IDDSI 4 · Puréed
Miso Salmon Purée
Blendable salmon, silken tofu & dashi — top-tier protein.
26.9g protein286 kcal
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Kem Bơ (Avocado Ice Cream)
Kem bơ — silky Vietnamese avocado ice cream, spoonable and smooth.
Ingredients
- 2 ripe avocados
- 150 ml coconut milk
- 120 ml sweetened condensed milk
- 1 tsp lime juice
- Pinch of salt
Makes 3 servings · 10 min + freeze · Vietnamese
Method
- Blend avocado, coconut milk, condensed milk, lime and salt until completely smooth.
- Pass through a fine sieve so it is uniform with no fibres.
- Freeze in a shallow container, stirring every 30 minutes, until softly set.
- Let it soften a few minutes before serving so it is smooth and spoonable.
Smooth Level 4 when softened. Serve semi-melted — never with hard frozen chunks or seeds.
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 6g of protein and 340 kcal per serving in about 10 min + freeze — 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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