IDDSI 4 · Puréed
Miso Salmon Purée
Blendable salmon, silken tofu & dashi — top-tier protein.
26.9g protein286 kcal
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Goma-dofu (Sesame Tofu)
胡麻豆腐 — nutty, silky sesame tofu, smooth and spoonable.
Ingredients
- 3 tbsp sesame paste
- 40g kudzu or cornstarch
- 400 ml dashi or water
- Pinch of salt
Makes 2 servings · 20 min · Japanese
Method
- Whisk the sesame paste, starch and dashi together until fully smooth.
- Cook over low heat, stirring constantly, until thick and glossy.
- Blend to ensure a uniform, lump-free texture.
- Cool slightly and serve soft and spoonable.
Smooth Level 4. Loosen with dashi for a Level 3 texture.
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 2 servings this recipe delivers 6g of protein and 190 kcal per serving in about 20 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
▶
📍
IDDSI 4 · Puréed
Creamy Red Dal Purée
Smooth lentils, warming spice, fully liquidised.
16.4g protein305 kcal
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IDDSI 3 · Puréed
Avocado Chocolate Mousse
Moderately-thick treat, blended to spoonable.
5g protein260 kcal
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