Medical nutrition

Therapeutic Diets

The 15 Pevzner diet tables: when each one is prescribed, the meal schedule, what to eat and what to avoid

For reference only. The diet, its variant and duration are prescribed by your doctor — do not start a diet without consulting a specialist.

1

Diet No. 1

stomach and duodenal ulcer

Indications

  • peptic ulcer disease of the stomach and duodenum in exacerbation and unstable remission
  • acute gastritis
  • chronic gastritis with normal and high acidity in mild exacerbation
  • gastroesophageal reflux disease
Meals4-5 times a day
Durationat least 2-3 months

Foods

Bread and baked goods
Recommended
  • White wheat bread, day-old, dried
  • Dry sponge cake
  • Dry plain cookies
Avoid
  • Dark rye bread
  • Rich pastry products
First courses
Recommended
  • Soups made from puréed grains, potatoes, and vegetables (except cabbage)
  • Milk soups with vermicelli, noodles, rice, semolina
Avoid
  • Meat and fish broths
  • Vegetable and mushroom broths
Meat
Recommended
  • Lean meats (beef, veal, chicken, turkey, rabbit) without tendons and fat, boiled or steamed, puréed
  • Lean and tender meat served as a piece
  • Mild meat aspic
Avoid—
Fish
Recommended
  • Lean fish (pike perch, cod, silver hake, navaga, icefish, etc.) boiled or as a piece
  • Jellied fish
Avoid—
Grains and porridges
Recommended
  • Various grains as porridge, purée, soufflé, puddings, cooked in water and steamed
  • Boiled vermicelli, homemade noodles, finely chopped macaroni
Avoid
  • Millet
  • Legumes (peas, beans, broad beans, lentils)
Dairy products
Recommended
  • Whole and condensed milk
  • Cream
  • Sour cream (limited)
  • One-day prostokvasha (soured milk)
  • Mild puréed cottage cheese (tvorog)
  • Cottage cheese soufflé
  • Cottage cheese mixture
Avoid—
Vegetables and greens
Recommended
  • Any vegetables (except forbidden ones) boiled and puréed
Avoid
  • White and red cabbage
  • Turnip, rutabaga
  • Spinach, sorrel
  • Black radish, radish
  • Garlic, onion
Fruits
Recommended
  • Ripe fruits and berries of sweet varieties (fresh and cooked)
  • Kissel (fruit jelly drinks), jellies, mousses, compotes from fresh and dried fruits
Avoid
  • Sour varieties of berries and fruits
Sweets
Recommended
  • Honey, sugar, jam
Avoid—
Beverages
Recommended
  • Rosehip decoction
  • Weak coffee
  • Cocoa with milk
  • Tea with milk or cream
  • Milk kissel (milk jelly drink)
  • Sweet fruit and berry juices
Avoid
  • Carbonated beverages
  • Alcohol
Eggs
Recommended
  • Soft-boiled eggs
  • Steamed omelets
  • Eggs in dishes
Avoid
  • Raw eggs
Sauces and seasonings
Recommended
  • Milk and sour cream sauces (made with grain broth and milk) without sautéing flour, fruit sauces
Avoid
  • Spicy seasonings
  • Marinades
Fats and oils
Recommended
  • Unsalted butter
  • Sunflower and olive oil
Avoid
  • Hard fats
  • Margarine
Appetizers
Recommended
  • Mild grated cheese
  • Lean ham, finely chopped
  • Caviar
Avoid
  • Fried dishes
  • Smoked foods
  • Canned foods
  • Pickled foods
  • Mushrooms

Guidelines

Food is served warm in semi-liquid or jelly-like form; meat dishes and potatoes are served without frying. Intake of table salt is limited.

1a Diet No. 1a

A modification of the main diet with strict sparing of the gastric mucosa, which provides food in liquid, mushy, and jelly-like form.

Indications

  • stomach and duodenal ulcer (severe exacerbation)
  • exacerbation of chronic gastritis with marked pain syndrome
  • condition after gastrointestinal bleeding (after a strict sparing diet)
Meals5-6 times a day
Durationseveral days

Guidelines

Recommended: milk, slimy grain milk soups with butter; thin, puréed milk porridges; soft-boiled eggs or steamed omelets; steamed soufflés from lean fish and meat; unsalted butter or olive oil, cream; berry, fruit (non-sour), and milk kissels (jelly drinks), carrot and fruit juices, rosehip decoction, weak tea with milk.

Salt is limited to 5-8 g, and fluid to 1.5 L. Additionally, vitamins A, C, and B vitamins are prescribed.

1b Diet No. 1b

Prescribed to ensure a smooth transition from the strict sparing diet to the main diet.

Indications

  • subacute phase of peptic ulcer disease and exacerbation of gastritis
Meals4-5 times a day
Durationseveral days

Guidelines

Food is prepared in puréed form; add 75-100 g of premium white bread rusks, meat and fish as cutlets, quenelles, and meatballs. Puréed milk porridges are given more often. Milk and grain soups.

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2

Diet No. 2

atrophic gastritis, colitis

Indications

  • chronic gastritis with low acidity
  • atrophic gastritis
  • chronic colitis in remission
Meals4-5 times a day
Durationlong-term

