Which bread is best for psoriasis?

October 26, 2025 •

4 min read

According to a 2017 study, 37% of surveyed psoriasis patients reported they did not recognize any dietary triggers, but many others find that what they eat can impact symptoms. This suggests that a personalized approach to diet, including choosing which bread is best for psoriasis, can be a key part of managing the condition.

Quick Summary

Learn how choosing anti-inflammatory whole-grain, seeded, or sprouted breads can help manage psoriasis symptoms, while refined white breads should be limited due to inflammation risks.

Key Points

Choose Whole Grains: Opt for whole-grain, seeded, sourdough, or Ezekiel breads instead of refined white bread to reduce inflammation.
Avoid Refined Carbs: Limit white bread and highly processed baked goods, as their high glycemic index can cause blood sugar spikes and inflammation.
Consider Gluten Sensitivity: Some people with psoriasis also have gluten sensitivity or celiac disease and may benefit from a gluten-free diet, but this should be confirmed with a doctor.
Prioritize Fiber: Look for breads high in fiber, which supports gut health and helps reduce inflammation, a key factor in managing psoriasis.
Check Labels Carefully: 'Multigrain' labels can be misleading; ensure a whole grain is the first ingredient listed to get the most anti-inflammatory benefits.
Consult a Doctor: Before making significant dietary changes, especially regarding gluten, talk to a healthcare professional or registered dietitian.

Understanding the Link Between Bread and Psoriasis

Psoriasis is a chronic inflammatory skin condition, and while no specific food is a cure or definitive trigger for everyone, diet can play a significant role in managing systemic inflammation. The glycemic index (GI), fiber content, and presence of gluten are key factors to consider when choosing bread for a psoriasis-friendly diet.

Why Refined Grains Worsen Inflammation

Refined grains, such as those found in white bread, are stripped of their fiber and most nutrients during processing. This causes them to have a high glycemic index, meaning they are digested quickly and cause rapid spikes in blood sugar. This can lead to increased insulin production, promoting inflammation and oxidative stress in the body, which may worsen psoriasis symptoms. Examples of refined grain products to limit or avoid include:

White bread and rolls
Pastries and cakes
Processed breakfast cereals
Some crackers and fast food buns

The Benefits of Anti-Inflammatory Breads

Unlike refined grains, whole grains are rich in fiber, vitamins, and minerals. They have a lower glycemic index, which helps regulate blood sugar levels and supports a healthy gut microbiome. A healthy gut is crucial for a balanced immune system, which can, in turn, help manage the overactive immune response seen in psoriasis. When shopping for bread, it is vital to check the ingredient label to ensure that a whole grain is listed as the first ingredient.

Recommended Breads for Psoriasis

Whole-Grain Bread: Choose bread made from whole wheat, rye, or spelt. The high fiber content helps reduce inflammation and supports gut health.
Seeded Bread: Look for breads with anti-inflammatory seeds such as flax, chia, and sunflower seeds, which are rich in omega-3 fatty acids.
Ezekiel Bread: This type of bread is made from sprouted whole grains and legumes, offering a nutrient-dense option that is easier to digest for some people.
Sourdough Bread: The long fermentation process in traditional sourdough can predigest some of the gluten and phytic acid, potentially making it easier to tolerate for those without severe gluten sensitivity. It also contains probiotics that aid gut health.
Gluten-Free Bread: For individuals with diagnosed celiac disease or confirmed gluten sensitivity, a gluten-free diet is necessary. Gluten-free breads made from alternative grains like quinoa or millet are good choices. For those without a diagnosed sensitivity, eliminating gluten may be unnecessary and could lead to nutritional deficiencies. Always consult with a healthcare provider before eliminating entire food groups.

Gluten: A Personalized Consideration

The relationship between gluten and psoriasis is complex and varies among individuals. Research suggests that people with psoriasis have higher rates of celiac disease and gluten sensitivity. For those with anti-gliadin antibodies (AGA), avoiding gluten may significantly reduce symptoms. However, a 2019 study found no clear link between general gluten intake and psoriasis onset in the broader population. A doctor or registered dietitian can help determine if gluten is a trigger for you, possibly with the help of blood tests or a controlled elimination diet.

