2.3% DV)
Vitamin C: 1.8 mg (2% DV)
DV =
Daily Value as established by the US Food and Drug Administration, based on a
2,000-calorie diet.
Recipe: Hazelnut
Chai Granola
Courtesy of
Oregon Hazelnuts21
Ingredients:
- 3
cups rolled oats
- 1
1/2 cups hazelnuts, roughly chopped
- 1
cup pepitas (To learn more about the benefits of pumpkin, click here.22)
- Contents
of 2 chai tea bags
- 1
teaspoon ground ginger (To learn more about the benefits of ginger, click here.23)
- 1/2
teaspoon ground cardamom
- 1/2
teaspoon ground cinnamon
- 1/2
teaspoon ground black pepper
- 1/2
teaspoon sea salt
- 1/4
teaspoon ground cloves
- 1/2
cup honey
- 3
tablespoons olive oil
- 1
teaspoon vanilla extract
Directions:
- Heat
oven to 325°F. Lightly oil a large baking sheet.
- In
a large bowl, combine all the dry ingredients. In a small bowl, combine the
honey, oil, and vanilla. Add the wet ingredients to the dry ingredients and
stir until coated.
- Spread
the granola on the prepared baking sheet in a thin layer. Bake, stirring
every 15 minutes, until well-browned and crisp, about 45 minutes total.
- Let
the granola cool completely on the baking sheet, then store in an airtight
container at room temperature.
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Image credits (top to bottom): Hazelnuts image courtesy of Agnieszka Kwiecien.
Illustration of hazelnut plant parts from Flora von Deutschland, Österreich und der Schweiz by Otto Wilhelm Thomé; Germany, 1885.
Corylus americana immature hazelnut on the branch. ©2019 Steven Foster.
Corylus avellana hazel branch. ©2019 Steven Foster.
Corylus americana hazelnuts in husks. ©2019 Steven Foster. References
- Hazelnut.
Encyclopedia Britannica. June 7, 2018. Available at: www.britannica.com/plant/filbert-tree.
Accessed on January 7, 2019.
- Murray
M, Pizzorno J. The Encyclopedia of
Healing Foods. New York, NY: Atria Books; 2005.
- Van Wyk B. Food Plants of the World: An Illustrated
Guide. Portland, OR: Timber Press; 2006
- National Geographic Society. Edible: An Illustrated Guide to the World’s
Food Plants. Lane Cove, Australia: Global Book Publishing; 2008.
- Durmaz G, Gökmen V. Effect of
refining on bioactive composition and oxidative stability of hazelnut oil. Food Research International. 2018. https://doi.org/10.1016/j.foodres.2018.08.077.
- Damavandi
R, Eghtesadi S, Shidfar F, Heydari I, et al. Effects of hazelnut consumption on
fasting blood sugar and lipoproteins in patients with type 2 diabetes. Journal of Research in Medical Sciences.
2013;April:314-321.
- Michels A, Leonard
S, Uesugi S, Bobe G, et al. Daily Consumption of Oregon Hazelnuts Affects
α–tocopherol status in healthy older adults: a pre-post intervention study. The Journal of Nutrition. 2018;148:1924-1930.
- Cosmulesc
S, Botu M, Trandafir I. The mineral source for human nutrition of nuts in
different hazelnut (Corylus avellana)
cultivars. Notale Botanica.
2013;41(1):250-254.
- Adamo
M, Labate A, Ferrulli A, Macri C, et al. Effects of hazelnuts and cocoa on
vascular reactivity in healthy subjects: a randomized study. International Journal of Food Sciences and
Nutrition. 2018;69:2, 223-234.
- Akande
K, Doma U, Agu H, Adamu H. Major antinutrients found in plant protein sources:
their effect on nutrition. Pakistan
Journal of Nutrition. 2010;9(8):827-832.
- Weston Price
Foundation. Living with Phytic Acid. Available at: www.westonaprice.org/health-topics/vegetarianism-and-plant-foods/living-with-phytic-acid/
Accessed on January 12, 2019.
- Gallego A, Malik S,
Yousefzadi M, Makhzoum A, et al. Taxol from Corylus
avellana: paving the way for a new source of this anti-cancer drug. Plant Cell Tissue Organ Culture.
2017;129,1-16.
- Perna
S, Giacosa A, Bonitta G, Bologna C, Isu A, et al. Effects of hazelnut
consumption on blood lipids and body weight: a systematic review and Bayesian
meta-analysis. Nutrients. 2016;8:747.
- Deon
V, Del Bo C, Guaraldi F, Abello F, Belviso S, et al. Clinical Nutrition. 2018;37:1193-1201.
- Tey
S, Brown R, Chisolm A, Delahunty C, Gray A, et al. Effects of different forms
of hazelnuts on blood lipids and α-tocopherol concentrations in mildly
hypercholesterolemic individuals. European Journal
of Clinical Nutrition. 2011;65:117-124.
- Azadmard-Damirchi,
Sodeif. Review of the use of phytosterols as a detection tool for adulteration
of olive oil with hazelnut oil. Food
Additives and Contaminants. 2010;27(1)1-10.
- Penn State
Extension. Processing Edible Oils. Prepared by Russell Schaufler, Farm
Operations, Penn State College of Agricultural Sciences and Douglas Schaufler,
Dept. of Agricultural and Biological Engineering, Penn State College of
Agricultural Sciences. Available at: https://extension.psu.edu/processing-edible-oils.
Accessed on January 12, 2019.
- Ghirardello D,
Contessa C, Valentini N, Zeppa G, et al. Effect of storage conditions on
chemical and physical characteristics of hazelnut (Corylus avellana). Postharvest
Biology and Technology. 2013;8137-8143.
- Costa J, Mafra I,
Carrapatoso I, Beatriz M, Oliveira P. Hazelnut allergens: molecular
characterization, detection, and clinical relevance. Critical Reviews in Food Science and Nutrition. 2015;56:2579-2605.
- Basic report:
12120, Nuts, hazelnuts or filberts. United States Department of Agriculture
website. National Nutrient Database for Standard Reference Legacy Release.
April 2018. Available at: https://ndb.nal.usda.gov/ndb/foods/show/12120.
Accessed January 31, 2019.
- Hazelnut chai
granola. Oregon Hazelnuts website. Available at: http://oregonhazelnuts.org/recipe/hazelnut-chai-granola/.
Accessed January 31, 2019.
- Bauman H, Baker L.
Food as Medicine: Pumpkin (Cucurbita pepo,
Cucurbitaceae). HerbalEGram. 2015;12(10). Available at: http://cms.herbalgram.org/heg/volume12/10October/FoodAsMedicinePumpkin.html.
Accessed January 31, 2019.
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Food as Medicine: Ginger (Zingiber
officinale, Zingiberaceae). HerbalEGram. 2015;12(3). Available at: http://cms.herbalgram.org/heg/volume12/03March/March2015_FaM_Ginger.html.
Accessed January 31, 2019.
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