Foods

Bread and baked goods
Recommended
  • Day-old white and grey wheat bread
  • Dry plain biscuits
  • Plain baked goods
Avoid
  • Fresh wheat bread
  • Baked goods made from rich or puff pastry
First courses
Recommended
  • Soups made with lean meat and fish broths with pureed grains, vermicelli, and vegetables
Avoid
  • Milk soups
  • Okroshka (cold kvass soup)
Meat dishes
Recommended
  • Lean meats (beef, veal, chicken, turkey, rabbit), minced, baked, fried without breading, and boiled
  • Boiled chicken without skin
Avoid
  • Fatty and sinewy meat
  • Cartilage
  • Salo (cured pork fat)
  • Poultry skin
Fish
Recommended
  • Lean fish: zander (pike perch), cod, silver hake, navaga, icefish
  • Fish boiled in pieces or pan-fried
  • Jellied fish
  • Lightly salted herring (once a week)
Avoid
  • Salted, smoked, and fatty fish
  • Canned fish
Grains and porridges
Recommended
  • Porridges made from various grains (except excluded ones)
  • Pasta bakes, casseroles
  • Finely chopped macaroni, vermicelli
Avoid
  • Millet, pearl barley, corn, and barley porridges
  • Legumes
Dairy products
Recommended
  • Milk with tea or in dishes
  • Cottage cheese (tvorog)
  • Kefir
  • Prostokvasha (soured milk)
Avoid
  • Whole milk
Vegetables and greens
Recommended
  • Vegetable purees
  • Puddings
  • Boiled cauliflower
  • Stewed zucchini and pumpkin
  • Tomato salads
  • Young finely shredded dill and parsley greens
Avoid
  • Radishes
  • Black radish
  • Cucumbers
  • Spinach
  • Sorrel
  • Bell pepper
  • Garlic
  • Onions
  • Sauerkraut
Fruits
Recommended
  • Kissels (fruit jelly drinks), compotes, jellies, and mousses from sweet berries and fruits
Avoid
  • Raw fruits, especially those with hard skins and seeds (red currants, raspberries, gooseberries, grapes)
  • Dried fruits (dates)
Sweets
Recommended
  • Sugar, honey
Avoid—
Beverages
Recommended
  • Tea
  • Cocoa with milk
  • Coffee
  • Rosehip and wheat bran decoction
  • Sweet fruit and berry juices diluted half with water
Avoid
  • Carbonated beverages
  • Alcohol
  • Kvass
Eggs
Recommended
  • Soft-boiled eggs, omelets
Avoid
  • Hard-boiled eggs
Sauces and spices
Recommended
  • Meat, fish, and sour cream sauces
Avoid
  • Hot seasonings and spices, marinades
Fats and oils
Recommended
  • Butter
  • Refined vegetable oil
  • Ghee (clarified butter)
Avoid—
Appetizers
Recommended
  • Soaked herring
  • Doctor's sausage (doktorskaya)
  • Grated mild cheese
  • Lean ham
Avoid—

Guidelines

Boiled, stewed, and baked dishes with varying degrees of chopping are allowed. Pan-frying without forming a coarse crust is permitted (do not bread in breadcrumbs). Foods high in cellulose and dietary fiber are served pureed. Exclude hard-to-digest foods, as well as dishes that irritate the mucous membrane of the gastrointestinal tract, and excessively cold and hot dishes.

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3

Diet No. 3

constipation

Indications

  • Chronic bowel diseases and functional bowel disorders accompanied by constipation
Meals4-5 times a day
Durationunlimited

Foods

Bread and baked goods
Recommended
  • Day-old wheat and grain bread
  • Dry plain biscuits
Avoid
  • Fresh wheat bread
  • Fresh bakery products
  • Pastries made with rich or puff pastry
First courses
Recommended
  • Soups made with low-fat meat and fish broths, vegetable soups
Avoid
  • Mucilaginous soups
Meat
Recommended
  • Lean meats: beef, veal, chicken, turkey, rabbit
  • Milk sausages
Avoid
  • Duck, goose, fatty meat
  • Salo (cured pork fat)
  • Smoked meats
Fish
Recommended
  • Lean fish: pike perch, cod, perch
  • Seafood
Avoid
  • Salted, smoked, and fatty fish
  • Canned fish
  • Caviar
Grains and porridges
Recommended
  • Buckwheat, millet, wheat, and barley groats
Avoid
  • Rice and semolina
  • Pasta
  • Legumes
Dairy products
Recommended
  • Whole milk
  • Fermented milk drinks (kefir, prostokvasha (soured milk))
  • Cottage cheese (tvorog), cottage cheese puddings, casseroles, lazy vareniki
  • Mild cheese, small amounts of sour cream
Avoid—
Vegetables and greens
Recommended
  • Potatoes – limited
  • Carrots
  • Tomatoes
  • Beets
  • Celery
  • Zucchini
  • Pumpkin
  • Cauliflower
  • Leaf lettuce
Avoid
  • Radishes
  • Black radish
  • Turnip
  • Garlic
  • Onion
Fruits
Recommended
  • Fresh ripe fruits and berries
  • Dried fruits (figs, prunes)
Avoid
  • Bilberries
  • Quince
  • Cornelian cherry
Sweets
Recommended
  • Marmalade, pastila (fruit confection), zefir (marshmallow-like confection), varenye (fruit preserves), honey, jam, pastila (fruit confection), caramel
Avoid
  • Confectionery with cream and whipped cream
Beverages
Recommended
  • Green tea
  • Coffee substitute drink
  • Chicory
  • Rosehip decoction
  • Sweet fruit and vegetable juices
  • Carbonated mineral water
Avoid
  • Kissel (fruit jelly drink)
  • Coffee
  • Strong black tea
  • Cocoa
Eggs
Recommended
  • Soft-boiled eggs, steamed egg-white omelets
Avoid
  • Hard-boiled eggs
Sauces and spices
Recommended—
Avoid
  • Hot seasonings, marinades
  • Spicy and fatty sauces
Fats and oils
Recommended
  • Butter
  • Vegetable oil
Avoid—
Other
Recommended—
Avoid
  • Mushrooms

Guidelines

Food is mostly prepared whole (not minced), boiled in water or steamed, or baked. Vegetables and fruits are eaten raw or cooked. The diet includes cold first courses, sweet dishes, and beverages.

