IDDSI 4 · Puréed
Miso Salmon Purée
Blendable salmon, silken tofu & dashi — top-tier protein.
26.9g protein286 kcal
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Creamy Red Dal Purée
Smooth lentils, warming spice, fully liquidised.
Ingredients
- 200g red lentils, rinsed
- 600 ml water or low-sodium broth
- 1 tsp ground turmeric
- 1 tsp ground cumin
- ½ tsp grated ginger
- 2 tbsp coconut milk
- 1 tbsp ghee or oil
- Salt to taste
Makes 3 servings · 30 min · Indian
Method
- Simmer lentils with water, turmeric and cumin until very soft, about 20 minutes.
- Stir in ginger and coconut milk; cook 2 minutes more.
- Blend until completely smooth.
- Loosen with warm broth to a thick, spoonable purée and finish with ghee.
- Sieve if any skins remain for a clean texture.
Serve as a Level 4 purée. Thin with more broth for a Level 3 liquidised diet.
Why this works at IDDSI Level 4
Level 4 is puréed: smooth, cohesive, and it holds its shape on a spoon without separating into liquid. It does not require any chewing, which makes it the workhorse level after most jaw surgery — it carries far more calories and protein per spoonful than anything thinner. Sieving matters here; skins, fibres and seeds are what break the texture grade.
At 3 servings this recipe delivers 16.4g of protein and 305 kcal per serving in about 30 min — worth knowing because protein intake, not calories alone, is what limits soft-tissue healing when chewing is restricted. Move up a stage on your surgeon's or speech-language pathologist's timeline rather than by how you feel on a given day: texture that is too advanced is the most common cause of pain, wound irritation and choking risk in the first weeks.
See all puréed-stage recipes →
See it made, or buy it nearby
Texture is hard to judge from written steps alone. Watching someone make it is often the quickest way to see how smooth “smooth” actually needs to be — and on the days cooking is too much, finding somewhere nearby that already makes it is a reasonable substitute.
What makes this easier
High-power blender and fine-mesh sieve. The recovery kit explains why each one earns its place, and what to look for when buying.
More puréed-stage recipes
IDDSI 4 · Puréed
Miso Salmon Purée
Blendable salmon, silken tofu & dashi — top-tier protein.
26.9g protein286 kcal
▶
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IDDSI 3 · Puréed
Avocado Chocolate Mousse
Moderately-thick treat, blended to spoonable.
5g protein260 kcal
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IDDSI 4 · Puréed
Smooth Hummus Bowl
Silky chickpea purée loosened for an easy spoon.
9g protein230 kcal
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