Daily Meal Plan (Classic PKU)

Breakfast

  • 2 slices of low-protein bread (special product)
  • Plant-based margarine
  • Fruit spread (e.g., strawberry)
  • 1 portion of fruit (e.g., apple or pear)
  • Herbal or fruit tea

Additionally:

  • 1 serving of Phe-free amino acid mixture

Mid-Morning Snack

  • Fruit salad made from permitted fruits (e.g., apple, grapes, berries)
  • Water or unsweetened tea

Lunch

  • Low-protein pasta (special product)
  • Tomato-vegetable sauce (e.g., tomatoes, zucchini, bell pepper, onion)
  • Olive oil, herbs, spices
  • Green salad with oil-and-vinegar dressing

Additionally:

  • 2nd serving of Phe-free amino acid mixture

Afternoon Snack

  • Low-protein cookies or rice cakes (special product)
  • Fruit purée (e.g., applesauce)
  • Tea or water

Dinner

  • Vegetable stir-fry (e.g., potatoes*, carrots, broccoli, zucchini)
    Potato quantity strictly weighed
  • Plant-based oil (e.g., rapeseed or olive oil)
  • 1 slice of low-protein bread
  • Raw vegetables (e.g., cucumber, tomato)

Additionally:

  • 3rd serving of Phe-free amino acid mixture

Late Meal (Optional)

  • Fruit or compote
  • Water

Important Basic Rules for Classic PKU

Not Allowed / To Be Strictly Avoided

  • Meat, fish, eggs
  • Dairy products
  • Legumes, nuts, seeds
  • Regular grain products
  • Aspartame (e.g., in diet/light beverages)

Allowed in Limited Amounts

  • Fruits and vegetables (according to Phe content)
  • Potatoes (weighed)
  • Special low-protein products

Daily Meal Plan – Child (6–10 Years), Classic PKU

Basic Assumptions

  • Low natural Phe tolerance
  • High energy requirement for growth
  • 3–4 servings of Phe-free amino acid mixture per day

Breakfast

  • 1–2 slices of low-protein bread (special product)
  • Plant-based margarine
  • Fruit spread
  • 1 small portion of fruit (e.g., apple pieces)
  • Unsweetened tea or water
  • 1 serving of amino acid mixture (child-appropriate form, e.g., drink)

Mid-Morning Snack (School)

  • Fruit (e.g., banana in weighed amount or berries)
  • Low-protein crackers or rice cake
  • Water

Lunch

  • Low-protein pasta (special product)
  • Mild tomato-vegetable sauce
  • A small amount of plant-based oil
  • Cucumber or carrot sticks
  • 1 serving of amino acid mixture

Afternoon Snack

  • Applesauce or fruit purée
  • Low-protein cookie
  • Tea or water

Dinner

  • Mashed potatoes (potatoes strictly weighed)
  • Steamed vegetables (e.g., carrots, zucchini)
  • 1 slice of low-protein bread
  • 1 serving of amino acid mixture

Late Meal (Optional)

  • Fruit compote or diluted fruit juice

Daily Meal Plan – Adolescent (13–17 Years), Classic PKU

Special Considerations

  • Increased energy and micronutrient requirements
  • Frequent adherence issues → practical daily structure is important
  • 4 servings of amino acid mixture per day are common

Breakfast

  • 2 slices of low-protein bread
  • Margarine or plant-based spread
  • Jam
  • Fruit
  • Tea or water
  • 1 serving of amino acid mixture

Mid-Morning Snack

  • Smoothie made from permitted fruits
  • Low-protein snack (special product)
  • Water

Lunch

  • Low-protein pasta or rice (special product)
  • Vegetable-tomato sauce
  • Salad with oil-based dressing
  • 1 serving of amino acid mixture

Afternoon Snack

  • Low-protein cookies or muffin (special product)
  • Fruit yogurt alternative (dairy-free, low-protein)
  • Beverage

Dinner

  • Vegetable stir-fry with:
    • weighed potatoes, or
    • low-protein bread
  • Raw vegetables (e.g., tomato, cucumber)
  • 1 serving of amino acid mixture

Late Meal

  • Fruit or compote
  • if necessary, 4th serving of amino acid mixture (if requirements are high)