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4

Diet No. 4

intestinal diseases with diarrhea

Indications

  • Acute intestinal diseases and exacerbations of chronic intestinal diseases accompanied by diarrhea
Meals5 times a day
Durationseveral days

Foods

Bread and baked goods
Recommended
  • Premium-quality rusks from white wheat bread, untoasted, thinly sliced
Avoid
  • Rich dough products
  • Pastries
  • Dark bread
First courses
Recommended
  • Slimy soups made with low-fat meat or fish broth or vegetable broth with well-cooked grains, vermicelli, noodles, finely shredded vegetables, with the addition of steamed or boiled meat or fish quenelles, meatballs, egg flakes, and boiled pureed meat
Avoid
  • Meat and fish broths
  • Strong vegetable broths
Meat and fish
Recommended
  • Beef, veal, poultry, or fresh low-fat fish as steamed cutlets, quenelles, meatballs, soufflé
Avoid
  • Fatty meats and fish
  • Meat in pieces
  • Sausages
  • Salted fish
  • Caviar
  • Canned foods
Grains and porridges
Recommended
  • Pureed porridges made with water or low-fat meat broth from rice, oat, buckwheat, semolina, and other grains
Avoid
  • Wheat and pearl barley porridges
  • Pasta
  • Legumes
Dairy products
Recommended
  • Fresh calcium-set cottage cheese (tvorog), pureed
Avoid
  • Milk
Vegetables and greens
Recommended—
Avoid
  • Fresh vegetables, greens
Fruits
Recommended
  • Apple puree without skin
  • Jellies, kissels (fruit jelly drinks) made from blueberries, cornelian cherries, bird cherries, quince, pears
Avoid
  • Any raw fruits and berries
Sweets
Recommended
  • Sugar in limited amounts
Avoid
  • Any
Beverages
Recommended
  • Strong tea with lemon and sugar
  • Blackcurrant and blueberry juices diluted by half with water
  • Rosehip decoction
  • Decoction of dried blackcurrant, blueberry, bird cherry
Avoid
  • Carbonated beverages
  • Alcohol
  • Coffee
Eggs
Recommended
  • Up to 1-2 eggs per day. Soft-boiled, steamed omelet, and in dishes
Avoid—
Sauces and spices
Recommended
  • Salt in limited amounts
Avoid
  • Any
Fats and oils
Recommended
  • Butter
Avoid—
Appetizers
Recommended—
Avoid
  • Any

Guidelines

Mechanical, chemical, and thermal irritants of the gastrointestinal tract are sharply limited. Foods and dishes that stimulate the secretion of the digestive organs and fermentation and putrefaction processes in the intestine are excluded. Dishes are liquid, semi-liquid, pureed, boiled in water or steamed. Very hot and cold dishes are excluded.

4a Diet No. 4a

Indications

  • Colitis with predominance of fermentation processes
Meals5 times a day
Durationseveral days

Guidelines

The composition is the same as in Diet No. 4, but foods rich in carbohydrates (porridges, bread, sugar) are sharply limited and protein content is increased through meat dishes and pureed cottage cheese.

4b Diet No. 4b

Indications

  • Chronic colitis in the subsiding stage of the disease
Meals4-6 times a day
Durationfrom 1-2 months to several years

Guidelines

Diet features:

Unlike the main diet version, appetizers are allowed (mild cheese, doctor's sausage, pâté sausage, veal sausage, soaked herring, jellied meat, jellied tongue) and sauces (made with light meat, vegetable, and fish broths with dill, parsley leaves, milk béchamel sauce with a small amount of sour cream, fruit sauces, and cinnamon may be used).

All dishes are boiled or steamed, pureed, slimy, and served warm.

4c Diet No. 4c

Indications

  • Acute intestinal diseases during recovery as a transition to a balanced diet
  • Chronic intestinal diseases during subsiding exacerbation
  • Chronic intestinal diseases outside exacerbation with concomitant involvement of other digestive organs
Meals5 times a day
Durationseveral months

Guidelines

This dietary regimen is prescribed to provide adequate nutrition when intestinal function is impaired and to restore the function of other digestive organs. The diet is physiologically complete with limited salt intake and a slight increase in the amount of protein foods. It excludes foods that intensify putrefaction and fermentation processes in the intestine and that stimulate its secretion, as well as the secretion of the pancreas and stomach. Dishes should be steamed, prepared in minced form, or baked or boiled.

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5

Diet No. 5

biliary tract and liver diseases

Indications

  • chronic hepatitis with benign and progressive course
  • liver cirrhosis without exacerbation
  • chronic cholecystitis
  • gallstone disease
  • acute hepatitis and cholecystitis during recovery
  • other diseases accompanied by impaired liver and biliary tract function
Meals5 times a day
Durationunlimited