Comparison Table: Bread Choices for Psoriasis


Bread Type	Psoriasis Impact	Key Nutritional Characteristics	Best For...
Whole-Grain Bread	Beneficial	High in fiber, low glycemic index, rich in vitamins and minerals.	Most people seeking to reduce inflammation and improve overall health.
White/Refined Bread	Worsens Symptoms	High glycemic index, low in fiber and nutrients, promotes blood sugar spikes and inflammation.	Best to avoid or severely limit due to inflammatory potential.
Seeded Bread	Beneficial	High in omega-3 fatty acids (flax, chia) and fiber, which fight inflammation.	Adding anti-inflammatory fats and fiber to your diet.
Sourdough Bread	Potentially Beneficial	Fermentation process may reduce gluten content and improve digestibility; contains probiotics for gut health.	Those with minor gluten sensitivity or looking for probiotic benefits.
Ezekiel Bread	Beneficial	Made from sprouted grains, nutrient-dense, easily digestible.	Nutrient-conscious individuals and those with minor digestive issues.
Gluten-Free Bread	Beneficial (if sensitive)	Necessary for those with celiac disease or confirmed gluten sensitivity.	People with diagnosed gluten sensitivity or celiac disease.

Making the Switch: Practical Steps

Transitioning to anti-inflammatory breads can be a gradual process. Start by replacing white bread with a whole-grain or sourdough option. Pay attention to how your body and skin react. A food journal can be helpful in identifying specific triggers. For example, swapping a breakfast of white toast with whole-grain toast topped with avocado and seeds can significantly increase your intake of beneficial nutrients and fiber. Remember that a balanced, anti-inflammatory diet is a holistic approach, and bread is just one component. For further reading, the National Psoriasis Foundation offers additional guidance on dietary modifications.

The Final Word

While what you eat can be a powerful tool for managing psoriasis, it is not a replacement for medical treatment. Always work with your healthcare provider to develop a comprehensive management plan. Making informed choices about your diet, starting with something as simple as your daily bread, can be a positive step toward better managing your symptoms and improving overall well-being.

Conclusion

Choosing which bread is best for psoriasis means prioritizing whole grains, high fiber, and lower glycemic index options like whole-grain, seeded, sourdough, or Ezekiel bread over refined white bread. For those with a proven gluten sensitivity or celiac disease, a gluten-free alternative is the correct path. By making these mindful dietary adjustments, individuals with psoriasis can support a healthy gut, reduce systemic inflammation, and potentially lessen the severity of their symptoms. Always read ingredient labels and consult with a medical professional to ensure your dietary choices align with your specific health needs.

Frequently Asked Questions

No, gluten is not a trigger for everyone with psoriasis. It appears to affect individuals who also have celiac disease or a non-celiac gluten sensitivity. For these people, a gluten-free diet can help, but it is not a necessary restriction for those who do not have a sensitivity.

White bread is made from refined grains with a high glycemic index, causing rapid blood sugar spikes. This can lead to increased inflammation, which may worsen psoriasis symptoms. It also lacks the fiber and nutrients found in whole grains.

Yes, sprouted breads like Ezekiel are made from whole grains and legumes, providing a nutrient-dense option. Their sprouting process can make them easier to digest and more beneficial for gut health, which is linked to managing inflammation.

For some, yes. Traditional sourdough's long fermentation process can reduce the amount of gluten and other compounds, potentially improving digestibility. It also contains beneficial probiotics that support a healthy gut microbiome, which is helpful for reducing systemic inflammation.

Always check the ingredients list. Look for the words 'whole grain' or 'whole wheat' as the first ingredient. Labels like 'multigrain' or 'wheat' can be misleading and may still contain refined flour.

Besides whole grains, an anti-inflammatory diet for psoriasis includes fatty fish (salmon, tuna), leafy greens, fruits, vegetables, nuts, seeds, and healthy oils like olive oil. Foods to limit include red meat, processed snacks, sugar, and alcohol.

Not necessarily. If you find certain types of bread are triggers, eliminating them is a good strategy. However, substituting refined breads with anti-inflammatory whole-grain options can provide fiber and nutrients while allowing you to enjoy bread in moderation. Consultation with a doctor is always recommended.