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British cuisine

Shepherd’s pie

Minced lamb with vegetables under a mashed potato topping, baked in the oven.

Well-cooked hot dish

Shepherd’s pie — dish photo
Shepherd’s pie — British cuisine. Photograph of the dish.

Ingredients

  • minced lamb
  • onion
  • carrot
  • peas
  • stock
  • tomato paste
  • potatoes
  • milk
  • butter
  • salt

How it is prepared

The mince is cooked with vegetables in gravy, topped with mash and baked until golden.

Food safety with low immunity

  • Minced meat and dishes made from it must always be fully cooked — including the middle.

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

  • Mouth sores. Soft and moist; easier to eat without spicy or sour additions.
  • 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.
  • 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.
  • Kidney disease. Can be a source of potassium (tomato, potato, pulses, dried fruit). With kidney disease, discuss potassium limits with your team.

Nutrition (per 100 g)

Energy123 kcal
Protein7.6 g
Fat6.3 g
Carbohydrate8.7 g
Fibre1.5 g
Sodium264 mg

Figures are for a comparable item in the USDA FoodData Central database: “Shepherd's pie”. Home recipes vary — treat this as a rough guide, not an exact calculation. USDA FoodData Central, FDC ID 2706594

More from this cuisine

United Kingdom: food database → · Country page →

Related topics

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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