Foods

Bread and baked goods
Recommended
  • Day-old white and gray bread, plain cookies and buns
  • Pies with apples, jam
  • Black bread (individually)
Avoid
  • Fresh bread
  • Puff pastry and rich dough, fried pirozhki
First courses
Recommended
  • Vegetable and grain soups with vegetable broth
  • Milk soups with pasta, fruit soups
  • Vegetarian borscht and shchi, cold beet soup (svekolnik)
Avoid
  • Meat, fish and mushroom broths
  • Okroshka
Meat and fish
Recommended
  • Meat and poultry of moderate fat content
  • Beef, rabbit, chicken, turkey, veal — boiled in pieces, baked after boiling in pieces, steamed minced dishes
  • Lean fish in pieces, as meatballs, soufflé
  • Jellied fish
  • Tongue
Avoid
  • Organ meats
  • Canned foods
  • Fried dishes
Grains and porridges
Recommended
  • Any dishes made from various grains, especially buckwheat and oats with cottage cheese (tvorog) and grated cheese
  • Boiled vermicelli
  • Pilaf with fruit or carrots, rice-carrot and rice-apple casseroles, etc.
Avoid
  • Legumes
Dairy products
Recommended
  • Milk as a beverage and in dishes
  • Kefir, prostokvasha (soured milk)
  • Fresh low-fat cottage cheese (tvorog), steamed and baked dishes made from it, tvorog paste
  • Mild grated cheese
  • Smetana (sour cream) as a seasoning
Avoid—
Vegetables and greens
Recommended
  • Various dishes and side dishes made from raw, boiled and baked vegetables
  • Fresh vegetable salads, vinaigrettes (without onion)
  • Mild sauerkraut
  • Vegetables and side dishes
  • Green peas in soups
  • Parsley, dill and celery greens
Avoid
  • Turnip
  • Black radish
  • Radish
  • Mushrooms
  • Spinach
  • Garlic
  • Pickled vegetables
Fruits
Recommended
  • Ripe sweet berries and soft fruits fresh and baked
  • Fruit and berry purées, kissels (fruit jelly drinks), mousses, jellies, jams
  • Fruit salads
Avoid—
Sweets
Recommended
  • Sugar, honey, zefir (marshmallow-like confection)
Avoid
  • Chocolate, cream-filled pastries, ice cream
Beverages
Recommended
  • Fruit, berry and vegetable juices, compotes, rosehip decoctions
Avoid—
Eggs
Recommended
  • Steamed egg-white omelets
Avoid
  • Egg yolks
Sauces and seasonings
Recommended
  • Sauces made with vegetable and grain broths, milk-based sauces
Avoid—
Fats and oils
Recommended
  • Butter and vegetable fats
Avoid—
Other
Recommended
  • Doktorskaya sausage (doctor's sausage), milk sausages
Avoid
  • Smoked foods
  • Most sausage products

Guidelines

Dishes are mainly boiled or baked after preliminary boiling. Food is prepared mostly in non-puréed form. Flour and vegetables for seasoning are not sautéed but dried.

5a Diet No. 5a

Indications

  • acute hepatitis and cholecystitis
  • exacerbation of chronic hepatitis, cholecystitis, liver cirrhosis
Meals5 times a day
Durationseveral days

Guidelines

The diet is the same as for Diet No. 5, but one should consume more protein-containing foods, limit foods containing fats and carbohydrates, as well as dishes that increase fermentation and putrefaction in the intestine, strong stimulants of bile secretion, and substances that irritate the liver.

Dishes are prepared boiled or puréed and served warm. Some baked meat and fish dishes are allowed after preliminary boiling, without crust.

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6

Diet No. 6

urolithiasis, gout

Indications

  • gout
  • urolithiasis with urate stones
Meals4-5 times a day
Durationlong-term

Foods

Bread and baked goods
Recommended
  • Wheat and rye bread made from first- and second-grade flour.
  • Various baked goods, including those with added ground bran.
Avoid
  • Butter-rich pastries
  • Puff pastry
First courses
Recommended
  • Vegetarian: borscht, shchi, vegetable, potato, with added grains, cold soups (okroshka, svekolnik), milk, fruit.
Avoid
  • Meat, fish and mushroom broths; soups with sorrel, spinach, legumes
Meat and fish
Recommended
  • Low-fat types and cuts of meat and fish, boiled.
Avoid
  • Liver, kidneys, tongue, brains, meat of young animals and poultry
  • Sausages
  • Smoked meats
  • Salted fish
  • Canned meat and fish, caviar
Cereals and porridges
Recommended
  • Any dishes
Avoid
  • Legumes
Dairy products
Recommended
  • Milk
  • Fermented milk drinks
  • Cottage cheese (tvorog) and dishes made from it
  • Sour cream
  • Cheese
Avoid
  • Salted cheeses
Vegetables and greens
Recommended
  • In increased amounts, raw and in any culinary preparation.
  • Potato dishes.
  • Salted and pickled vegetables in limited amounts
Avoid
  • Mushrooms
  • Fresh legume pods, spinach, sorrel, rhubarb
  • Cabbage
Fruits
Recommended
  • Fruits and berries in increased amounts, fresh and in any culinary preparation.
  • Dried fruits
Avoid
  • Figs
  • Raspberries
  • Cranberries
Sweets
Recommended
  • Fruit marmalade, pastila, non-chocolate candies, jam, honey, meringues
  • Milk creams and milk kissel (jelly drink)
Avoid
  • Chocolate
Beverages
Recommended
  • Tea with lemon and milk
  • Weak coffee with milk
  • Fruit, berry and vegetable juices, mors (fruit drink), water with juices
  • Kvass
  • Decoctions of rosehip, wheat bran, dried fruits
Avoid
  • Cocoa
  • Strong tea and coffee
Eggs
Recommended
  • 1 egg per day in any culinary preparation
Avoid—
Sauces and seasonings
Recommended
  • On vegetable broth, tomato, sour cream, milk.
  • Citric acid, vanillin, cinnamon, bay leaf.
  • Dill, parsley greens.
Avoid
  • Sauces based on meat, fish or mushroom broths
  • Pepper, mustard, horseradish
Fats and oils
Recommended
  • Butter, clarified butter (ghee) and vegetable oils
  • Pork fat in limited amounts
Avoid
  • Beef and mutton fat, cooking fats
Other
Recommended
  • Salads from fresh and fermented vegetables, fruit salads
  • Vinaigrette salads
  • Vegetable caviar, zucchini caviar, eggplant caviar
Avoid
  • Salted appetizers
  • Smoked meats, canned foods
  • Fish caviar

Guidelines

Cooking methods are usual, except that meat, poultry and fish must be boiled. Food temperature is normal.

