Barney USA Bare Smooth Almond Butter is a natural butter made up of natural ingredients. Blanched and roasted California almonds are used. The product brings the goodness of California Almond to the plate. The product is pure, smooth and Spreadability is good. Great texture and good quality product and no extra salt or sugar is added. So, it can be used if the doctor has advised to lessen the salty food in your diet.