While fast food isn’t typically associated with weight loss, there are moments when rolling up to the drive-thru becomes an inevitable choice on a busy day. Whether you’re on the go, pressed for time, or simply craving a familiar taste, knowing the healthiest options at McDonald’s can be one great way to make a difference in your overall approach to nutrition and weight loss.
To discover a few of the best McDonald’s menu items to help you stay on track with your weight loss goals, we checked in with dietitians Krutika Nanavati, Jenna Hunter, and Lisa Andrews, MEd, RD, LD. Find all of their top picks for waistline-friendly options below, from chicken nuggets to fish sandwiches.
1. Chicken McNuggets
Chicken McNuggets at McDonald's may not be the lowest-calorie option on the menu since they are fried, but they can still be part of a weight-loss-friendly approach when consumed in moderation.
"Yes, the nuggets are fried, but fat provides satiety between meals," Andrews points out. "This is also a good source of protein, providing 23 grams per serving. Having enough protein in your meals helps manage blood sugar and appetite. Add the nuggets to a McDonald's side salad (15 calories) to make this more of a meal." Noted!
2. Fillet-o-Fish
Hunter says the Fillet-O-Fish, which is made of breaded fish fillet, tartar sauce, and a bun, provides a substantial amount of protein, making it a satisfying choice for those looking to increase their protein intake. Fish is naturally rich in protein and contains essential nutrients such as omega-3 fatty acids, which are beneficial for heart health. Despite being a protein-rich option, it's essential to note that the Fillet-O-Fish also comes with higher levels of sodium and saturated fat due to its breading and tartar sauce, which is why moderation is key.
Hunter tells us that this option provides 380 calories and 15g protein. "What many people don’t know is that fast food can be a part of a healthy weight loss journey," she assures us. "McDonalds menu item [like this one] can help lead to a healthy weight loss for people who are wanting to control their meal portions, who dislike cooking but still want something that is lower in calories/high in protein, & for people who need something quick." Perfect!
3. Hamburger
Sure, hamburgers aren't typically seen as the healthiest food around. But at McDonald's, this menu item makes one of the lowest-calorie options. With approximately 250 calories, the McDonald's hamburger provides a modest yet satisfying meal. While it's crucial to consider the overall nutritional balance, opting for this simple item allows individuals to enjoy the iconic taste of McDonald's without an excessive caloric load.
"For just 250 calories, you also get 13 grams of protein and 2 grams of fiber to help curb your hunger," Andrews elaborates. "The burger is relatively low in fat and sodium compared to other menu items (8 grams fat, 480 mg sodium)."
4. Egg McMuffin
Nanavati tells us that an egg McMuffin offers a substantial protein boost for breakfast, thanks to the egg and lean ham. Eggs are renowned for their high-quality protein content, vital for muscle repair and growth, making this sandwich a nutritious option to kickstart the day.
"Starting the day with a high-protein breakfast can kickstart metabolism and reduce the likelihood of overeating later in the day. The protein and whole grain muffin offer sustained energy levels, making it easier to stick to a calorie-restricted diet," she notes.
Nanavati seconds this. "High-protein meals can aid weight loss when part of a balanced diet. Protein promotes muscle maintenance and growth, curbs cravings and snacking, and is more filling than carbs or fats. Choosing grilled over fried and adding vegetables can lower calorie density for easier weight-loss integration," she says. Plus, Egg McMuffins are undeniably delicious!
5. Sausage Breakfast Burrito
Need to stop at the drive-thru for a quick breakfast on your way to work? A healthy breakfast is a crucial part of a healthy life, and sometimes you have no other options but top stop by McDonald's. Luckily, there are a few good options! That includes this mouthwatering Sausage Burrito.
If you’re pressed for options and McDonalds is the only restaurant around, their Sausage Burrito is a viable breakfast option as it is a solid source of protein. Nutritionist Heather Hanks notes that it is only 310 calories and contains 2 grams of sugar so you won’t have to brace yourself for a crash. It's also a good idea to add veggies onto a meal wherever you can, so ask if there are any greens available to add into this burrito if you feel it’s lacking.
6. Quarter Pounder Deluxe with Cheese (No Bun)
TikTok creator and dietitian Julie (nutritionbyjulie) says that while McDonalds is not her first go-to option for a healthy meal, there are a couple ways you can customize your order to make it more weight loss-friendly and nutritious.
Because the franchise discontinued their salads and grilled options, she says to order "a quarter pounder with cheese deluxe." With the deluxe option, you have the benefit of adding lettuce, onions, and tomatoes. These vegetables will give you some fiber, which is better than none.
"We went with the quarter pounder instead of the regular hamburger because it's going to have 30 grams of protein compared to the regular hamburger that only has 12," Julie notes.
The trick comes here, where Julie says she will take out the buns so she can add an order of fries. "I'm actually going to take off the bun and eat it almost like a salad with the lettuce, tomato, and onion because, frankly, I don't love buns and I'd rather prioritize French fries," she says.