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7

Diet No. 7

chronic and acute nephritis, chronic renal failure

Indications

  • acute nephritis in the recovery phase
  • chronic nephritis outside exacerbation
  • nephropathy of pregnancy and other diseases requiring a salt-free diet
Meals4-5 times a day
Durationlong-term

Foods

Bread and baked goods
Recommended
  • Protein-free bread
  • Unsalted white wheat bran bread
  • Pancakes and oladyi (small thick pancakes) made with yeast and without salt
Avoid—
First courses
Recommended
  • Vegetarian soups with vegetables and sago, without salt
Avoid—
Meat
Recommended
  • Lean beef, veal, rabbit, chicken, turkey boiled or baked, lightly pan-fried after boiling, in pieces or minced (beef stroganoff, steamed cutlets, meatballs, meatloaf)
Avoid—
Fish
Recommended
  • Lean fish (pike perch, silver hake, navaga, cod, pike, carp), boiled in pieces, minced, or jellied after boiling
Avoid—
Grains and porridges
Recommended
  • Grains and pasta in limited amounts
  • Sago
Avoid—
Dairy products
Recommended
  • Natural milk, fermented milk drinks, cottage cheese (tvorog) and cottage cheese dishes in limited amounts
Avoid—
Vegetables and greens
Recommended
  • Potatoes
  • Carrots
  • Beets
  • Cauliflower
  • Lettuce
  • Tomatoes
  • Cucumbers
  • Parsley
  • Dill
Avoid—
Fruits
Recommended
  • Any fruits and berries, especially watermelon and melon
  • Purees, jellies, starch-based mousses
Avoid—
Sweets
Recommended
  • Sugar, honey, fruit preserves, jams
Avoid—
Beverages
Recommended
  • Sweet tea, rosehip broth
  • Tea with milk
  • Fruit and berry juices diluted half with water
Avoid
  • Alcohol
Eggs
Recommended
  • Egg-white omelet, eggs in dishes, no more than 1 per day
Avoid—
Sauces and seasonings
Recommended
  • Dairy, tomato, protein-free sauces
  • Vegetable marinade with tomato
Avoid
  • Sauces based on meat, mushroom, or fish broths
Fats and oils
Recommended
  • Any except hard (high-melting-point) fats
Avoid
  • Hard (high-melting-point) fats
Other
Recommended
  • Mild cheese
  • Vinaigrette salad
Avoid
  • Smoked foods and pickles
  • Canned foods

Guidelines

The diet is nutritionally complete and practically does not differ from the diet of a healthy person. Patients are advised not to overconsume protein foods (up to 0.8–0.9 g/kg) and to somewhat limit salt (7–8 g/day).

7a Diet No. 7a

Indications

  • acute and chronic nephritis in the exacerbation stage
  • end-stage chronic renal failure
Meals5 times a day
Durationseveral days

Guidelines

Modification of the main diet with complete exclusion of salt and strict restriction of fluids and protein.

7b Diet No. 7b

Indications

  • recovery period after acute kidney inflammation
  • chronic renal failure
Meals5 times a day
Durationfrom several days to several months

Guidelines

Modification of the main diet with restriction of salt and protein; it is transitional from No. 7a to No. 7.

7c Diets No. 7c and No. 7d

Prescribed to people with marked nephrotic syndrome and to those on hemodialysis, respectively.

They are a modification of the main diet with increased protein content.

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8

Diet No. 8

obesity

Indications

  • Obesity as a primary disease or as a concomitant condition in other diseases that do not require special diets
Meals5-6 times a day
Durationlong-term

Foods

Bread and baked goods
Recommended
  • Rye and whole-grain wheat bread, about 100 g per day
  • Protein bread and protein-bran bread
Avoid
  • Cookies
  • White bread
  • Buns
  • Rich pastry
First courses
Recommended
  • Shchi (cabbage soup), borscht, vegetable soups, cold beet soup (svekolnik)
Avoid
  • Dairy, potato, grain, legume, and pasta soups
Meat
Recommended
  • Lean beef, veal, rabbit, chicken, boiled pork, beef sausages
Avoid
  • Fatty meats
Fish
Recommended
  • Boiled or jellied lean fish
  • Squid
  • Mussels
Avoid
  • Fatty fish
Grains and porridges
Recommended
  • Fluffy buckwheat, pearl barley, and barley porridges combined with vegetables
Avoid
  • Pasta
  • Legumes
Dairy products
Recommended
  • Low-fat fermented milk drinks (kefir, prostokvasha (soured milk), acidophilus milk)
  • Fat-free cottage cheese (tvorog) and dishes made from it
Avoid
  • Ice cream
  • Sour cream
  • Cream
Vegetables and greens
Recommended
  • Any vegetables and greens, raw and cooked
  • Potatoes in limited amounts
Avoid—
Fruits
Recommended
  • Fresh and baked sweet-and-sour fruits and berries
  • Unsweetened compotes and jellies
Avoid
  • Sweet fruits and berries
  • Grapes
  • Raisins, prunes
Sweets
Recommended—
Avoid
  • Sugar
  • Honey
  • Jam
  • Pastries
  • Any candies
Beverages
Recommended
  • Tea
  • Black coffee
  • Unsweetened compote
  • Vegetable juices
Avoid
  • Sweet juices and compotes
Eggs
Recommended
  • Hard-boiled eggs
  • Omelets
Avoid—
Sauces and spices
Recommended—
Avoid
  • Fatty seasonings
  • Hot spices
  • Mayonnaise
Fats and oils
Recommended
  • Vegetable oil
  • Butter in limited amounts
Avoid
  • Solid animal fats
  • Salo (cured pork fat)
Other
Recommended
  • Vegetable, squid, fish, and meat salads without mayonnaise, with vegetable oil; vinaigrettes
Avoid—

Guidelines

Reduce calorie intake by limiting carbohydrates, especially easily digestible ones, and, to a lesser extent, fats (mainly animal fats), while keeping protein intake normal. Limit free fluids, sodium chloride, and foods and dishes that stimulate appetite. Increase dietary fiber content. Dishes are boiled, stewed, or baked. Use sugar substitutes for sweet dishes and beverages.

