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Home›Nutrition and daily life›Global food database›North Macedonia›Pastrmajlija (meat-topped flatbread)
Macedonian cuisine

Pastrmajlija (meat-topped flatbread)

An oval flatbread topped with chopped pork or lamb, sometimes an egg, baked in the oven.

Well-cooked hot dish

Pastrmajlija (meat-topped flatbread)MACEDONIAN CUISINE
Pastrmajlija (meat-topped flatbread) — Macedonian cuisine. Photograph of the dish.

Ingredients

  • flour
  • yeast
  • water
  • salt
  • pork or lamb
  • egg
  • butter
  • pepper

How it is prepared

The dough is shaped into an oval, topped with chopped meat and baked in a hot oven for 15–20 minutes.

Food safety with low immunity

Well-cooked hot dish

Usually a well-cooked dish served hot. Follow the general rules: cook it fresh, eat it hot, cool leftovers quickly and refrigerate them.

  • Cook meat right through: steaming hot inside, with no pink parts or pink juices.
  • Eggs should be fully cooked, with firm whites and yolks.

How to prepare it during treatment

The meat must be fully cooked; if there is an egg, bake until the yolk is fully set — runny egg is not advised during neutropenia.

Your diet during treatment is agreed with your doctor. Sample 7-day menu for the treatment period →

Storage

Once cooled, refrigerate (within 2 hours) and eat within 1–2 days.

Reheating

In the oven until hot in the centre; in a microwave, turn halfway.

Symptoms it may suit

  • Low appetite. Gives a lot of energy and protein in a small portion — can help when appetite is low.
  • Weight loss. Energy-dense and easy to enrich (oil, cheese, yoghurt) — can help with weight loss.

These are general observations: what suits you can change from day to day.

Treatment phases

  • Before treatmentmay suit
  • During a coursemay suit
  • Low counts (neutropenia)Freshly cooked and hotmay suit
  • Between coursesmay suit
  • After treatmentmay suit

Phase notes are general. During low counts, follow only your care team’s food rules.

If you have other conditions

  • Heart disease, Obesity, Liver disease, Stomach and gut. Can be fatty. With heart, liver or digestive disease, or excess weight, discuss fat content and portions with your team.
  • Autoimmune disease, Stomach and gut. Contains wheat (gluten). With coeliac disease and some autoimmune conditions, discuss it with your team.
  • High blood pressure, Heart disease, Kidney disease. Often salty (stock, salty cheese, sausage, pickles). With high blood pressure, heart or kidney disease, discuss salt limits with your team.
Talk to your doctor

Diabetes, heart, kidney, liver or other long-term conditions can change what suits you. Discuss portions and suitability with your care team or a dietitian. This is not a personal diet or medication advice.

Nutrition (per 100 g)

Nutrition figures from a reliable source have not been added for this dish yet.

More from this cuisine

  • Tavče gravče (baked beans in a clay pan)
  • Ajvar (roasted pepper relish)
  • Turli tava (meat and vegetable bake)
  • Selsko meso (village-style pork)

North Macedonia: food database →

Related topics

  • Sample 7-day menu for the treatment period
  • Food safety
  • Food hygiene: everyday kitchen habits
  • Nutrition basics during treatment
  • What is neutropenia?
  • Poor appetite and nausea
  • Fluids and hydration

Food safetyNeutropenic diet (low-microbial diet)PasteurisedCore cooking temperatureLeftoversCross-contamination

Sources

  1. Centers for Disease Control and Prevention (CDC). Safer Food Choices for People With Weakened Immune Systems
  2. FoodSafety.gov (U.S. HHS). Cook to a Safe Minimum Internal Temperature
  3. USDA Food Safety and Inspection Service. Leftovers and Food Safety
  4. U.S. Food and Drug Administration (FDA). Food Safety for Older Adults and People with Cancer, Diabetes, HIV/AIDS, Organ Transplants, and Autoimmune Diseases
  5. Food Standards Agency (UK). Chilling
  6. World Health Organization (WHO). Five keys to safer food manual
  7. Memorial Sloan Kettering Cancer Center. Food Safety During Cancer Treatment
  8. National Cancer Institute (NCI). Eating Hints: Before, during, and after Cancer Treatment
  9. BMJ Supportive & Palliative Care, 2019. Neutropenic diets to prevent cancer infections: updated systematic review and meta-analysis
  10. U.S. Department of Agriculture (USDA). FoodData Central — Food and Nutrient Database for Dietary Studies (FNDDS)
Medical disclaimerThis information is for educational purposes only and does not replace medical advice.

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