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Plant

Toasted cheese bread

USDA description: Bread, cheese, toasted

How toasted cheese bread scores for gout, what moved that score, and the nutrition and portions behind it.

Food Index score

Toasted cheese breadGood

70/ 100
0100
Based on a well-supported purine estimate
What moved this score
Starting score100
Saturated Fat-10.3
Calorie Density-10
Sodium-8
Nutrient Gaps-4
Fiber+1.4
Purine Load-1
2 smaller factors+1.5
Final score70
Flare risk (acute)99
Long-term (chronic)71

Toasted cheese bread scores 70 out of 100 and sits in the good band. Generally ranks well. Most people with gout find it fits into a regular eating pattern.

Penalties took 33.3 points off a starting score of 100, and protective factors added 2.9 back. Every factor is listed in full below.

Scores run 0–100, where higher means more gout-friendly on average. They reflect relative ranking across foods, not a personal risk level. The same food can suit one person and not another, so use the score as a starting point for a conversation with your clinician.

The underlying data

Nutrition and portions

Nutrition Facts

Amounts per 100 g
Typical serving22 g
Calories448
  • Total Fat22.9 g
  • Saturated Fat6.9 g
  • Sodium824 mg
  • Dietary Fiber2.3 g
  • Total Sugars2.3 g
  • Protein11.4 g
  • Calcium99 mg
  • Iron2.7 mg
  • Magnesium19 mg
  • Vitamin C0 mg
  • Folate100 ug
  • Water13.3 g
  • Alcohol0 g
  • Omega-3 EPA0 g
  • Omega-3 DHA0 g

Common portions

  • 1 small or thin/very thin slicetypical22 g
  • 1 medium or regular slice25 g
  • 1 large or thick slice39 g
  • 1 slice, crust not eaten12 g
  • 1 slice, snack-size9 g
  • 1 cubic inch2 g
  • Quantity not specified25 g

Where the purine figure comes from

No direct purine measurement has been published for this food, so the score uses the measured median for its category (yeast breads).

We rate this a good confidence estimate.

How purines affect the score →

Nutrition values from the USDA FoodData Central database.

Scoring rationale

Every factor, in full

Each row shows the points a factor moved, what drove it, and the studies behind its weight.

PointsFactor
  • -10.3

    Saturated FatLong-term

    6.87 g of saturated fat per 100 g, with no portion adjustment.

    Evidence: Juraschek SP 2016, Arthritis Rheumatol · Yokose C 2021, Curr Opin Rheumatol

  • -10

    Calorie DensityLong-term

    448 kcal per 100 g, above the 80 kcal energy-density threshold.

    Evidence: Aune D 2014, Eur J Nutr

  • -8

    SodiumLong-term

    824 mg of sodium per 100 g, with no portion adjustment.

    Evidence: FitzGerald JD 2020, Arthritis Care Res

  • -4

    Nutrient GapsLong-term

    Provides meaningful amounts of only 3 of the 5 protective nutrient groups (vitamin C, fiber, omega-3, magnesium and folate).

    Evidence: Choi HK 2009, Arch Intern Med · Juraschek SP 2016, Arthritis Rheumatol · Zhang M 2019, Arthritis Rheumatol

  • +1.4

    FiberLong-term

    2.3 g of dietary fiber per 100 g, with no portion adjustment.

    Evidence: Juraschek SP 2016, Arthritis Rheumatol

  • -1

    Purine LoadFlare risk

    20 mg of purines per 100 g, weighted 0.45x as a plant source and 1.0x for the typical portion: 9 mg effective.

    Evidence: Choi HK 2004, N Engl J Med · Kaneko K 2014, Biol Pharm Bull · Zhang Y 2012, Ann Rheum Dis

  • +1

    FolateLong-term

    100 µg of folate per 100 g, with no portion adjustment.

    Evidence: Lyu LC 2017, Am J Clin Nutr

  • +0.5

    MagnesiumLong-term

    19 mg of magnesium per 100 g, with no portion adjustment.

    Evidence: Li X 2015, BMJ

Common questions

About toasted cheese bread

Look up any food's Food Index score

Each score lists the factors that moved it, the portion it assumes, and the studies behind each factor's weight.

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