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9

Diet No. 9

diabetes mellitus

Indications

  • mild to moderate diabetes mellitus
  • establishing carbohydrate tolerance
  • adjusting doses of insulin or other medications
Meals5 times a day
Durationsometimes lifelong

Foods

Bread and baked goods
Recommended
  • Dark bread made from second-grade flour
  • Baked goods made with sugar substitutes
Avoid
  • Products made from rich and puff pastry
  • Pastries
  • Cakes
First courses
Recommended
  • Soups made with various vegetables, shchi (cabbage soup), borscht, svekolnik (cold beet soup), meat and vegetable okroshka, soups made with weak broths or water with allowed grains, potatoes, and meatballs
Avoid
  • Fatty and strong broths
Meat
Recommended
  • Lean beef, veal, pork, lamb, rabbit, chicken, turkey
  • Beef frankfurters, milk sausages, diet sausages
Avoid
  • Sausages
  • Smoked meats
Fish
Recommended
  • Lean fish
Avoid
  • Salted fish
Grains and porridges
Recommended
  • Grains in limited amounts, within the carbohydrate allowance
  • Porridges made from buckwheat, barley, oat, pearl barley, and wheat groats
Avoid
  • Semolina and rice
Dairy products
Recommended
  • Kefir, milk, acidophilus milk
  • Cottage cheese (tvorog) 9%, fat-free cottage cheese and dishes made with it
  • Mild and low-fat cheese
  • A little sour cream added to dishes
Avoid—
Vegetables and greens
Recommended
  • Potatoes within the carbohydrate allowance
  • Cabbage, eggplant, cucumbers, sweet peppers, green beans, turnips, radishes, zucchini, cauliflower, lettuce, spinach, pumpkin — without restriction
  • Green peas, beets, carrots — in limited amounts
Avoid—
Fruits
Recommended
  • Sour and sweet-and-sour fruits and berries in any form
  • Unsweetened compote, jelly, baked apples
Avoid
  • Grapes
  • Raisins
  • Dates
  • Persimmon
  • Bananas
Sweets
Recommended—
Avoid
  • Sugar
  • Honey
  • Jam
  • Candies
  • Ice cream
Beverages
Recommended
  • Tea, coffee with milk, rosehip decoction, unsweetened compote, vegetable juices
Avoid
  • Lemonade
  • Sweet juices
Eggs
Recommended
  • Eggs 1–2 per day, boiled or in dishes
Avoid—
Sauces and spices
Recommended
  • Low-fat sauces based on vegetable broths or weak low-fat broths
  • Bay leaf
Avoid—
Fats and oils
Recommended
  • Unsalted butter
  • Vegetable oils in dishes
Avoid—
Other
Recommended
  • Vinaigrette salads
  • Vegetable caviar, zucchini caviar
  • Squid salads
  • Jellied fish
  • Lean beef aspic
Avoid—

Guidelines

Dishes are served boiled, baked, or steamed; fried dishes only in limited amounts.

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10

Diet No. 10

cardiovascular diseases

Indications

  • atherosclerosis with damage to the blood vessels of the heart, brain, or other organs, elevated blood cholesterol
  • ischemic heart disease
  • arterial hypertension associated with atherosclerosis
Meals4-5 times a day
Durationlong-term

Foods

Bread and baked goods
Recommended
  • Wheat bread from first- and second-grade flour, medium rye bread, whole grain bread
  • Dry plain biscuits
  • Salt-free baked goods with cottage cheese, fish, meat, ground wheat bran, and soy flour
Avoid
  • Products made from rich pastry and puff pastry
First courses
Recommended
  • Vegetable soups (shchi, borscht, beet soup), vegetarian soups with potatoes and grains, fruit soups, milk soups
Avoid
  • Meat, fish, and mushroom broths
  • Legume soups
Meat
Recommended
  • Various lean meats and poultry, boiled or baked, in pieces or minced
Avoid
  • Duck, goose, liver, kidneys, brains, sausages, smoked meats, canned foods
Fish
Recommended
  • Lean fish, boiled, baked, in pieces or minced
  • Seafood dishes (scallops, mussels, seaweed, etc.)
Avoid
  • Fatty fish
  • Salted and smoked fish, canned fish, caviar
Grains and porridges
Recommended
  • Buckwheat, oats, millet, barley, and other crumbly porridges and casseroles
  • Rice, semolina, pasta — limited
Avoid—
Dairy products
Recommended
  • Low-fat milk and fermented milk drinks
  • Low-fat cottage cheese (tvorog) and dishes made with it
  • Low-fat, lightly salted cheese
Avoid
  • Salty and fatty cheese, heavy cream, sour cream, and full-fat cottage cheese
Vegetables and greens
Recommended
  • Any except those excluded
Avoid
  • Radish, black radish, sorrel, spinach, mushrooms
Fruits
Recommended
  • Fresh fruits and berries, dried fruits, compotes, jellies, mousses, sambuks (semi-sweet or with xylitol)
Avoid
  • Grapes, raisins
Sweets
Recommended
  • Sugar, honey, jam — limited
Avoid
  • Chocolate, cream-filled pastries, ice cream
Beverages
Recommended
  • Weak tea with lemon or milk; weak natural coffee
  • Coffee substitutes
  • Vegetable, fruit, and berry juices; rosehip and wheat bran decoction
Avoid
  • Strong tea, coffee, cocoa
Eggs
Recommended
  • Egg white omelets; soft-boiled eggs — up to 3 per week
  • Egg yolks — limited
Avoid—
Sauces and seasonings
Recommended
  • Vegetable broth-based sauces with sour cream, milk sauces, tomato sauces, fruit and berry gravies
  • Vanillin, cinnamon, citric acid; mayonnaise and horseradish — limited
Avoid
  • Meat, fish, and mushroom sauces, pepper, mustard
Fats and oils
Recommended
  • Butter and vegetable oils
Avoid
  • Animal fats and cooking fats
Other
Recommended
  • Soaked herring
  • Dietetic sausage
  • Lean ham
Avoid
  • Fatty, spicy, and salty foods, caviar
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11

