Plant
Bread, multigrain, reduced calorie and/or high fiber, toasted
How bread, multigrain, reduced calorie and/or high fiber, toasted scores for gout, what moved that score, and the nutrition and portions behind it.
Food Index score
Bread, multigrain, reduced calorie and/or high fiber, toastedExcellent
| Starting score | 100 |
| Sodium | -5.8 |
| Fiber | +5 |
| Calorie Density | -4.2 |
| Nutrient Gaps | -4 |
| Magnesium | +1.1 |
| Purine Load | -1 |
| 3 smaller factors | +0.1 |
| Final score | 91 |
Bread, multigrain, reduced calorie and/or high fiber, toasted scores 91 out of 100 and sits in the excellent band. Among the lower-risk choices for most people with gout, and often carries protective nutrients.
Penalties took 15.9 points off a starting score of 100, and protective factors added 7.1 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
- Total Fat2.8 g
- Saturated Fat0.61 g
- Sodium511 mg
- Dietary Fiber11.8 g
- Total Sugars5.1 g
- Protein9.8 g
- Calcium103 mg
- Iron3.8 mg
- Magnesium45 mg
- Vitamin C0.50 mg
- Folate88 ug
- Water36.2 g
- Alcohol0 g
- Omega-3 EPA0 g
- Omega-3 DHA0 g
Common portions
- Quantity not specified33 g
- 1 small or thin/very thin slicetypical22 g
- 1 medium or regular slice33 g
- 1 large or thick slice39 g
- 1 slice, crust not eaten15 g
- 1 slice, snack-size9 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.
- -5.8Long-term
SodiumLong-term
511 mg of sodium per 100 g, with no portion adjustment.
Evidence: FitzGerald JD 2020, Arthritis Care Res
- +5Long-term
FiberLong-term
11.8 g of dietary fiber per 100 g, with no portion adjustment.
Evidence: Juraschek SP 2016, Arthritis Rheumatol
- -4.2Long-term
Calorie DensityLong-term
228 kcal per 100 g, above the 80 kcal energy-density threshold.
Evidence: Aune D 2014, Eur J Nutr
- -4Long-term
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
- +1.1Long-term
MagnesiumLong-term
45 mg of magnesium per 100 g, with no portion adjustment.
Evidence: Li X 2015, BMJ
- -1Flare risk
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
- -0.9Long-term
Saturated FatLong-term
0.61 g of saturated fat per 100 g, with no portion adjustment.
Evidence: Juraschek SP 2016, Arthritis Rheumatol · Yokose C 2021, Curr Opin Rheumatol
- +0.9Long-term
FolateLong-term
88 µg of folate per 100 g, with no portion adjustment.
Evidence: Lyu LC 2017, Am J Clin Nutr
- +0.1Long-term
Vitamin CLong-term
0.5 mg of vitamin C per 100 g, with no portion adjustment. Vitamin C helps the kidneys excrete urate.
Evidence: Choi HK 2009, Arch Intern Med · Juraschek SP 2011, Arthritis Care Res
Keep looking
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Common questions
About bread, multigrain, reduced calorie and/or high fiber, toasted
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.