# Is bread allowed on IDDSI Level 6?

Canonical: [https://followyourswallow.com/answers/is-bread-allowed-on-iddsi-level-6](https://followyourswallow.com/answers/is-bread-allowed-on-iddsi-level-6)

## Direct answer

Regular fresh bread is not IDDSI Level 6 unless it has been specially prepared. Bread forms a sticky, doughy ball that is hard to control and doesn't pass the fork pressure test. Ask the SLP before serving any bread.

## Details

Level 6 (Soft & Bite-Sized) requires tender, moist pieces no larger than 1.5 cm that squash under fork pressure. Fresh bread compresses and springs back instead of squashing flat.

Some clinicians teach a “soaked bread” preparation that converts bread to a uniformly moist texture, but that's a clinical decision for your SLP, not a default.


## Sources

- [IDDSI Level 6 Soft & Bite-Sized adult handout](https://www.iddsi.org/images/Publications-Resources/PatientHandouts/English/Adults/6_soft_bite_sized_adult_consumer_handout_30jan2019.pdf)


Clinical review: SLP review in progress

## Safety

Use only the food and drink levels prescribed by the person's qualified clinician. Test the actual serving before it is eaten or drunk.