Diet No. 11

tuberculosis

Indications

  • tuberculosis of the lungs, bones, lymph nodes, joints with mild exacerbation or subsiding exacerbation, with low body weight
  • malnutrition after infectious diseases, surgery, trauma
Meals4-5 times a day
Duration1-2 months or more

Foods

Bread and baked goods
Recommended
  • Wheat and rye bread
  • Various flour products (pirozhki, cookies, sponge cakes, rich pastries)
Avoid—
First courses
Recommended
  • Any
Avoid—
Meat
Recommended
  • Lean meat in any culinary preparation
  • Offal
  • Sausages, ham, frankfurters
  • Canned meat
Avoid—
Fish
Recommended
  • Any fish
  • Seafood
  • Caviar, canned fish
Avoid—
Grains and cereals
Recommended
  • Any grains
  • Pasta
  • Legumes — well boiled, as a puree
Avoid—
Dairy products
Recommended
  • Milk, cottage cheese (tvorog), kefir, sour cream, low-fat cheese
Avoid—
Vegetables and greens
Recommended
  • Any, raw and cooked
Avoid—
Fruits
Recommended
  • Most fruits and berries
Avoid—
Sweets
Recommended
  • Most sweet dishes, honey
Avoid
  • Cakes and pastries with a large amount of cream
Beverages
Recommended
  • Any
Avoid—
Eggs
Recommended
  • In any preparation
Avoid—
Sauces and seasonings
Recommended
  • Red, meat, sour cream, milk-egg sauces.
  • Spices in moderate amounts, but in a wide assortment.
  • Horseradish, mustard, ketchup
Avoid
  • Spicy and fatty sauces
Fats and oils
Recommended
  • Vegetable oil, ghee, butter, soft (pourable) margarine, mayonnaise
Avoid
  • Mutton fat, beef fat, cooking fat
  • Hard margarines

Guidelines

The diet is characterized by increased energy value with high content of proteins, minerals, and vitamins.

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12

Diet No. 12

nervous system disorders

Indications

  • functional disorders of the nervous system
Meals5 times a day
Duration2-3 months

Foods

Bread and baked goods
Recommended
  • Diet bread, day-old or dried
  • Plain sponge cake and cookies
Avoid—
First courses
Recommended
  • Vegetable soups (shchi, borscht, beet soup), vegetarian with potatoes and grains, fruit soups, milk soups
Avoid
  • Meat, fish, and mushroom broths
Meat
Recommended
  • Lean boiled meat (veal, beef, rabbit, turkey)
  • Tongue
  • Liver
Avoid
  • Fatty meats
Fish
Recommended
  • Lean fish (perch, pike, cod)
  • Seafood
Avoid—
Grains and porridges
Recommended
  • Any grains
  • Legumes
Avoid—
Dairy products
Recommended
  • Milk, cottage cheese (tvorog), kefir, sour cream, low-fat cheese
Avoid—
Vegetables and greens
Recommended
  • Any except those excluded
Avoid
  • Sorrel, black radish, garlic and onion, radish
Fruits
Recommended
  • Dried fruits and fresh fruits
Avoid—
Sweets
Recommended
  • Honey, candies without chocolate
Avoid
  • Chocolate in any form
Beverages
Recommended
  • Herbal teas, rosehip decoction, vegetable and fruit juices
Avoid
  • Strong black tea, coffee, cocoa
  • Alcohol
Eggs
Recommended
  • Soft-boiled only, no more than two per day
Avoid—
Sauces and seasonings
Recommended
  • Tomato, onion (from well-cooked onion), sour cream, and vegetable broth-based
Avoid
  • Spicy sauces, mustard, horseradish, pepper
Fats and oils
Recommended
  • Vegetable oil, clarified butter
Avoid
  • Animal fats
  • Salo (cured pork fat)
Other
Recommended—
Avoid
  • Fatty, spicy, and fried foods
  • Smoked meats

Guidelines

It is advisable to eat tongue, liver, legumes, and dairy products more often. Dishes are served in any form except fried.

