Bread and baked goods — food card: from tandir bread to buns
Tandir bread, lavash, yukha — bread is sacred on our table. It gives energy and goes with almost every meal. This card covers the value of bread, choosing it and storing it safely during treatment.

01Short answer
02Simple explanation
Bread gives carbohydrates, quick and convenient energy.
Wholegrain bread contains more fibre and vitamins.
Mould spreads deeper than the visible spot.
In cream pastries kept out of the fridge, bacteria grow quickly.
03Scientific explanation
Mould: USDA advises discarding soft foods, including bread, entirely once mould appears.
Fibre: fibre in wholegrain bread helps the gut, but during diarrhea white bread may be better tolerated (NCI).
Salt: bread can provide a large share of daily salt; check the label if your blood pressure is high.
04What happens in the body?
What does bread provide?
A slice of bread (30 g) gives about 70–80 kcal and 2–3 g of protein. Wholegrain bread has more fibre and magnesium.

How to choose
Buy fresh bread from a clean place. Check the date on packaged bread. Home-baked bread must be fully baked, with no sticky middle.
Storage
Keep bread in a dry, closed bread box or cloth bag. For longer storage, slice and freeze it.

On hard days
With mouth sores, soft crustless bread soaked in milk or soup is easier. With nausea, dry toast or rusks can help.
Sweet baked goods
Plain baked goods without cream are safer. Eat cream cakes only fresh and kept in the fridge.
05Bread: four steps
Choose fresh, swap cream pastries, toast, store closed.







06Baked goods during neutropenia
| Food | Riskier | Safer |
|---|---|---|
| Bread | Mouldy, stale | Fresh, closed |
| Pies | Raw dough, sold uncovered | Fully baked, hot |
| Cake | With cream, unrefrigerated | Plain sponge |
| Pakhlava, shekerbura | Left uncovered for long | Fresh, packed |
| Lavash, yukha | Stored damp | Dry, fresh |
* The table is general information; follow your team.
07Key terms
- Mould
- A fungus that grows on food.
- Wholegrain bread
- Bread made from flour with bran.
- Toast
- A browned slice of bread.
- Rusks
- Dried bread.
- Fibre
- The undigested part that helps the gut.
- Glycaemic effect
- How a food affects blood sugar.
08Key points
- Bread is a convenient energy source.
- Wholegrain bread on ordinary days.
- Throw mouldy bread away completely.
- Be careful with cream pastries.
- Soft bread with mouth sores.
- Keep bread dry and closed.
09Frequently asked questions
Can I eat tandir bread?
Yes, if it is fresh and fully baked. Buy bread sold uncovered only from a clean place.
Is white bread harmful?
No; during diarrhea and nausea it is even easier. On ordinary days wholegrain gives more fibre.
Is yeast in bread dangerous like mould?
No, yeast does not survive baking. Mouldy bread is the danger.
10Questions for your doctor
Take these questions to your appointment. The ones you save are collected on the “My questions” page and stay on this device only.
Can I eat tandir bread?
Is white bread harmful?
Is yeast in bread dangerous like mould?
12Sources
- NHS. Starchy foods and carbohydrates
- USDA Food Safety and Inspection Service. Molds on Food: Are They Dangerous?
- Leukemia & Lymphoma Society. Diet Guidelines for Immunosuppressed Patients
- National Cancer Institute. Eating Hints: Before, During, and After Cancer Treatment
- Harvard T.H. Chan School of Public Health — The Nutrition Source. Whole Grains
- World Health Organization (WHO). Drinking-water — fact sheet
- U.S. Food and Drug Administration (FDA). Grapefruit Juice and Some Drugs Don’t Mix
- National Center for Complementary and Integrative Health (NCCIH). Using Dietary Supplements Wisely
- National Cancer Institute (NCI). Fatigue (PDQ®) – Patient Version
- National Cancer Institute (NCI). Sleep Disorders (PDQ®) – Patient Version