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13

Diet No. 13

acute infectious diseases

Indications

  • acute infectious diseases
Meals5-6 times a day
Durationseveral days

Foods

Bread and baked goods
Recommended
  • Dried wheat bread made from premium and first-grade flour
  • Rusks
  • Dry plain cookies
  • Sponge cake
Avoid
  • Rye and any fresh bread, rich dough
First courses
Recommended
  • Weak fat-free meat and fish broths with egg flakes and quenelles
  • Pureed meat soup
  • Slimy cereal broths with bouillon; soups made with broth or vegetable stock with well-cooked semolina, rice, oats, vermicelli, and allowed pureed vegetables
Avoid
  • Fatty broths, shchi, borscht, legume and millet soups
Meat
Recommended
  • Lean meats without fat, fascia, tendons, or skin
  • Finely minced, boiled and steamed dishes
  • Souffle and puree from boiled meat; steamed cutlets and meatballs
Avoid
  • Fatty meats: duck, goose, lamb, pork
  • Sausages, canned foods
Fish
Recommended
  • Lean fish without skin
  • Boiled or steamed as cutlets or pieces
Avoid
  • Fatty, salted, smoked fish
  • Canned fish
Grains and porridges
Recommended
  • Semolina, ground buckwheat, rice, rolled oats as pureed, well-cooked semi-liquid and semi-viscous porridges with milk or broth
  • Boiled vermicelli
Avoid
  • Millet, pearl barley, barley, corn groats
  • Legumes
  • Pasta
Dairy products
Recommended
  • Fermented milk drinks
  • Fresh cottage cheese (tvorog), cottage cheese paste, souffle, pudding, steamed syrniki (cottage cheese pancakes)
  • Low-fat sour cream
  • Grated cheese
  • Milk and cream in dishes
Avoid
  • Whole milk
  • Cream
  • Full-fat sour cream
Vegetables and greens
Recommended
  • Potatoes, carrots, beets, cauliflower as purees, souffles, steamed puddings
  • Ripe tomatoes
Avoid
  • White cabbage, radish, daikon, onion, garlic, cucumbers, rutabaga, mushrooms
Fruits
Recommended
  • Very ripe raw fruits
  • Soft sweet and sour-sweet fruits and berries, mostly pureed; baked apples
  • Dried fruit puree
  • Kissels (fruit jelly drinks), mousses, pureed compotes, sambuks (whipped fruit desserts), jellies
  • Milk cream and milk kissel (fruit jelly drink)
  • Meringues, snowballs with kissel (fruit jelly drink)
Avoid
  • Fiber-rich fruits with coarse skin
Sweets
Recommended
  • Fruit jelly candies
Avoid
  • Chocolate, pastries
  • Preserves, jams
Beverages
Recommended
  • Tea with lemon
  • Weak tea and coffee with milk; diluted fruit-berry and vegetable juices
  • Rosehip and wheat bran decoction, mors (berry fruit drink)
Avoid
  • Cocoa
Eggs
Recommended
  • Soft-boiled, steamed, egg-white omelets
Avoid
  • Hard-boiled and fried eggs
Sauces and spices
Recommended
  • White sauce with meat broth or vegetable stock
  • Milk, sour cream, vegetarian sweet-and-sour, Polish sauces
  • Toasted flour for sauces
Avoid
  • Spicy, fatty sauces
  • Spices
Fats and oils
Recommended
  • Butter
  • Refined vegetable oil
Avoid
  • Other fats
Other
Recommended
  • Jellied pureed meat, jellied fish
  • Caviar
  • Forshmak (chopped herring spread)
Avoid
  • Fatty and spicy appetizers, smoked meats, canned foods, vegetable salads
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14

Diet No. 14

kidney disease with passage of phosphate stones

Indications

  • urolithiasis with phosphate stones and alkaline urine reaction
Meals5 times a day
Durationlong-term

Foods

Bread and baked goods
Recommended
  • Various types
Avoid—
First courses
Recommended
  • On weak meat, fish, or mushroom broths with grains, noodles, or legumes
Avoid
  • Dairy, vegetable, and fruit soups
Meat
Recommended
  • Various types
Avoid
  • Smoked meats
Fish
Recommended
  • Various types
  • Canned fish in limited amounts
Avoid
  • Salted, smoked fish
Grains and porridges
Recommended
  • Any grains prepared in various ways with water, meat broth, or vegetable broth
Avoid
  • Milk porridges
Dairy products
Recommended
  • Only a small amount of sour cream in dishes
Avoid
  • Milk, fermented milk drinks, cottage cheese (tvorog), cheese
Vegetables and greens
Recommended
  • Green peas, pumpkin, mushrooms
Avoid
  • Other vegetables and potatoes
Fruit
Recommended
  • Sour apple varieties, cranberries, lingonberries, compotes, jellies, and kissels (fruit jelly drinks) made from them
Avoid
  • Other fruits and berries
Sweets
Recommended
  • Sugar, honey, confectionery, fruit ice
Avoid
  • Sweet dishes made with milk
Beverages
Recommended
  • Weak tea and coffee without milk. Rosehip decoction, cranberry or lingonberry fruit drinks
Avoid
  • Fruit, berry, and vegetable juices
Eggs
Recommended
  • Prepared in various ways and in dishes, 1 egg per day
Avoid—
Sauces and spices
Recommended
  • Mild sauces made with meat, fish, or mushroom broths
  • Spices in very limited amounts
Avoid
  • Spicy sauces, mustard, horseradish, pepper
Fats and oils
Recommended
  • Butter, clarified butter (ghee), and vegetable oils
Avoid
  • Salo (cured pork fat), cooking fat
Appetizers
Recommended
  • Various meat, fish, and seafood appetizers
  • Soaked herring, caviar
Avoid
  • Vegetable salads, vinaigrettes, canned vegetables

Guidelines

A complete diet limiting calcium-rich and alkalizing foods.

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15

Diet No. 15

diseases that do not require special diets

Diet No. 15 is indicated for diseases that do not require therapeutic diets. This diet is nutritionally complete, while spicy and hard-to-digest foods are excluded. Daily intake should be 90 g of protein, 100 g of fat, and 400 g of carbohydrates. Almost all foods are allowed except fatty poultry and meat, mustard, pepper, and hard animal fats.

Indications

  • diseases that do not require a special diet
Meals4 times a day
Durationunlimited

Foods

Bread and baked goods
Recommended
  • Wheat and rye bread, flour products
Avoid—
First courses
Recommended
  • Borscht, shchi (cabbage soup), beet soup, rassolnik (pickle soup); milk soups
  • Vegetable and grain soups made with meat, fish, mushroom, or vegetable broth
  • Fruit soups
Avoid—
Meat and fish
Recommended
  • Meat and fish dishes prepared in various ways; frankfurters, wieners, cooked sausages
Avoid
  • Fatty meats, duck, goose
Grains and porridges
Recommended
  • Any grains
  • Pasta
  • Legumes
Avoid—
Dairy products
Recommended
  • Any
Avoid—
Vegetables, greens, fruits
Recommended
  • Raw and cooked vegetables and fruits
  • Greens
Avoid—
Sweets
Recommended
  • Any
Avoid—
Beverages
Recommended
  • Fruit and vegetable juices, rosehip and wheat bran decoction
  • Tea, coffee, cocoa
Avoid—
Eggs
Recommended
  • Boiled eggs and eggs in dishes
Avoid—
Sauces and spices
Recommended
  • Any mild
Avoid
  • Pepper, mustard
Fats and oils
Recommended
  • Butter, clarified butter, vegetable oils
  • Margarines — limited
Avoid
  • Hard animal fats
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Based on the therapeutic nutrition system of M. I. Pevzner.